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According to a study, adults who are overweight or obese and have type 2 diabetes or prediabetes are at a higher risk of developing serious health problems. However experts disagree on the best dietary regimen and supportive measures to suggest. The study was published in the journal ‘The Annals of Family Medicine’. In these findings, researchers used a 2 x 2 diet-by-support factorial design to randomize 94 adults with the above conditions to the Dietary Approaches to Stop Hypertension (DASH) diet with the Very Low Carbohydrate (VLC) ) or the opposite of the ketogenic diet.
They also determined the outcomes of interventions that did and did not include additional support practices such as mindful eating, effective emotion regulation, social support, and cooking instruction.
Using intention-to-treat analyses, the VLC diet led to greater improvements in estimated mean systolic blood pressure (SBP; -9.8 mmHg vs -5.2 mmHg, P = .046), greater improvements in glycosylated hemoglobin (HbA1c; -.4) percent versus -.1 percent, P = 0.034), and greater improvement in weight (-19.14 pounds versus -10.33 pounds, P = 0.0003) compared to the DASH diet.
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The addition of additional support did not have a statistically significant effect on the results. For adults with high blood pressure, prediabetes, or type 2 diabetes, and who are overweight or obese, a VLC diet showed greater improvements in systolic blood pressure, glycemic control, and weight over a four-month period than a DASH diet.
What we do know: Nearly half (47 percent) of adults in the United States have high blood pressure and nearly half have prediabetes or type 2 diabetes. About 42 percent of adults in the United States are also obese. These conditions can trigger stroke, end-stage renal disease, myocardial infarction and premature death. While the first-line treatment for these individuals should be a dietary and lifestyle intervention, experts disagree about which diet should be recommended.
What this study adds: For adults who are overweight or obese, have high blood pressure as well as prediabetes or type 2 diabetes, a very low-carbohydrate diet improved systolic blood pressure, glycemic control and weight over a four-month period. showed improvement. For a DASH diet.
