scholarly journals Effect of a nutrition education programme on metabolic risk factor and metabolic syndrome in adults with type 2 diabetes mellitus at a Level 5 Hospital in Kenya: “a randomized controlled trial”

2019 ◽  
Author(s):  
ANN Watetu THUITA-Wambugu ◽  
Beatrice Nyanchama Kiage ◽  
Arnold N Onyango ◽  
Makokha O Anselimo
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Nutrition Education ◽  
Peer Support ◽  
Controlled Trial ◽  
Education Programme ◽  
Peer To Peer ◽  
Post Intervention

Abstract Background Type 2 diabetes mellitus; a chronic disorder characterized by poor glycemic control, is a life threatening condition of global public health concern which worsens in the presence of metabolic syndrome (MetS) and associated risks. However application of lifestyle intervention may reduce this risk. The aim of the current study was to evaluate the effect of nutrition education programme with inclusion of peer to peer support on MetS and Mets risk factors in type 2 diabetes mellitus patient. Methods This was a randomized controlled trial with two intervention groups and one control. The intervention groups included nutrition education peer to peer support group (NEP) (n=51) and nutrition education group (NE) (n=51) which participated in an eight week (2 h per week) group nutrition education sessions and follow-up sessions for six month. The NEP in addition had a peer to peer support component on weekly basis for the eight weeks of training and monthly support for six months. The control group (C) (n 51) received standard care. Outcomes were assessed at 6 months. An intention-to-treat analysis was conducted using analysis of co-variance (ANCOVA).Results: Differences in MetS were -38.1 and -31.7% (P<0.01) at 6 months in the NEP group as per Harmonized and WHO criteria respectively. Significant improvement was seen in number of participant achieving recommended waist circumference; WC (33.9 %) and high density lipoprotein; HDL (35.2%) in the NEP group and blood pressure; BP (reduction by 39.2 and 31.6) as per harmonized and WHO criteria respectively in the NE group. six month post intervention Statistical mean change was also noted six month post intervention in; weight lost (-6.26kg), BMI (-2.37 kg/m2), waist hip ratio; WHR (-0.03), WC (-14.51 cm) and HDL (+0.34mmol/l in the NEP group and diastolic blood pressure; DBP (-5.17 mmhg) in the NE group. Comparison of the NEP and NE with control showed that NEP and NE had better outcome.Conclusions: Nutrition education with inclusion of peer to peer support was of clinical benefit in reducing metabolic outcomes and MetS in Type 2 diabetes mellitus patient. Optimal goal setting and self-effective training could benefit future nutrition education programmes with peer to peer support component for people with Type 2 Diabetes and at risk of Mets.

scholarly journals Peer support to decrease diabetes-related distress in patients with type 2 diabetes mellitus: design of a randomised controlled trial

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Lianne de Vries ◽  
Amber AWA van der Heijden ◽  
Esther van 't Riet ◽  
Caroline A Baan ◽  
Piet J Kostense ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Randomised Controlled Trial ◽  
Peer Support ◽  
Controlled Trial ◽  
Randomised Controlled

scholarly journals Effect of a nutrition education programme on clinical status and dietary behaviours of adults with type 2 diabetes in a resource-limited setting in South Africa: a randomised controlled trial

2015 ◽  
Vol 19 (1) ◽  
pp. 142-155 ◽  
Author(s):  
Jane W Muchiri ◽  
Gerda J Gericke ◽  
Paul Rheeder
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Nutrition Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Education Programme ◽  
Dietary Behaviours ◽  
Resource Limited ◽  
Randomised Controlled

AbstractObjectiveTo evaluate the effect of a participant-customised nutrition education programme on glycated Hb (HbA1c), blood lipids, blood pressure, BMI and dietary behaviours in patients with type 2 diabetes mellitus.DesignA randomised controlled trial. The control group (n 41) received education materials. The intervention group (n 41) received the same education materials and participated in eight weekly (2–2·5 h) group nutrition education sessions and follow-up sessions. Outcomes were assessed at 6 and 12 months. An intention-to-treat analysis was conducted. ANCOVA compared the groups (adjustments for baseline values, age, sex and clinic).SettingTwo community health centres, Moretele sub-district (North West Province), South Africa.SubjectsAdults (aged 40–70 years) with type 2 diabetes, HbA1c ≥8 %.ResultsDifferences in HbA1c (primary outcome) were −0·64 % (P=0·15) at 6 months and −0·63 % (P=0·16) at 12 months in favour of the intervention group. Starchy-food intake was significantly lower in the intervention group, 9·3 v. 10·8 servings/d (P=0·005) at 6 months and 9·9 v. 11·9 servings/d (P=0·017) at 12 months. Median energy intake was significantly lower in the intervention group at 12 months (5988 v. 6946 kJ/d, P=0·017). No significant group differences in BMI, lipid profile, blood pressure and intakes of macronutrients, vegetables and fruits were observed.ConclusionsNutrition education was not efficacious on HbA1c; however, it improved specific dietary behaviours. Group education and hands-on activities appeared to contribute to the improvement. Optimal goal setting and self-efficacy training/assessment could benefit future nutrition education programmes for people with type 2 diabetes mellitus in resource-limited settings.

scholarly journals Effect of a nutrition education programme on the metabolic syndrome in  type 2 diabetes mellitus at a Level 5 Hospital in Kenya: “a randomized controlled trial”

2020 ◽  
Author(s):  
ANN Watetu THUITA-Wambugu ◽  
Beatrice Nyanchama Kiage ◽  
Arnold N Onyango ◽  
Makokha O Anselimo
Keyword(s):  
Nutrition Education ◽  
Peer Support ◽  
Controlled Trial ◽  
Education Programme ◽  
Peer To Peer ◽  
Control Group ◽  
Mean Values ◽  
The Metabolic Syndrome ◽  
Food Intake Patterns

Abstract Background Type 2 diabetes mellitus (T2D), is a life-threatening condition of global public health concern. It worsens in the presence of the metabolic syndrome (MetS), a complex disorder characterized by co-occurrence of at least three of such factors as hypertension, obesity, dyslipidemia and insulin resistance. However, lifestyle interventions reduce the risk of both MetS and T2D, and nutrition education can empower individuals on the appropriate lifestyle changes. The aim of the current study was to evaluate the effect of a nutrition education programme, with and without inclusion of peer to peer support, on MetS in T2D patients. Methods This was a randomized controlled trial with two intervention groups and one control. One of the intervention groups involved a nutrition education programme with peer-to-peer support (NEP); the other involved only the education program, while the control received standard care. Each group had 51 participants. The nutrition education programme was conducted for 2h per week for 8 weeks. In addition, the NEP had weekly peer-to-peer interactions for 8 weeks. All groups had follow-up sessions for 6 months. Data on MetS risk factors as well as food intake patterns and physical activity levels were taken at baseline and at different time points during the study. Analysis of Co-variance and regression were used in the analysis. Results: The MetS prevalence improved in the NEP (90% to 52%) and NE (86% to 69%),while it worsened in C (88% to 91%). There was improvement in the mean values of the anthropometric parameters in the NEP and NE which worsened in the control group. There was a general improvement in mean values of blood lipids, fasting blood glucose and HbA1c in all the groups, with NEP showing the greatest improvements, followed by NE, except for triglycerides and HDL where the control group had better improvement than the NE. Changes in the anthropometric and metabolic indicators mirrored the changes in food intake patterns and physical activity, where the greatest improvements occurred in the NEP. Conclusions: Nutrition education with inclusion of peer to peer support was of clinical benefit in improving metabolic outcomes and reducing MetS in T2D patients.

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