Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1136/bmjopen-2019-030450 http://hdl.handle.net/11449/189610 |
Resumo: | Introduction Despite the increasing number of drugs available and various guidelines on the management of type 2 diabetes mellitus (T2DM) and hypertension, an expressive number of patients continue with these diseases uncontrolled. Nutrition therapy (NT) plays a fundamental role in the prevention and management of these comorbidities, as well as in the prevention of complications related to them. The objective of this review is to evaluate the effectiveness of NT strategies in the management of patients with T2DM and/or hypertension in primary care. The selected strategies did not substitute pharmaceutical treatment but instead focused on preventing a sedentary lifestyle and stimulating healthy nutrition. Methods and analysis We will perform a systematic review according to Cochrane methodology of randomised controlled trials, wherein patients with T2DM and/or hypertension were allocated into one of the two groups: NT strategy, which may be of dietary quality or energy restriction, and conventional treatment. The primary outcomes will be glycaemic and blood pressure (BP) control, measured by final glycosylated hemoglobin (HbA1c) (%) and BP (mm Hg), respectively. Four general and adaptive search strategies have been created for the Embase, Medline, Latin American and Caribbean Health Sciences Literature (LILACS) and Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases. Two reviewers will independently select eligible studies, assess the risk of bias and extract data from the included studies. Similar outcomes measured in at least two trials will be plotted in the meta-analysis using Review Manager V.5.3. The quality of evidence of the effect estimate of the intervention will be generated according to the Grading of Recommendations Assessment, Development, and Evaluation Working Group. Ethics and dissemination As no primary data collection will be undertaken, formal ethical assessment is not required. We plan to present the results of this systematic review in a peer-reviewed scientific journal, conferences and the popular press. PROSPERO registration number Our systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 20 December 2018 (Registration number CRD42018118117). |
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Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trialshypertensionmeta-analysisnutrition therapyprimary health caresystematic reviewtype 2 diabetes mellitusIntroduction Despite the increasing number of drugs available and various guidelines on the management of type 2 diabetes mellitus (T2DM) and hypertension, an expressive number of patients continue with these diseases uncontrolled. Nutrition therapy (NT) plays a fundamental role in the prevention and management of these comorbidities, as well as in the prevention of complications related to them. The objective of this review is to evaluate the effectiveness of NT strategies in the management of patients with T2DM and/or hypertension in primary care. The selected strategies did not substitute pharmaceutical treatment but instead focused on preventing a sedentary lifestyle and stimulating healthy nutrition. Methods and analysis We will perform a systematic review according to Cochrane methodology of randomised controlled trials, wherein patients with T2DM and/or hypertension were allocated into one of the two groups: NT strategy, which may be of dietary quality or energy restriction, and conventional treatment. The primary outcomes will be glycaemic and blood pressure (BP) control, measured by final glycosylated hemoglobin (HbA1c) (%) and BP (mm Hg), respectively. Four general and adaptive search strategies have been created for the Embase, Medline, Latin American and Caribbean Health Sciences Literature (LILACS) and Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases. Two reviewers will independently select eligible studies, assess the risk of bias and extract data from the included studies. Similar outcomes measured in at least two trials will be plotted in the meta-analysis using Review Manager V.5.3. The quality of evidence of the effect estimate of the intervention will be generated according to the Grading of Recommendations Assessment, Development, and Evaluation Working Group. Ethics and dissemination As no primary data collection will be undertaken, formal ethical assessment is not required. We plan to present the results of this systematic review in a peer-reviewed scientific journal, conferences and the popular press. PROSPERO registration number Our systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 20 December 2018 (Registration number CRD42018118117).Department of Internal Medicine São Paulo State University (UNESP) Medical SchoolDepartment of Internal Medicine São Paulo State University (UNESP) Medical SchoolUniversidade Estadual Paulista (Unesp)Simões Corrêa Galendi, Julia [UNESP]Leite, Renata Giacomini Occhiuto Ferreira [UNESP]Mendes, Adriana Lúcia [UNESP]Nunes-Nogueira, Vania Dos Santos [UNESP]2019-10-06T16:46:13Z2019-10-06T16:46:13Z2019-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1136/bmjopen-2019-030450BMJ Open, v. 9, n. 9, 2019.2044-6055http://hdl.handle.net/11449/18961010.1136/bmjopen-2019-0304502-s2.0-85071782084Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMJ Openinfo:eu-repo/semantics/openAccess2021-10-22T21:15:48Zoai:repositorio.unesp.br:11449/189610Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-22T21:15:48Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
