The role of diet in diabetes gastroparesis treatment: a systematic review and meta-analysis.

Autor:	Lin D; School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China., Wang H; School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China., Ou Y; School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China., Li L; School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China., Zhang Q; School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China., Yan J; Department of Rehabilitation, Zhongjiang County Hospital of Traditional Chinese Medicine, Deyang, China., Peng D; School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China., Peng S; Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.; TCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Jazyk:	angličtina
Zdroj:	Frontiers in endocrinology [Front Endocrinol (Lausanne)] 2024 Jun 18; Vol. 15, pp. 1379398. Date of Electronic Publication: 2024 Jun 18 (Print Publication: 2024).
DOI:	10.3389/fendo.2024.1379398
Abstrakt:	Background: Diabetic gastroparesis is a common complication in patient with diabetes. Dietary intervention has been widely used in the treatment of diabetic gastroparesis. The aim of this study is to evaluate the role of diet in the treatment of diabetic gastroparesis. Methods: This systematic review was conducted a comprehensive search of randomized controlled trials using dietary interventions for the treatment of diabetic gastroparesis up to 9 November 2023. The primary outcomes were gastric emptying time and clinical effect, while fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin were secondary outcomes. Data analysis was performed using RevMan 5.4 software, and publication bias test was performed using Stata 15.1 software. Results: A total of 15 randomized controlled trials involving 1106 participants were included in this review. The results showed that patients with diabetic gastroparesis benefit from dietary interventions (whether personalized dietary care alone or personalized dietary care+routine dietary care). Compared with routine dietary care, personalized dietary care and personalized dietary care+routine dietary care can shorten the gastric emptying time, improve clinical efficacy, and reduce the level of fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin. Conclusions: Limited evidence suggests that dietary intervention can promote gastric emptying and stabilize blood glucose control in patients with diabetic gastroparesis. Dietary intervention has unique potential in the treatment of diabetic gastroparesis, and more high-quality randomized controlled trials are needed to further validate our research results. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42023481621. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Lin, Wang, Ou, Li, Zhang, Yan, Peng and Peng.)
Databáze:	MEDLINE
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