Jane W Muchiri|Gerda Gericke|Paul Rheeder
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
University of Pretoria|University of Pretoria|University of Pretoria
evaluate effect participantcustomised nutrition education programme glycated hb hba1c blood lipids blood pressure bmi dietary behaviours patients type 2 diabetes mellitusa randomised controlled trial control group n 41 received education materials intervention group n 41 received education materials participated eight weekly 225 h group nutrition education sessions followup sessions outcomes assessed 6 12 months intentiontotreat analysis conducted ancova compared groups adjustments baseline values age sex clinictwo community health centres moretele subdistrict north west province south africaadults aged 4070 years type 2 diabetes hba1c 8 differences hba1c primary outcome 064 p015 6 months 063 p016 12 months favour intervention group starchyfood intake significantly lower intervention group 93 v 108 servingsd p0005 6 months 99 v 119 servingsd p0017 12 months median energy intake significantly lower intervention group 12 months 5988 v 6946 kjd p0017 significant group differences bmi lipid profile blood pressure intakes macronutrients vegetables fruits observednutrition education efficacious hba1c however improved specific dietary behaviours group education handson activities appeared contribute improvement optimal goal setting selfefficacy trainingassessment could benefit future nutrition education programmes people type 2 diabetes mellitus resourcelimited settings