title |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
spellingShingle |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials Simões Corrêa Galendi, Julia [UNESP] hypertension meta-analysis nutrition therapy primary health care systematic review type 2 diabetes mellitus |
title_short |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
title_full |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
title_fullStr |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
title_full_unstemmed |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
title_sort |
Effectiveness of strategies for nutritional therapy for patients with type 2 diabetes and/or hypertension in primary care: Protocol of a systematic review of randomised controlled trials |
author |
Simões Corrêa Galendi, Julia [UNESP] |
author_facet |
Simões Corrêa Galendi, Julia [UNESP] Leite, Renata Giacomini Occhiuto Ferreira [UNESP] Mendes, Adriana Lúcia [UNESP] Nunes-Nogueira, Vania Dos Santos [UNESP] |
author_role |
author |
author2 |
Leite, Renata Giacomini Occhiuto Ferreira [UNESP] Mendes, Adriana Lúcia [UNESP] Nunes-Nogueira, Vania Dos Santos [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Simões Corrêa Galendi, Julia [UNESP] Leite, Renata Giacomini Occhiuto Ferreira [UNESP] Mendes, Adriana Lúcia [UNESP] Nunes-Nogueira, Vania Dos Santos [UNESP] |
dc.subject.por.fl_str_mv |
hypertension meta-analysis nutrition therapy primary health care systematic review type 2 diabetes mellitus |
topic |
hypertension meta-analysis nutrition therapy primary health care systematic review type 2 diabetes mellitus |
description |
Introduction Despite the increasing number of drugs available and various guidelines on the management of type 2 diabetes mellitus (T2DM) and hypertension, an expressive number of patients continue with these diseases uncontrolled. Nutrition therapy (NT) plays a fundamental role in the prevention and management of these comorbidities, as well as in the prevention of complications related to them. The objective of this review is to evaluate the effectiveness of NT strategies in the management of patients with T2DM and/or hypertension in primary care. The selected strategies did not substitute pharmaceutical treatment but instead focused on preventing a sedentary lifestyle and stimulating healthy nutrition. Methods and analysis We will perform a systematic review according to Cochrane methodology of randomised controlled trials, wherein patients with T2DM and/or hypertension were allocated into one of the two groups: NT strategy, which may be of dietary quality or energy restriction, and conventional treatment. The primary outcomes will be glycaemic and blood pressure (BP) control, measured by final glycosylated hemoglobin (HbA1c) (%) and BP (mm Hg), respectively. Four general and adaptive search strategies have been created for the Embase, Medline, Latin American and Caribbean Health Sciences Literature (LILACS) and Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases. Two reviewers will independently select eligible studies, assess the risk of bias and extract data from the included studies. Similar outcomes measured in at least two trials will be plotted in the meta-analysis using Review Manager V.5.3. The quality of evidence of the effect estimate of the intervention will be generated according to the Grading of Recommendations Assessment, Development, and Evaluation Working Group. Ethics and dissemination As no primary data collection will be undertaken, formal ethical assessment is not required. We plan to present the results of this systematic review in a peer-reviewed scientific journal, conferences and the popular press. PROSPERO registration number Our systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 20 December 2018 (Registration number CRD42018118117). |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-06T16:46:13Z 2019-10-06T16:46:13Z 2019-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1136/bmjopen-2019-030450 BMJ Open, v. 9, n. 9, 2019. 2044-6055 http://hdl.handle.net/11449/189610 10.1136/bmjopen-2019-030450 2-s2.0-85071782084 |
url |
http://dx.doi.org/10.1136/bmjopen-2019-030450 http://hdl.handle.net/11449/189610 |
identifier_str_mv |
BMJ Open, v. 9, n. 9, 2019. 2044-6055 10.1136/bmjopen-2019-030450 2-s2.0-85071782084 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMJ Open |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1803047418445430784 |