Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers
Dietary patterns high in fibre and green leafy vegetables have shown an inverse association with lower risks of type 2 diabetes mellitus and improved glycaemic control. The study aimed to investigate the effects of increased vegetable intake and conventional diabetes diet on glycaemic control among...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-01-01
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| Series: | Journal of Nutritional Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679022000416/type/journal_article |
| _version_ | 1811155976399618048 |
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| author | Tan Shot Yen Min Kyaw Htet Widjaja Lukito Saptawati Bardosono Rianto Setiabudy Endang S. Basuki Aris Wibudi Drajat Martianto Imam Subekti Umi Fahmida |
| author_facet | Tan Shot Yen Min Kyaw Htet Widjaja Lukito Saptawati Bardosono Rianto Setiabudy Endang S. Basuki Aris Wibudi Drajat Martianto Imam Subekti Umi Fahmida |
| author_sort | Tan Shot Yen |
| collection | DOAJ |
| description | Dietary patterns high in fibre and green leafy vegetables have shown an inverse association with lower risks of type 2 diabetes mellitus and improved glycaemic control. The study aimed to investigate the effects of increased vegetable intake and conventional diabetes diet on glycaemic control among type 2 diabetic patients. White-collar workers from one telecommunication company with type 2 diabetes were assigned to two treatment groups by cluster randomisation. Individuals with known type 2 diabetes and poor glycaemic control (HbA1c ≥8 g%) were eligible and a total of 84 subjects were recruited. Subjects in the intervention group (n 41) were offered to attend seminars and intensive coaching weekly to encourage them to increase raw vegetable intake. The control group (n 40) followed the conventional diet according to the guidelines of the Indonesian Society of Endocrinology. Glycated haemoglobin (HbA1c), plasma lipids, blood pressure, vegetable intake and anthropometric measurements were assessed at baseline and end line of 12 weeks intervention. A regression analysis was conducted using differences in HbA1C between baseline and 12 weeks as the dependent variable. Student's t test was conducted for the changes of biochemical indicators from baseline to end line during the period of 12 weeks intervention. Glycaemic control improved in the intervention group and mean HbA1C, fasting blood glucose and post-prandial blood glucose in the intervention group decreased significantly along with body weight, waist circumference and total cholesterol. The finding suggested that the intervention which emphasised raw vegetable intake contributed to improved glycaemic control among Indonesian adults with type 2 diabetes mellitus. |
| first_indexed | 2024-04-10T04:42:40Z |
| format | Article |
| id | doaj.art-38beb0c38a004e96b3e79c49a3f74b90 |
| institution | Directory Open Access Journal |
| issn | 2048-6790 |
| language | English |
| last_indexed | 2024-04-10T04:42:40Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Nutritional Science |
| spelling | doaj.art-38beb0c38a004e96b3e79c49a3f74b902023-03-09T12:38:45ZengCambridge University PressJournal of Nutritional Science2048-67902022-01-011110.1017/jns.2022.41Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workersTan Shot Yen0https://orcid.org/0000-0002-4931-7338Min Kyaw Htet1https://orcid.org/0000-0001-6417-2942Widjaja Lukito2Saptawati Bardosono3Rianto Setiabudy4Endang S. Basuki5Aris Wibudi6Drajat Martianto7Imam Subekti8Umi Fahmida9https://orcid.org/0000-0003-1403-6242Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO-RECFON), Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta, 10430, Indonesia Department of Nutrition, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaSoutheast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO-RECFON), Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta, 10430, Indonesia Sydney School of Public Health, Sydney Medical School, The University of Sydney, Sydney, NSW 2006, Australia Sinergi Qalbu Fikri, Depok, IndonesiaHuman Nutrition Research Center, Indonesian Medical Research & Education Institute, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Nutrition, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Pharmacology, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Internal Medicine, Gatot Subroto Army Hospital, Jakarta, IndonesiaDepartment of Nutrition, Faculty of Human Ecology, Institut Pertanian Bogor, Dramaga, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaSoutheast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO-RECFON), Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta, 10430, IndonesiaDietary patterns high in fibre and green leafy vegetables have shown an inverse association with lower risks of type 2 diabetes mellitus and improved glycaemic control. The study aimed to investigate the effects of increased vegetable intake and conventional diabetes diet on glycaemic control among type 2 diabetic patients. White-collar workers from one telecommunication company with type 2 diabetes were assigned to two treatment groups by cluster randomisation. Individuals with known type 2 diabetes and poor glycaemic control (HbA1c ≥8 g%) were eligible and a total of 84 subjects were recruited. Subjects in the intervention group (n 41) were offered to attend seminars and intensive coaching weekly to encourage them to increase raw vegetable intake. The control group (n 40) followed the conventional diet according to the guidelines of the Indonesian Society of Endocrinology. Glycated haemoglobin (HbA1c), plasma lipids, blood pressure, vegetable intake and anthropometric measurements were assessed at baseline and end line of 12 weeks intervention. A regression analysis was conducted using differences in HbA1C between baseline and 12 weeks as the dependent variable. Student's t test was conducted for the changes of biochemical indicators from baseline to end line during the period of 12 weeks intervention. Glycaemic control improved in the intervention group and mean HbA1C, fasting blood glucose and post-prandial blood glucose in the intervention group decreased significantly along with body weight, waist circumference and total cholesterol. The finding suggested that the intervention which emphasised raw vegetable intake contributed to improved glycaemic control among Indonesian adults with type 2 diabetes mellitus.https://www.cambridge.org/core/product/identifier/S2048679022000416/type/journal_articleDiabetes mellitusGlycaemic controlIndonesiaRaw vegetablesWhite-collar workers |
| spellingShingle | Tan Shot Yen Min Kyaw Htet Widjaja Lukito Saptawati Bardosono Rianto Setiabudy Endang S. Basuki Aris Wibudi Drajat Martianto Imam Subekti Umi Fahmida Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers Journal of Nutritional Science Diabetes mellitus Glycaemic control Indonesia Raw vegetables White-collar workers |
| title | Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers |
| title_full | Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers |
| title_fullStr | Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers |
| title_full_unstemmed | Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers |
| title_short | Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers |
| title_sort | increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus a clustered randomised clinical trial among indonesian white collar workers |
| topic | Diabetes mellitus Glycaemic control Indonesia Raw vegetables White-collar workers |
| url | https://www.cambridge.org/core/product/identifier/S2048679022000416/type/journal_article |
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