Beneficial effects of replacing diet beverages with water on type 2 diabetic obese women following a hypo-energetic diet: a randomized, 24-week clinical trial

Madjd, Ameneh; Taylor, Moira A.; Delavari, Alireza; Malekzadeh, Reza; MacDonald, Ian A.; Farshchi, Hamid R.

Abstract

Abstract
AIMS:
To compare the effect of replacing diet beverages (DBs) with water or continuing to drink DBs in patients with type 2 diabetes during a 24-week weight loss program. The primary endpoint was the effect of intervention on weight over a 24-week period. The main secondary endpoints included anthropometric measurement and glucose and fat metabolism during the 24-week period.
METHODS:
A total of 81 overweight and obese women with type 2 diabetes, who usually consumed DBs in their diet, were asked to either substitute water for DBs or continue drinking DBs five times per week after lunch for 24 weeks (DBs group) during a weight loss program.
RESULTS:
Compared with the DBs group, the water group had a greater decrease in weight (water, -6.40 ± 2.42 kg; DBs, -5.25 ± 1.60 kg; P = .006), in BMI (water, -2.49 ± 0.92 kg/m2 ; DBs, -2.06 ± 0.62 kg/m2 ; P = .006), in FPG (water, -1.63 ± 0.54 mmol/L; DBs, -1.29 ± 0.48 mmol/L, P = .005), in fasting insulin (water, -5.71 ± 2.30 m lU/mL; DBs, -4.16 ± 1.74 m lU/mL, P = .011), in HOMA IR (water, -3.20 ± 1.17; DBs, -2.48 ± 0.99, P = 003) and in 2 hour postprandial glucose (water, -1.67 ± 0.62 mmol/L; DBs, -1.35 ± 0.39 mmol/L; P = 0.027) over the 24-week period. However, there was no significant time × group interaction for waist circumference, lipid profiles and HbA1c within both groups over the 24-week period.
CONCLUSION:
Replacement of DBs with water after the main meal in obese adult women with type 2 diabetes may lead to more weight reduction during a weight loss program.

Citation

Madjd, A., Taylor, M. A., Delavari, A., Malekzadeh, R., MacDonald, I. A., & Farshchi, H. R. (2017). Beneficial effects of replacing diet beverages with water on type 2 diabetic obese women following a hypo-energetic diet: a randomized, 24-week clinical trial. Diabetes, Obesity and Metabolism, 19(1), 125-132. https://doi.org/10.1111/dom.12793

• Journal Article Type: Article
• Acceptance Date: Sep 16, 2016
• Online Publication Date: Oct 16, 2016
• Publication Date: 2017-01
• Deposit Date: Oct 27, 2016
• Publicly Available Date: Oct 27, 2016
• Journal: Diabetes, Obesity and Metabolism
• Print ISSN: 1462-8902
• Electronic ISSN: 1463-1326
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 19
• Issue: 1
• Pages: 125-132
• DOI: https://doi.org/10.1111/dom.12793
• Keywords: Diet Beverages, Type 2 Diabetes, Weight Loss, Glucose and Fat Metabolism
• Public URL: https://nottingham-repository.worktribe.com/output/823284
• Publisher URL: http://onlinelibrary.wiley.com/doi/10.1111/dom.12793/abstract
• Additional Information: This is the peer reviewed version of the following article: Madjd A , Taylor MA , Delavari A , Malekzadeh R , Macdonald IA and Farshchi HR . Beneficial effects of replacing diet beverages with water on type 2 diabetic obese women following a hypo-energetic diet: A randomized, 24-week clinical trial, Diabetes Obes Metab, 2016. doi: 10.1111/dom.12793 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/dom.12793/abstract . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.