Abstract：
OBJECTIVE: Lifestyle modification involving active engagement of specialised dietitian with diet and exercise education, can be effective as first-line treatment for diabetes.
METHODS: 192 patients were enrolled with diabetes in a randomised controlled trial and followed up for one year. Ninety-four patients in the intervention group participated in a comprehensive structured diet and exercise education conducted by a specialised dietitian at ambulatory centre in the United Arab Emirates.
RESULTS: The mean difference in the change in body mass index between study groups at study exit and baseline was statistically significant (BMI difference = -1.86, 95 % CI -2.68 - -1.04, P < 0.01). The intervention group reported significant decrease in total carbohydrate and daily energy intake compared to baseline (173.7 g vs 221.1 g and 1828.5 kcal vs 2177.9 kcal, respectively). Moreover, the mean metabolic equivalents (METs) in the intervention group increased significantly at study exit from baseline compared to control group METs, with mean difference between all between-group differences after baseline of 0.63 (95 % 0.29 - 0.97, P < 0.01).
CONCLUSIONS: Structured diet and exercise counselling by specialised dietitian in ambulatory settings significantly reduced carbohydrate and daily energy intake, with improved anthropometric measurements and physical activity.
METHODS: 192 patients were enrolled with diabetes in a randomised controlled trial and followed up for one year. Ninety-four patients in the intervention group participated in a comprehensive structured diet and exercise education conducted by a specialised dietitian at ambulatory centre in the United Arab Emirates.
RESULTS: The mean difference in the change in body mass index between study groups at study exit and baseline was statistically significant (BMI difference = -1.86, 95 % CI -2.68 - -1.04, P < 0.01). The intervention group reported significant decrease in total carbohydrate and daily energy intake compared to baseline (173.7 g vs 221.1 g and 1828.5 kcal vs 2177.9 kcal, respectively). Moreover, the mean metabolic equivalents (METs) in the intervention group increased significantly at study exit from baseline compared to control group METs, with mean difference between all between-group differences after baseline of 0.63 (95 % 0.29 - 0.97, P < 0.01).
CONCLUSIONS: Structured diet and exercise counselling by specialised dietitian in ambulatory settings significantly reduced carbohydrate and daily energy intake, with improved anthropometric measurements and physical activity.
摘要：
目标：生活方式的改变，包括专业营养师积极参与饮食和运动教育，可以作为糖尿病的一线治疗有效。
方法：192例糖尿病患者纳入一项随机对照试验，随访一年。干预组中的94名患者参加了由阿拉伯联合酋长国门诊中心的专业营养师进行的全面的结构化饮食和运动教育。
结果：研究结束时和基线时，研究组之间体重指数变化的平均差异有统计学意义（BMI差异=-1.86，95％CI-2.68--1.04，P<0.01）。干预组报告说，与基线相比，总碳水化合物和每日能量摄入量显着下降（173.7gvs221.1g和1828.5kcalvs2177.9kcal，分别)。此外，与对照组MET相比，干预组的平均代谢当量（MET）在研究退出时从基线显着增加，基线后所有组间差异的平均差异为0.63（95％0.29-0.97，P<0.01）。
结论：在非卧床环境中由专业营养师进行的结构化饮食和运动咨询显着降低了碳水化合物和每日能量摄入，改善人体测量和身体活动。
方法：192例糖尿病患者纳入一项随机对照试验，随访一年。干预组中的94名患者参加了由阿拉伯联合酋长国门诊中心的专业营养师进行的全面的结构化饮食和运动教育。
结果：研究结束时和基线时，研究组之间体重指数变化的平均差异有统计学意义（BMI差异=-1.86，95％CI-2.68--1.04，P<0.01）。干预组报告说，与基线相比，总碳水化合物和每日能量摄入量显着下降（173.7gvs221.1g和1828.5kcalvs2177.9kcal，分别)。此外，与对照组MET相比，干预组的平均代谢当量（MET）在研究退出时从基线显着增加，基线后所有组间差异的平均差异为0.63（95％0.29-0.97，P<0.01）。
结论：在非卧床环境中由专业营养师进行的结构化饮食和运动咨询显着降低了碳水化合物和每日能量摄入，改善人体测量和身体活动。
