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<dc:title>Effectiveness of a multifactorial intervention in increasing adherence to the mediterranean diet among patients with diabetes mellitus type 2: a controlled and randomized study (EMID Study)</dc:title>
<dc:creator>Alonso Domínguez, Rosario</dc:creator>
<dc:creator>García Ortiz, Luis</dc:creator>
<dc:creator>Patino Alonso, Maria Carmen .</dc:creator>
<dc:creator>Sánchez Aguadero, Natalia .</dc:creator>
<dc:creator>Gómez Marcos, Manuel A.</dc:creator>
<dc:creator>Recio Rodríguez, José I.</dc:creator>
<dc:subject>Mediterranean diet; type 2 diabetes</dc:subject>
<dc:subject>health education</dc:subject>
<dc:subject>information and communication technologies</dc:subject>
<dc:subject>Nutrición</dc:subject>
<dc:subject>Nutrition</dc:subject>
<dc:description>The Mediterranean diet (MD) is recognized as one of the healthiest dietary patterns and has&#xd;
benefits such as improving glycaemic control among patients with type 2 diabetes (T2DM). Our aim is&#xd;
to assess the effectiveness of a multifactorial intervention to improve adherence to theMD, diet quality&#xd;
and biomedical parameters. The EMID study is a randomized and controlled clinical trial with two&#xd;
parallel groups and a 12-month follow-up period. The study included 204 subjects between 25–70 years&#xd;
with T2DM. The participants were randomized into intervention group (IG) and control group (CG).&#xd;
Both groups received brief advice about healthy eating and physical activity. The IG participants&#xd;
additionally took part in a food workshop, five walks and received a smartphone application for three&#xd;
months. The population studied had a mean age of 60.6 years. At the 3-month follow-up visit, there&#xd;
were improvements in adherence to the MD and diet quality of 2.2 and 2.5 points, compared to the&#xd;
baseline visit, respectively, in favour of the IG. This tendency of the improvement was maintained,&#xd;
in favour of the IG, at the 12-month follow-up visit. In conclusion, the multifactorial intervention&#xd;
performed could improve adherence to the MD and diet quality among patients with T2DM.</dc:description>
<dc:description>Regional Health Management through the 2016&#xd;
grants to carry out research projects in biomedicine, health management and socio-health care (GRS 1276/B/16),&#xd;
the 2016 program for the professional development of nurses in their research activity (BOCYL-D-11022016-2) and&#xd;
the 2015 incentive program for nurses who have completed their residency (ORDER SAN / 360/2015). The study&#xd;
was also co-financed by the Carlos III Health Institute and the European Regional Development Fund (ERDF) (RD&#xd;
16/0007/0003).</dc:description>
<dc:date>2019-01-21T08:37:54Z</dc:date>
<dc:date>2019-01-21T08:37:54Z</dc:date>
<dc:date>2019-01</dc:date>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
<dc:identifier>2072-6643</dc:identifier>
<dc:identifier>http://hdl.handle.net/10259/5052</dc:identifier>
<dc:identifier>10.3390/nu11010162</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>Nutrients. 2019,  V. 11, n. 1, 162</dc:relation>
<dc:relation>https://doi.org/10.3390/nu11010162</dc:relation>
<dc:relation>info:eu-repo/grantAgreement/JCyL/GRS-1276-B-16</dc:relation>
<dc:relation>info:eu-repo/grantAgreement/UE/ERDF/RD&#xd;
16-0007-0003</dc:relation>
<dc:rights>Attribution 4.0 International</dc:rights>
<dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:format>application/pdf</dc:format>
<dc:publisher>MDPI</dc:publisher>
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