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Effects of pistachio nut supplementation on blood glucose in patients with type 2 diabetes: a randomized crossover trial

Parham M, Heidari S, Khorramirad A, Hozoori M, Hosseinzadeh F, Bakhtyari L, Vafaeimanesh J

The review of diabetic studies : RDS · 63 citas

Etiquetas de revisión

Alimentación controladaFinanciación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
Comida provista por los investigadores

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2014-01-01 · Rev Diabet Stud · vol. 11 · número 2 · págs. 190–196
Citado
88 citas · más que el 96% de estudios similares · 4.9× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
36 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Nuts composition and effects · Peanut Plant Research Studies · Botany, Ecology, and Taxonomy Studies
Palabras clave
Medicine, Glycemic, Randomized controlled trial, Internal medicine, Postprandial, Diabetes mellitus, Type 2 diabetes, Traditional medicine, Endocrinology
MeSH
humans, pistacia, nuts, diabetes mellitus, type 2, insulin resistance, blood glucose, c-reactive protein, placebos, body mass index, diet, cross-over studies, double-blind method, blood pressure, postprandial period, adult, middle aged, iran, female, male, glycated hemoglobin

7 autores

  • Mahmoud Parham🇮🇷Qom University of Medical Science and Health Services
  • Saeide Heidari🇮🇷Qom University of Medical Science and Health Services
  • Ashraf Khorramirad🇮🇷Qom University of Medical Science and Health Services
  • Mohammad Hozoori🇮🇷Qom University of Medical Science and Health Services
  • Fatemeh Mohammad Hosseinzadeh🇮🇷Qom University of Medical Science and Health Services
  • Lida Bakhtyari🇮🇷Shahid Beheshti University of Medical Sciences; Qom University of Medical Science and Health Services
  • Jamshid Vafaeimanesh🇮🇷 · autor de correspondenciaShahid Beheshti University of Medical Sciences; Qom University of Medical Science and Health Services

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Diabetes is a chronic, potentially debilitating, and often fatal disease. Dietary strategies to reduce postprandial glycemia are important in the prevention and treatment of diabetes. Nuts are rich in mono- and polyunsaturated fatty acids, which may reduce hyperglycemia and improve metabolism.

Objectives

To evaluate the effectiveness of pistachio nut supplementation on glycemic and inflammatory measures in patients with type 2 diabetes.

Methods

In this double-blind, randomized, placebo-controlled, crossover trial, 48 diabetic patients were equally assigned to groups A and B. Patients in group A received a snack of 25 g pistachio nuts twice a day for 12 weeks and group B received a control meal without nuts. After 12 weeks of intervention, the patients had an 8-week washout. Then the groups were displaced, and group B received the same amount of pistachios for 12 weeks.

Results

With respect to the total change in variables over both phases, there was a marked decrease in HbA1c (-0.4%) and fasting blood glucose (FBG) concentrations (-16 mg/dl) in the pistachio group compared with the control group (p ≤ 0.001 for both). There was no overall significant change in BMI, blood pressure, HOMA-IR, and C-reactive protein (CRP) concentrations. Analysis of the two phases separately showed a decrease in FBG by 14 mg/dl and in HbA1c by 0.45% in the treatment group (A) after 12 weeks, while no significant differences were seen in group B (control group). In the second phase, FBG decreased from 151.36 ± 39.22 to 137.28 ± 28.65 mg/dl (-14 mg/dl) and HbA1c decreased from 7.42 ± 0.97 to 7.15 ± 0.68 mg/dl (-0.28%, p = 0.013 and p = 0.033, respectively) in the pistachio group (B). Pistachio consumption reduced systolic blood pressure (p = 0.007), BMI (p = 0.011), and CRP (p = 0.002) in patients from the treatment groups, but not insulin resistance.

Conclusions

Dietary consumption of pistachio nuts as a snack has beneficial effects on glycemic control, blood pressure, obesity, and inflammation markers in diabetic patients.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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