EATING VEGETABLES BEFORE CARBOHYDRATES DECREASE ENERGY INTAKE OF TYPE-2 DIABETES MELLITUS PATIENTS
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Diabetes mellitus is a non-communicable disease that has increased significantly in Indonesia and worldwide. Dietary arrangements through diet therapy are beneficial for improving the performance of the pancreas in producing and stimulating the work of insulin. This study aimed to determine the effect of the order of vegetable and carbohydrate consumptions on the decrease of energy intake. Method used randomized control trial with pre-post design. A total of 24 people with non-complicating type-2 diabetes mellitus aged 18-65 years were assigned into 3 groups ; control group (C), vegetable before carbohydrate group (P1), and vegetable with carbohydrate group (P2) . Energy intake before and after the intervention was measured using a 24-hour food recall. To compare pre-post intervention, paired T-test were used, meanwhile to compare difference among groups data were analysed using ANOVA. A significant decrease in energy intake was found in P1 where the mean values of C and P1 were 17.75 ± 12.40 calories and 155.27 ± 23.40 calories (p < 0.001), and mean values of P1 and P2 were 155.27 ± 23.40 calories and 4.54 ± 48.99 calories (p < 0.001). The order of vegetable before carbohydrate consumption decreases energy intake of type-2 diabetes mellitus patients.
American Diabetes Association. (2018). 4. Lifestyle management: standards of medical care in diabetes”2018. Diabetes care, 41(Supplement 1), S38-S50.
Chaudhri, O., Small, C. and Bloom, S. (2006) ‘Gastrointestinal hormones regulating appetite', Philosophical Transactions of the Royal Society B: Biological Sciences, 361(1471), 1187–1209.
Gibbons, C., Hopkins, M., Beaulieu, K., Oustric, P., & Blundell, J. E. (2019). Issues in measuring and interpreting human appetite (satiety/satiation) and its contribution to obesity. Current obesity reports, 8(2), 77-87.
Hervik, A. K., & Svihus, B. (2019). The role of fiber in energy balance. Journal of nutrition and metabolism, 2019.
Imai, S., Matsuda, M., Hasegawa, G., Fukui, M., Obayashi, H., Ozasa, N., & Kajiyama, S. (2011). A simple meal plan of'eating vegetables before carbohydrate'was more effective for achieving glycemic control than an exchange-based meal plan in Japanese patients with type 2 diabetes. Asia Pacific journal of clinical nutrition, 20(2), 161-168.
Immawati, F.R. & Wirawanni, Y. (2014). Hubungan konsumsi karbohidrat, konsumsi total energi, konsumsi serat, beban glikemik dan latihan jasmani dengan kadar glukosa darah pada pasien diabetes mellitus tipe 2. Diponegoro Journal of Nutrition and Health, 2(3), 89842.
Perkeni, P. (2019). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia. Edisi Pertama. Jakarta: PB Perkeni.
Kementrian Kesehatan RI. 2018. Riset Kesehatan Dasar. Jakarta: Kemenkes RI. Retrived from http://www.depkes.go.id/resources/download/infoterkini/materi_rakorpop_2018/Hasil%20Riskesdas%202018.pdf
Nishino, K., Sakurai, M., Takeshita, Y., & Takamura, T. (2018). Consuming carbohydrates after meat or vegetables lowers postprandial excursions of glucose and insulin in nondiabetic subjects. Journal of nutritional science and vitaminology, 64(5), 316-320.
Kristensen, M., & Jensen, M. G. (2011). Dietary fibres in the regulation of appetite and food intake. Importance of viscosity. Appetite, 56(1), 65-70.
Mahan, L. K., Raymond, J. L., Escott–stump, S., & Krause's Food, N. (2016). Diet therapy. Copyright Elsevier (USA). All rights reserved, 2, 135-143.
Raynor, H. A. (2014). What to do about portion sizes? Roundtable discussion at the Forefronts in Portion Size Conference. International Journal of Obesity, 38(1), S34-S36.
Wanders, A. J., van den Borne, J. J., de Graaf, C., Hulshof, T., Jonathan, M. C., Kristensen, M., ... & Feskens, E. J. (2011). Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials. Obesity reviews, 12(9), 724-739.
Wang, P. Y., Fang, J. C., Gao, Z. H., Zhang, C., & Xie, S. Y. (2016). Higher intake of fruits, vegetables or their fiber reduces the risk of type 2 diabetes: A meta"analysis. Journal of diabetes investigation, 7(1), 56-69.
Zubrzycki, A., Cierpka-Kmiec, K., Kmiec, Z., & Wronska, A. (2018). The role of low-calorie diets and intermittent fasting in the treatment of obesity and type-2 diabetes. J Physiol Pharmacol, 69(5), 663-83.
Toumpanakis, A., Turnbull, T., & Alba-Barba, I. (2018). Effectiveness of plant-based diets in promoting well-being in the management of type 2 diabetes: a systematic review. BMJ Open Diabetes Research and Care, 6(1).
Tremblay, A., & Bellisle, F. (2015). Nutrients, satiety, and control of energy intake. Applied Physiology, Nutrition, and Metabolism, 40(10), 971-979
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