دورية أكاديمية
DASH diet vs. DASH diet plus physical activity in older patients with type 2 diabetes and high blood pressure: A randomized clinical trial.
| العنوان: | DASH diet vs. DASH diet plus physical activity in older patients with type 2 diabetes and high blood pressure: A randomized clinical trial. |
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| المؤلفون: | L P de Oliveira V; Post-Graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., de Freitas MM; Post-Graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., P de Paula T; Post-Graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., Gubert ML; Department of internal Medicine, Universidade Federal do Rio Grande do Sul, Brazil., Miller MEP; Department of internal Medicine, Universidade Federal do Rio Grande do Sul, Brazil., Schuchmann RA; Department of internal Medicine, Universidade Federal do Rio Grande do Sul, Brazil., Souza KLA; Department of internal Medicine, Universidade Federal do Rio Grande do Sul, Brazil., Viana LV; Post-Graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.; Department of internal Medicine, Universidade Federal do Rio Grande do Sul, Brazil.; Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Brazil. |
| المصدر: | Nutrition and health [Nutr Health] 2024 Jun; Vol. 30 (2), pp. 389-398. Date of Electronic Publication: 2022 Sep 16. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: England NLM ID: 8306569 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0260-1060 (Print) Linking ISSN: 02601060 NLM ISO Abbreviation: Nutr Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2012- : London : Sage Original Publication: Berkhamsted, England : Academic Publishers, 1982- |
| مواضيع طبية MeSH: | Diabetes Mellitus, Type 2*/diet therapy , Exercise* , Hypertension*/diet therapy , Blood Pressure* , Body Mass Index* , Dietary Approaches To Stop Hypertension*/methods, Humans ; Male ; Female ; Aged ; Middle Aged ; Body Composition ; Blood Glucose/metabolism ; Lipids/blood ; Body Weight |
| مستخلص: | Background and Aims: To evaluate the effect of lifestyle modification by adopting a DASH diet, with and without physical activity guidance, on blood pressure, glycemic control, lipid profile, weight, and body composition in older patients with type 2 diabetes mellitus (T2DM) and hypertension. Methods and Results: For this randomized clinical trial, we recruited patients aged 60 years or older with T2DM and uncontrolled hypertension. One group (DASH) received only DASH dietary guidance, while the other group (DASHPED) received dietary guidance and encouragement to walk with a pedometer. Outcomes of interest were (1) blood pressure, (2) physical activity, (3) weight, body mass index (BMI), and body composition, and (4) biochemical variables. Measurements were taken at baseline and 16 weeks after the intervention. We included 35 patients in the analysis. At the end of the study, the DASHPED group had an mean increase in physical activity of 1721 steps/day. Both groups displayed significantly reduced weight, BMI, and waking diastolic pressures on ambulatory blood pressure monitoring after the intervention. A trend of reduced sleeping diastolic pressure was found in the DASHPED group. Changes in weight, BMI, muscle mass, body fat, waist-hip ratio, glycemic control, lipid profile, and insulin sensitivity did not differ between the groups. Conclusion: There was no difference in outcomes between the group that only dieted and the group that also performed increased physical activity, despite a significant increase in exercise. This reinforces the importance of dietary changes in immediate blood pressure control. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: Elderly; blood pressure; hypertension; pedometer DASH diet; type 2 diabetes |
| المشرفين على المادة: | 0 (Blood Glucose) 0 (Lipids) |
| تواريخ الأحداث: | Date Created: 20220917 Date Completed: 20240530 Latest Revision: 20240718 |
| رمز التحديث: | 20240719 |
| DOI: | 10.1177/02601060221124201 |
| PMID: | 36114615 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0260-1060 |
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| DOI: | 10.1177/02601060221124201 |