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Healthcare 2016, 4(4), 73; doi:10.3390/healthcare4040073

Effectiveness of a Lifestyle Intervention in Patients with Type 2 Diabetes: The Physical Activity and Nutrition for Diabetes in Alberta (PANDA) Trial

1
Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2R3, Canada
2
Department of Physiology, University of Alberta, Edmonton, AB T6G 2R3, Canada
3
Diabetes, Obesity and Nutrition Strategic Clinical Network, Alberta Health Services, Edmonton, AB T6G 2R3, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 16 August 2016 / Revised: 16 September 2016 / Accepted: 21 September 2016 / Published: 27 September 2016
(This article belongs to the Special Issue Diet Quality)
View Full-Text   |   Download PDF [651 KB, uploaded 27 September 2016]   |  

Abstract

Type 2 diabetes (T2D) patients often find integrating a new dietary pattern into their lifestyle challenging; therefore, the PANDA (Physical Activity and Nutrition for Diabetes in Alberta) menu plan intervention was developed to help people incorporate the Canadian Diabetes Association (CDA) nutrition therapy guidelines into their daily lives. The menu plan focused on recipes and foods that were accessible, available and acceptable to Albertans. The objective was to evaluate the effectiveness of the intervention on blood glucose control and dietary adherence and quality among patients with T2D. Participants with T2D (n = 73) enrolled in a single-arm incorporating interactive education based on a four-week menu plan that incorporated the recommendations of the CDA nutrition therapy guidelines. Post-intervention follow-up was conducted at three and six months. After three months, there were beneficial changes in A1c (−0.7%), body mass index (BMI, −0.6 kg/m2), diastolic blood pressure (−4 mmHg), total cholesterol (−63 mg/dL), HDL- (+28 mg/dL) and LDL-cholesterol (−89 mg/dL), Healthy Eating Index (+2.1 score) and perceived dietary adherence (+8.5 score) (all p < 0.05). The significant improvements in A1c, BMI and lipids were maintained at six months. The PANDA menu plan intervention was effective in improving glycemic control and diet quality. The results suggest that a dietary intervention incorporating interactive education sessions focused on menu planning with familiar, accessible foods may be effective for diabetes management. View Full-Text
Keywords: type 2 diabetes; intervention; menu plan; glycemic control; dietary adherence; diet quality type 2 diabetes; intervention; menu plan; glycemic control; dietary adherence; diet quality
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Asaad, G.; Soria-Contreras, D.C.; Bell, R.C.; Chan, C.B. Effectiveness of a Lifestyle Intervention in Patients with Type 2 Diabetes: The Physical Activity and Nutrition for Diabetes in Alberta (PANDA) Trial. Healthcare 2016, 4, 73.

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