OBJECTIVE: To test feasibility, acceptability, and preliminary effectiveness of a naturopathic dietary intervention in patients with Type 2 diabetes. METHODS: Prospective observational pilot study evaluating the change in clinical and patient-centered outcome measures following a 12-week individualized and group dietary education program delivered in naturopathic primary care. RESULTS: HbA1c improved in all participants (n = 12); mean - 0.4% +/- 0.49% SD, (p = 0.02). Adherence to healthful eating increased from 3.5 d/wk to 5.3 d/wk (p = 0.05). Specific nutritional behavior modification included: days/week consuming ≥5 servings of fruit/vegetables (p = 0.01), attention to fat intake (p = 0.05), and -11.3% carbohydrate reduction. Measures of physical activity, self-efficacy and self-management also improved significantly. CONCLUSION: A naturopathic dietary approach to diabetes appears to be feasible to implement among Type 2 diabetes patients. The intervention may also improve self-management, glycemic control, and have influences in other domains of self-care behaviors. Clinical trials evaluating naturopathic approaches to Type 2 diabetes are warranted.
OBJECTIVE: To test feasibility, acceptability, and preliminary effectiveness of a naturopathic dietary intervention in patients with Type 2 diabetes. METHODS: Prospective observational pilot study evaluating the change in clinical and patient-centered outcome measures following a 12-week individualized and group dietary education program delivered in naturopathic primary care. RESULTS: HbA1c improved in all participants (n = 12); mean - 0.4% +/- 0.49% SD, (p = 0.02). Adherence to healthful eating increased from 3.5 d/wk to 5.3 d/wk (p = 0.05). Specific nutritional behavior modification included: days/week consuming ≥5 servings of fruit/vegetables (p = 0.01), attention to fat intake (p = 0.05), and -11.3% carbohydrate reduction. Measures of physical activity, self-efficacy and self-management also improved significantly. CONCLUSION: A naturopathic dietary approach to diabetes appears to be feasible to implement among Type 2 diabetespatients. The intervention may also improve self-management, glycemic control, and have influences in other domains of self-care behaviors. Clinical trials evaluating naturopathic approaches to Type 2 diabetes are warranted.
Authors: Mara Z Vitolins; Andrea M Anderson; Linda Delahanty; Hollie Raynor; Gary D Miller; Connie Mobley; Rebecca Reeves; Monica Yamamoto; Catherine Champagne; Rena R Wing; Elizabeth Mayer-Davis Journal: J Am Diet Assoc Date: 2009-08
Authors: Allison Hedley Dodd; Margaret S Colby; Kristina S Boye; Cheryl Fahlman; Sunny Kim; Ronette R Briefel Journal: Curr Med Res Opin Date: 2009-07 Impact factor: 2.580
Authors: Richard L Nahin; James M Dahlhamer; Beth L Taylor; Patricia M Barnes; Barbara J Stussman; Catherine M Simile; Marc R Blackman; Margaret A Chesney; Morgan Jackson; Heather Miller; Kim K McFann Journal: BMC Public Health Date: 2007-08-27 Impact factor: 3.295