PMID- 36364839 OWN - NLM STAT- MEDLINE DCOM- 20221114 LR - 20230308 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 14 IP - 21 DP - 2022 Oct 31 TI - The Effect of Dietary Patterns on Inflammatory Biomarkers in Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. LID - 10.3390/nu14214577 [doi] LID - 4577 AB - Some evidence supports the fact that chronic low-grade inflammation contributes to the physiopathology of type 2 diabetes mellitus (T2DM), and circulating markers of inflammation (e.g., C-reactive protein (CRP), pro- and anti-inflammatory biomarkers (e.g., adiponectin), and endothelial function markers could indicate an ongoing pathology. Following certain dietary patterns (DPs) may result in favorable changes in inflammatory biomarkers. The overarching aim of this systematic review and meta-analysis is to explore the inflammatory effect of healthy DPs on inflammatory biomarkers in adults with T2DM. A systematic search of the literature was conducted using the electronic databases MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trials. A total of 10 randomized controlled clinical trials (RCTs) were analyzed. In our linear meta-analysis, the random-effects model was applied to estimate standardized mean differences (SMD) to associate the effect of the interventions. Dietary Approaches to Stop Hypertension (DASH), Diabetes UK healthy eating, Mediterranean Diet (MD), Diabetes Prevention Program (DPP), and the American Heart Association's Therapeutic Lifestyle Changes diet were associated with a significant reduction in CRP (SMD: -0.83, 99% CI -1.49, -0.17, p < 0.001; I2 94%), while plasma levels of adiponectin were significantly higher with the intake of MD, DPP, and Diabetes UK healthy eating (SMD: 0.81, 99% CI 0.06,1.56, p < 0.005; I2 96%), both of which indicate less inflammation. Sensitivity analyses were carried out, and potential publication bias was examined. In conclusion, low- moderate-quality evidence from RCTs suggests that, for the DPs evaluated, there are favorable changes in CRP and adiponectin. FAU - Sanchez-Rosales, Abril I AU - Sanchez-Rosales AI AD - Faculty of Medicine, Universidad Autonoma del Estado de Mexico, Toluca 50180, Mexico. FAU - Guadarrama-Lopez, Ana L AU - Guadarrama-Lopez AL AD - Multidisciplinary Clinic of Health, Universidad Autonoma del Estado de Mexico, Toluca 50180, Mexico. FAU - Gaona-Valle, Laura S AU - Gaona-Valle LS AD - Centro Medico Lic. Adolfo Lopez Mateos, Instituto de Salud del Estado de Mexico (ISEM), Toluca 50010, Mexico. FAU - Martinez-Carrillo, Beatriz E AU - Martinez-Carrillo BE AD - Faculty of Medicine, Universidad Autonoma del Estado de Mexico, Toluca 50180, Mexico. FAU - Valdes-Ramos, Roxana AU - Valdes-Ramos R AUID- ORCID: 0000-0003-0093-886X AD - Faculty of Medicine, Universidad Autonoma del Estado de Mexico, Toluca 50180, Mexico. LA - eng GR - 3843/2014C/Universidad Autonoma del Estado de Mexico/ GR - 212946/WT_/Wellcome Trust/United Kingdom GR - Fellowship for Doctoral Studies. Abril Iliana Sanches Rosales/Consejo Nacional de Ciencia y Tecnologia/ PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20221031 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Adiponectin) RN - 0 (Biomarkers) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Humans MH - *Adiponectin MH - Randomized Controlled Trials as Topic MH - *Diabetes Mellitus, Type 2 MH - Biomarkers MH - C-Reactive Protein/metabolism MH - Inflammation PMC - PMC9654560 OTO - NOTNLM OT - Mediterranean Diet OT - biomarkers of inflammation OT - chronic inflammation OT - dietary patterns OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2022/11/12 06:00 MHDA- 2022/11/15 06:00 PMCR- 2022/10/31 CRDT- 2022/11/11 01:45 PHST- 2022/08/30 00:00 [received] PHST- 2022/10/06 00:00 [revised] PHST- 2022/10/26 00:00 [accepted] PHST- 2022/11/11 01:45 [entrez] PHST- 2022/11/12 06:00 [pubmed] PHST- 2022/11/15 06:00 [medline] PHST- 2022/10/31 00:00 [pmc-release] AID - nu14214577 [pii] AID - nutrients-14-04577 [pii] AID - 10.3390/nu14214577 [doi] PST - epublish SO - Nutrients. 2022 Oct 31;14(21):4577. doi: 10.3390/nu14214577.