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Changes in dietary intake improve glycemic control following a structured nutrition therapy during Ramadan in individuals with type 2 diabetes


Mohd Yusof, Barakatun Nisak and Hasbullah, Farah Yasmin and Mohd Shahar, Aainaa Syarfa and Omar, Noraida and Abu Zaid, Zalina and Mukhtar, Firdaus and Xin, Rachel Yi Liu and Marczewska, Agnieszka and Hamdy, Osama (2021) Changes in dietary intake improve glycemic control following a structured nutrition therapy during Ramadan in individuals with type 2 diabetes. Clinical Nutrition ESPEN, 46. 314 - 324. ISSN 2405-4577


Background and aims: It is unknown whether dietary modifications during Ramadan could influence glycemic control in diabetes. This study assessed dietary intake following structured Ramadan nutrition therapy and determined the association between changes in dietary intake and glycemic control parameters in patients with type 2 diabetes. Methods: This was an 8-week, parallel-group, non-randomised study of 60 type 2 diabetes patients who opted for structured Ramadan Nutrition Therapy (sRNT; n = 38) or standard care (SC; n = 22) group. The sRNT group received a structured Ramadan Nutrition Plan incorporated with diabetes-specific formula throughout the study, while SC received standard nutrition care. The 3-day food records assessed dietary intake at three-time points. Results: At baseline, dietary characteristics were comparable; both groups had macronutrient intakes within the recommended range, but inadequate intakes of fiber and 11 essential micronutrients. After 8 weeks, the sRNT group significantly reduced intakes of carbohydrate, dietary glycemic index, glycemic load, and increased percentage of total energy intake from protein, fiber, pyridoxine, vitamin C, vitamin D, calcium, and chromium compared with the SC group. In the sRNT group, compliance to diabetes-specific formula predicted changes in HbA1c (p = 0.024), while fiber intake predicted fasting plasma glucose (p = 0.035), after adjusting for age, sex, weight changes and other dietary variables. Conclusion: Intakes of certain nutrients improved significantly in sRNT group after 8 weeks of receiving a structured Ramadan Nutrition Plan compared to the standard care. The structured Ramadan Nutrition Plan with the incorporation of diabetes-specific formula significantly improved glycemic control and dietary adequacy during Ramadan fasting.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Institute for Social Science Studies
DOI Number: https://doi.org/10.1016/j.clnesp.2021.09.738
Publisher: Elsevier
Keywords: Ramadan fasting; Ramadan nutrition plan; Type 2 diabetes; Dietary intake; Glycemic index
Depositing User: Ms. Nuraida Ibrahim
Date Deposited: 30 Jan 2023 06:59
Last Modified: 31 Jan 2023 01:11
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1016/j.clnesp.2021.09.738
URI: http://psasir.upm.edu.my/id/eprint/96334
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