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Effects of the Dietary Approaches to Stop Hypertension (Dash) Eating Plan on Cardiovascular Risks Among Type 2 Diabetic Patients: A Randomized Crossover Clinical Trial Publisher Pubmed



Azadbakht L1, 2 ; Fard NRP3 ; Karimi M3 ; Baghaei MH3 ; Surkan PJ4 ; Rahimi M3 ; Esmaillzadeh A1, 2 ; Willett WC5, 6
Authors
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Authors Affiliations
  1. 1. Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Nutrition, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Shaheed Motahari Hospital, Fooladshahr, Isfahan, Iran
  4. 4. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  5. 5. Department of Nutrition, Harvard School of Public Health, Boston, MA, United States
  6. 6. Department of Epidemiology, Harvard School of Public Health, Boston, MA, United States

Source: Diabetes Care Published:2011


Abstract

OBJECTIVE- To determine the effects of the Dietary Approaches to Stop Hypertension (DASH) eating pattern on cardiometabolic risks in type 2 diabetic patients. RESEARCH DESIGN AND METHODS- A randomized crossover clinical trial was undertaken in 31 type 2 diabetic patients. For 8 weeks, participants were randomly assigned to a control diet or the DASH eating pattern. RESULTS- After following the DASH eating pattern, body weight (P = 0.007) and waist circumference (P = 0.002) reduced significantly. Fasting blood glucose levels and A1C decreased after adoption of the DASH diet (-29.4 ± 6.3 mg/dl; P = 0.04 and -1.7 ± 0.1%; P = 0.04, respectively). After the DASH diet, the mean change for HDL cholesterol levels was higher (4.3 ± 0.9 mg/dl; P = 0.001) and LDL cholesterol was reduced (-17.2 ± 3.5 mg/dl; P = 0.02). Additionally, DASH had beneficial effects on systolic (-13.6 ± 3.5 vs. -3.1 ± 2.7 mmHg; P = 0.02) and diastolic blood pressure (-9.5 ± 2.6 vs. -0.7 ± 3.3 mmHg; P = 0.04). CONCLUSIONS- Among diabetic patients, the DASH diet had beneficial effects on cardiometabolic risks. © 2011 by the American Diabetes Association.
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