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Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial

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Abstract

Purpose

To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes.

Research question

What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes?

Patients and methods

A randomized clinical trial was conducted in 351 patients randomly assigned to either an experimental group receiving a multimedia diabetes education program (MDE) and nutrition therapy (NT) (NT + MDE: n = 173), or to a control group who received nutrition therapy only (NT: n = 178).

At baseline, 7, 14, and 21 months, the glycated hemoglobin (HbA1c), glucose, cholesterol, triglycerides, LDL-cholesterol, and HDL-cholesterol were measured. Weight, body mass index (BMI), waist circumference (WC), fat percentage, fat and lean mass, systolic blood pressure (SBP), and diastolic (DBP) were also recorded.

Results

Glycated hemoglobin decreased in both groups, although the group with NT + MDE had a greater reduction, with a difference of −0.76% (95%CI −1.33 to −0.19) at 7 months and −0.73% (95%CI −1.37 to −0.09) at 21 months. Only in the NT + MDE did the glucose decrease at 7 (−41.2 mg/dL; 95%CI −52.0 to −30.5), 14 (−27.8 mg/dL; 95%CI −32.6 to −23.1), and 21 months (−36.6 mg/dL; 95%CI −46.6 to −26.6). Triglycerides and the atherogenic index decreased in both groups at 7 and 14 months; while only in the NT + MDE group did it decrease at 21 months. (p < 0.05). Weight decreased at 21 months in the NT + MDE group (−1.23, −2.29 at −0.16; p < 0.05).

Conclusion

Nutrition therapy and a multimedia diabetes education program have a favorable impact on achieving metabolic control goals in type 2 diabetes.

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Funding

This study was funded by the Regional Fund for Research in Health and Social Security: Secretaría de Salud, Instituto, Mexicano del Seguro Social, Instituto de Seguridad y Servicios Sociales de los trabajadores del Estado, Consejo Nacional de Ciencia y Tecnología (SS/IMSS/ISSSTE-CONACYT), with registration number: SALUD-2012-1-181015.

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Authors and Affiliations

  1. Unidad de Investigación en Epidemiología Clínica, Hospital “Carlos Mac Gregor Sánchez Navarro”, Instituto Mexicano del Seguro Social (IMSS), México City, Mexico

    Lubia Velázquez–López & Jorge Escobedo–de la Peña

  2. Departamento de Salud Pública, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, Mexico

    Abril Violeta Muñoz-Torres

  3. Departamento de Endocrinología, Hospital Infantil de México Federico Gómez, Secretaría de Salud (SSA), México City, Mexico

    Patricia Medina-Bravo

  4. Subdirección de Investigación, Hospital Infantil de México Federico Gómez, Secretaría de Salud (SSA), México City, Mexico

    Jenny Vilchis-Gil & Miguel Klϋnder-Klϋnder

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  1. Lubia Velázquez–López
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  2. Abril Violeta Muñoz-Torres
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Correspondence to Lubia Velázquez–López.

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The authors declare that they have no competing interests.

Ethical approval

All procedures performed with the patients in this study were in accordance with the ethical standards of the Institutional and National Research Committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

The informed consent was obtained from all individual participants included in this study.

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Velázquez–López, L., Muñoz-Torres, A.V., Medina-Bravo, P. et al. Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial. Endocrine 58, 236–245 (2017). https://doi.org/10.1007/s12020-017-1416-0

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