Effect of Different Dietary Approaches in Comparison with High/Low-Carbohydrate Diets on Systolic and Diastolic Blood Pressure in Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis.

Autor:	Abbasnezhad A; Nutritional Health Research Center, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran., Falahi E; Nutritional Health Research Center, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran., Gonzalez MJ; Department of Human Development, School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan 00936-5067, Puerto Rico., Kavehi P; Student Research Committee, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran., Fouladvand F; Student Research Committee, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran., Choghakhori R; Razi Herbal Medicines Research Center, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran.
Jazyk:	angličtina
Zdroj:	Preventive nutrition and food science [Prev Nutr Food Sci] 2020 Sep 30; Vol. 25 (3), pp. 233-245.
DOI:	10.3746/pnf.2020.25.3.233
Abstrakt:	Dietary modification is an effective method for preventing and managing hypertension. Therefore, we conducted a systematic review and meta-analysis to assess the effects of different dietary approaches for comparing high- and low-carbohydrate diets on systolic and diastolic blood pressure (SBP and DBP, respectively) in patients with type 2 diabetes mellitus (T2DM). We carried out a comprehensive literature search using PubMed, the Cochrane Library, Web of Science, and Scopus without any language and time restrictions until April, 2019. We carried out a meta-analysis using both fixed and random effects models where appropriate and used the I 2 index to evaluate heterogeneity. We identified 16 eligible studies, with a total of 1,610 participants. The overall pooled net effect of different dietary approaches on SBP and DBP were -2.29 mmHg [95% confidence interval (CI): -3.49 to -1.1] and -1.03 mmHg (95% CI: -1.77 to -0.29), respectively, compared with high-carbohydrate diets. Indeed, diets high in monounsaturated fatty acids more effective in reducing both SBP and DBP than high-carbohydrate diets, whereas high-protein diets were not effective. Furthermore, we found that different dietary approaches, such as low-fat diets, did not reduce SBP or DBP to a greater extent than low-carbohydrate diets. Overall, the results of our meta-analysis show that diets high in monounsaturated fatty acids are more effective in reducing both SBP and DBP than diets high in carbohydrate, whereas other dietary approaches were not effective. Competing Interests: AUTHOR DISCLOSURE STATEMENT The authors declare no conflict of interest. (Copyright © 2020 by The Korean Society of Food Science and Nutrition. All rights Reserved.)
Databáze:	MEDLINE
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