PMID- 35409925
OWN - NLM
STAT- MEDLINE
DCOM- 20220413
LR  - 20221207
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 19
IP  - 7
DP  - 2022 Apr 2
TI  - Effectiveness of Strategies for Nutritional Therapy for Patients with Type 2 
      Diabetes and/or Hypertension in Primary Care: A Systematic Review and 
      Meta-Analysis.
LID - 10.3390/ijerph19074243 [doi]
LID - 4243
AB  - A central aspect to the management of type 2 Diabetes Mellitus (T2DM) and 
      hypertension is promoting a healthy lifestyle, and nutritional therapy (NT) can 
      support patients achieving glycemic control and blood pressure targets. This 
      systematic review aimed to evaluate the effectiveness of NT in the management of 
      patients with T2DM and/or hypertension in primary care. Primary outcomes were 
      HbA1c, systolic blood pressure (SBP) and diastolic blood pressure (DBP). 
      Thirty-nine studies were included, thirty on T2DM and nine on hypertension. With 
      a moderate quality of evidence, educational/counseling programs and food 
      replacement programs in primary care likely reduce HbA1c on patients with T2DM 
      (mean difference (MD): -0.37, 95% CI: -0.57 to -0.17, 7437 patients, 27 studies; 
      MD: -0.54, 95% CI: -0.75 to -0.32, 440 patients, 2 studies, respectively). 
      Mediterranean diet for T2DM was accessed by one study, and no difference between 
      the groups was found. Educational and counseling programs likely reduce DBP in 
      patients with hypertension (MD: -1.79, 95% CI: -3.46, -0.12, 2840 patients, 9 
      studies, moderate quality of the evidence), but the effect in SBP was unclear due 
      to risk of bias and imprecision. Nutritional therapy strategies (i.e., 
      educational/counseling programs and food replacement programs) in primary care 
      improved HbA1c in patients with T2DM and DBP in individuals with hypertension.
FAU - Simoes Correa Galendi, Julia
AU  - Simoes Correa Galendi J
AUID- ORCID: 0000-0002-4832-7294
AD  - Institute of Health Economics and Clinical Epidemiology, Faculty of Medicine and 
      University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany.
FAU - Leite, Renata Giacomini Occhiuto Ferreira
AU  - Leite RGOF
AD  - Department of Internal Medicine, Botucatu Medical School, Sao Paulo State 
      University (UNESP), 18618687 Botucatu, Brazil.
FAU - Banzato, Luisa Rocco
AU  - Banzato LR
AD  - Department of Internal Medicine, Botucatu Medical School, Sao Paulo State 
      University (UNESP), 18618687 Botucatu, Brazil.
FAU - Nunes-Nogueira, Vania Dos Santos
AU  - Nunes-Nogueira VDS
AUID- ORCID: 0000-0001-9316-4167
AD  - Department of Internal Medicine, Botucatu Medical School, Sao Paulo State 
      University (UNESP), 18618687 Botucatu, Brazil.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20220402
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Blood Pressure
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Glycated Hemoglobin
MH  - Humans
MH  - *Hypertension/therapy
MH  - Primary Health Care
PMC - PMC8998242
OTO - NOTNLM
OT  - chronic disease
OT  - health services research
OT  - hypertensions
OT  - nutrition therapy
OT  - primary care
OT  - type 2 diabetes mellitus
COIS- The authors declare no conflict of interest.
EDAT- 2022/04/13 06:00
MHDA- 2022/04/14 06:00
PMCR- 2022/04/02
CRDT- 2022/04/12 01:15
PHST- 2022/01/18 00:00 [received]
PHST- 2022/03/05 00:00 [revised]
PHST- 2022/03/07 00:00 [accepted]
PHST- 2022/04/12 01:15 [entrez]
PHST- 2022/04/13 06:00 [pubmed]
PHST- 2022/04/14 06:00 [medline]
PHST- 2022/04/02 00:00 [pmc-release]
AID - ijerph19074243 [pii]
AID - ijerph-19-04243 [pii]
AID - 10.3390/ijerph19074243 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2022 Apr 2;19(7):4243. doi: 
      10.3390/ijerph19074243.