Evidence mapPaperPMID 36039846Full record

Trial reportJournal of diabetes investigation2022

Dietitian-supported dietary intervention leads to favorable dietary changes in patients with type 2 diabetes: A randomized controlled trial.

Nao Kawabata, Kenta Okada, Akihiko Ando, Tomoyuki Kurashina, Manabu Takahashi, Tetsuji Wakabayashi, Daisuke Nagata, Yukiko Arakawa, Atsuko Haga, Ayako Kogure and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Education programmes for people with chronic kidney disease and diabetes.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Nao KawabataDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
Kenta OkadaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Akihiko AndoDivision of Endocrinology and Metabolism, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Tomoyuki KurashinaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Manabu TakahashiDivision of Endocrinology and Metabolism, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Tetsuji WakabayashiDivision of Endocrinology and Metabolism, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Daisuke NagataDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Yukiko ArakawaDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
Atsuko HagaDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
Ayako KogureDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
Madoka ChibaDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
Satsuki MogiDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.
Shizukiyo IshikawaMedical Education Center, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Shun IshibashiDepartment of Clinical Nutrition, Jichi Medical University Hospital, Shimotsuke, Tochigi, Japan.ORCID https://orcid.org/0000-0002-1063-1979
Jichi Medical University · JP

Funding

Tanuma Green House Foundation
6 · The paper itself

Abstract

AIMS/

introductionIt remains to be fully elucidated whether nutrition education by dietitians can lead to specific positive changes in the food choices of patients with diabetes. MATERIALS AND

methodsA total of 96 patients with type 2 diabetes and diabetic kidney disease were randomly assigned to the intensive intervention group that received nutritional education at every outpatient visit and the control group that received nutritional education once a year. The total energy intake, energy-providing nutrients and 18 food groups were analyzed at baseline, and 1 and 2 years after the intervention in 87 patients. Furthermore, the relationship between the changes in hemoglobin A1c, body composition and changes in the total energy or energy-producing nutrient intake was analyzed in 48 patients who did not use or change hypoglycemic agents during the study period.

resultsThe total energy intake, carbohydrates, cereals, confections, nuts and seeds, and seasonings significantly decreased, and fish and shellfish intake significantly increased during the study period in the intensive intervention group, whereas these changes were not observed in the control group. The decrease in the total energy intake and carbohydrates after 2 years was significantly greater in the intensive intervention group than in the control group. The change in the total energy and carbohydrate intake showed a significant positive correlation with that in muscle mass. The multivariate analysis showed that the decrease in total energy intake was independently associated with that in muscle mass.

conclusionDietitian-supported intensive dietary intervention helps improve the diet of patients with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2NutritionistsAnimalsDietary CarbohydratesEnergy IntakeGlycated HemoglobinHumansHypoglycemic AgentsDietary CarbohydratesGlycated HemoglobinHypoglycemic AgentsDietary carbohydratesDietary servicesEnergy intake

Identifiers

PMID36039846
PMCPMC9720194
OpenAlexW4293576574

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.