Preventive Role of Diet Interventions and Dietary Factors in Type 2 Diabetes Mellitus: An Umbrella Review

被引:82
|
作者
Phung Lam Toi [1 ,2 ]
Anothaisintawee, Thunyarat [1 ,3 ]
Chaikledkaew, Usa [1 ,4 ]
Briones, Jamaica Roanne [1 ]
Reutrakul, Sirimon [5 ]
Thakkinstian, Ammarin [1 ,6 ]
机构
[1] Mahidol Univ, Mahidol Univ Hlth Technol Assessment MUHTA, Grad Program, Bangkok 10400, Thailand
[2] Minist Hlth, Hlth Strategy & Policy Inst, Hanoi 10400, Vietnam
[3] Mahidol Univ, Ramathibodi Hosp, Dept Family Med, Bangkok 10400, Thailand
[4] Mahidol Univ, Fac Pharm, Dept Pharm, Social Adm Pharm Div, Bangkok 10400, Thailand
[5] Univ Illinois, Dept Med, Div Endocrinol Diabet & Metab, Coll Med Chicago, 835 S Wolcott,Ste E625, Chicago, IL 60612 USA
[6] Mahidol Univ, Ramathibodi Hosp, Dept Clin Epidemiol & Biostat, Bangkok 10400, Thailand
基金
比尔及梅琳达.盖茨基金会;
关键词
diabetes mellitus; dietary patterns; nutrient; food; systematic review; DOSE-RESPONSE METAANALYSIS; LIFE-STYLE INTERVENTIONS; GLYCEMIC INDEX; MAGNESIUM INTAKE; WHOLE-GRAIN; CARDIOVASCULAR-DISEASE; NETWORK METAANALYSIS; MEDITERRANEAN DIET; PHYSICAL-ACTIVITY; RISK-FACTORS;
D O I
10.3390/nu12092722
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Although the body of evidence indicates clear benefits of dietary modifications for prevention of type-2 diabetes mellitus (T2DM), it may be difficult for healthcare providers to recommend which diet interventions or dietary factors are appropriate for patients as there are too many modalities available. Accordingly, we performed an umbrella review to synthesize evidence on diet interventions and dietary factors in prevention of T2DM. Methods: Medline and Scopus databases were searched for relevant studies. Systematic reviews with meta-analyses of randomized-controlled trial or observational studies were eligible if they measured effects of diet interventions and/or dietary factors including dietary patterns, food groups, and nutrients on risk of T2DM. The effect of each diet intervention/factor was summarized qualitatively. Results: Sixty systematic reviews and meta-analyses were eligible. Results of the review suggest that healthy dietary patterns such as Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diets, and high consumption of whole grains, low-fat dairy products, yogurt, olive oil, chocolate, fiber, magnesium, and flavonoid significantly reduced the risk of T2DM. In contrast, high glycemic index and glycemic load diets, high consumption of red and processed meat, and sugar or artificial sugar-sweetened beverages significantly increased risk of T2DM. Prescribing diet interventions with or without physical activity interventions significantly decreased risk of T2DM in both high-risk and general population. Conclusion: High consumption of Mediterranean and DASH diet, and interventions that modified the quality of diet intake significantly reduced risk of T2DM especially in the high-risk population. These lifestyle modifications should be promoted in both individual and population levels to prevent and decrease burden from T2DM in the future.
引用
收藏
页码:1 / 17
页数:17
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