Effects of Using the Bioelectrical Impedance Method in Nutritional Guidance for Diabetes

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  • 糖尿病の栄養指導における生体電気インピーダンス法活用の効果
  • トウニョウビョウ ノ エイヨウ シドウ ニ オケル セイタイ デンキ インピーダンスホウ カツヨウ ノ コウカ

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<p>Objective: Diet and exercise are important treatments for type 2 diabetes. No previous study regarding the effect of nutritional guidance on body composition changes has been reported. Therefore, in this study, we performed bioelectrical impedance analysis (BIA) of body composition under nutritional guidance for patients with type 2 diabetes. Furthermore, by presenting objective indices, we highlight the importance of diet and exercise therapies to patients and examined the effects of these treatments.</p><p>Methods: Patients with type 2 diabetes were divided into three groups. BIA was performed to evaluate the first group's body composition, and the data obtained were used during nutritional guidance (group A). The second group was only provided regular nutritional guidance without BIA (group B), and the third group was not provided nutritional guidance nor BIA (group C). Glycosylated hemoglobin (HbA1c) values were measured during the initial nutritional guidance and after 6 months and compared among the groups. In group A, BIA was used to measure skeletal muscle mass and body fat mass.</p><p>Results: The HbA1c values in groups A and B decreased significantly; however, the decrease in group A was greater. Additionally, the values in group C were almost unchanged. Furthermore, skeletal muscle mass/body fat mass in group A increased significantly after 6 months.</p><p>Conclusions: Although nutritional guidance alone was effective as a type 2 diabetes treatment, it was more effective when provided along with objective BIA data to the patient.</p>

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