Dieta plant based na prevenção e tratamento da diabetes mellitus tipo 2
DOI:
https://doi.org/10.53660/CLM-345-348Palavras-chave:
Diabetes; Dieta Plant Based; Prevenção; Tratamento.Resumo
Há algum tempo as doenças crônicas não transmissíveis são consideradas pandêmicas, uma vez que apresentam alto índice de morbidade e mortalidade. Entre elas está a diabetes mellitus tipo 2. Os protocolos de tratamentos convencionais, tanto medicamentosos quanto dietoterápicos, não estão sendo muito eficientes no combate, prevenção e tratamento, mas a dieta Plant Based pode ser uma grande aliada. O objetivo do estudo é demonstrar que por conta de seus efeitos benéficos, uma dieta Plant Based pode ser considerada uma estratégia a ser adotada na prevenção da diabetes tipo 2 e no seu tratamento. Trata-se de uma revisão da literatura, realizada por meio de consultas nas bases de dados do Google Acadêmico, SciELO e PubMed, sites do governo federal, Sociedade Vegetariana Brasileira, IBGE e International Diabetes Association. Como resultado observa-se que a dieta foi capaz de contribuir para a perda de peso, melhoria do metabolismo da glicose e de promoção de uma maior sensibilidade à insulina. Através dos resultados encontrados, conclui-se que a dieta Plant Based pode ser considerada uma estratégia alimentar eficaz na prevenção e no tratamento da diabetes tipo 2.
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ADDANKI, S. Roles of nutrition, obesity, and estrogens in diabetes mellitus: human leads to an experimental approach to prevention. Prev Med. 1981 Sep;10(5):577-89.
ALWAN A. et al. Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries. Lancet. v. 376, n.9755, p. 18611868, 2010.
AMERICAN DIETETIC ASSOCIATION. Position of the American Dietetic Association: Vegetarian Diets. J Am Diet Assoc. 2009; 109:1266-1282.
ANDERSON, J.W., WARD, K. High-carbohydrate, high-fiber diets for insulin-treated men with diabetes mellitus. Am J Clin Nutr. 1979 Nov;32(11):2312-21.
BAHADORAN, Z. et al. Dietary phytochemical index and the risk of insulin resistance and β-cell dysfunction: a prospective approach in Tehran lipid and glucose study. In J Food Sci Nutr. 2015;66(8):950-955.
BARNARD, N.D. et al. A Low Fat Vegan Improves Glycemic Control and Cardiovascular Risk Factors in a Randomized Clinical Trial in Individuals with Type 2 Diabetes. Diabetes Care 29:1777-1783, 2006.
BARNARD, N. LEVIN, S. TRAPP, C. Meat consumption as a risk factor for type 2 diabetes. Nutrients. 2014 Feb 21;6(2):897-910.
BODEN, G. Fatty acid-induced inflammation and insulin resistance in skeletal muscle and liver. Curr Diab Rep. 2006 Jun;6(3):177-81.
CAMPBELL, T. Colin (2006). The China Study: The Most Comprehensive Study of Nutrition Ever Conducted and the Startling Implications for Diet, Weight Loss and Long-term Health.
CHIU, T.H.T. et al. Taiwanese Vegetarians and Omnivores: Dietary Composition, Prevalence of Diabetes and IFG. PLOS February 2014 Volume 9 Issue 2.
CUI, X. et al. Vegetarians have a lower fasting insulin level and higher insulin sensitivity than matched omnivores: A cross-sectional study. 2019; 29(5):467-473.
FALLUCCA, F., FALLUCCA, S., PIANESI, M. The effects of the MA-PI 2 macrobiotic diet in the treatment of type 2 diabetes and diet-induced metabolic acidosis. Diabetes Metab Res Rev. 2014;30(8):659-660.
FALLUCCA, F., PORRATA, C., FALLUCCA, S., PIANESI, M. Influence of diet on gut microbiota, inflammation and type 2 diabetes mellitus. First experience with macrobiotic Ma-Pi 2 diet. Diabetes Metab Res Rev. 2014;30 Suppl 1:48-54.
FARDET, A., CHARDIGNY, J.M. Plant-based foods as a source of lipotropes for human nutrition: a survey of in vivo studies. Crit Rev Food Sci Nutr. 2013;53(6):535-90.
GOLDIN, B.R., et al. H. Effect of diet on excretion of estrogens in pre- and postmenopausal women. Cancer Res. 1981 Sep;41(9 Pt 2):3771-3.
HOUSTIS, N., ROSEN, E.D., LANDER, E.S. Reactive oxygen species have a causal role in multiple forms of insulin resistance. Nature. 2006 Apr 13;440(7086):944-8.
INTERNATIONAL DIABETES FEDERATION. 2019. About Diabetes. Disponível em: https://idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html, Acesso em: 23 mar. 2021.
KAHLEOVA, H. A Plant-Based Meal Stimulates Incretin and Insulin Secretion More Than an Energy- and Macronutrient-Matched Standard Meal in Type 2 Diabetes: A Randomized Crossover Study. Nutrients 2019, 11, 486.
KAHLEOVA, H. et al. Vegetarian diet improves insulin resistance and oxidative stress markers more than conventional diet in subjects with Type 2 diabetes. Diabet Med. 2011 May;28(5):549-59.
LEE, Y.M. et al. Effect of a Brown Rice Based Vegan Diet and Conventional Diabetic Diet on Glycemic Control of Patients with Type 2 Diabetes: A 12-Week Randomized Clinical Trial. PLoS ONE. 2016;11(6):e0155918.
LEIHERE, A., MUNDLEIN, A. DREXEL, H. Phytochemicals and their impact on adipose tissue inflammation and diabetes. Vascul Pharmacol. 2013 Jan;58(1-2):3-20.
LEVINE, M.E., et al. Low protein intake is associated with a major reduction in IGF-1, cancer, and overall mortality in the 65 and younger but not older population. Cell Metab. 2014 Mar 4;19(3):407-17.
LUDWIG, D.S., et al. Dietary fiber, weight gain, and cardiovascular disease risk factors in young adults. JAMA. 1999 Oct 27;282(16):1539-46.
MAHAN L. K; RAYMOND J. L. Krause: alimentos, nutrição e dietoterapia. Tradução da 14ª edição. Rio de Janeiro: Elsevier, 2018.
MINISTÉRIO DA SAÚDE. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022. Brasília: Ministério da Saúde; 2011.
NILSON, E. A. F. et al. Custos atribuíveis à obesidade, hipertensão e diabetes no Sistema Único de Saúde, 2018. Rev Panam Salud Publica, 2020;44: e32.
PAWLAK, R. Vegetarian Diets in the Prevention and Management of Diabetes and Its Complications. Diabetes Spectr. 2017;30(2):82-88.
PORRATA-MAURY, C., HERNÁNDEZ-TRIANA, M., RUIZ-ÁLVAREZ, V. et al. Ma-Pi 2 macrobiotic diet and type 2 diabetes mellitus: pooled analysis of short-term intervention studies. Diabetes Metab Res Rev. 2014;30 Suppl 1:55-66.
PORRATA, C., SÁNCHEZ, J., CORREA, V. et al. Ma-pi 2 macrobiotic diet intervention in adults with type 2 diabetes mellitus. MEDICC Rev. 2009;11(4):29-35.
QIAN, F., et al, Red and processed meats and health risks: how strong is the evidence? Diabetes Care. 2020; 4:265-271. Disponível em doi: 10.2337/dci19-0063.
RABINOWITCH, I.M. Effects of the High Carbohydrate-Low Calorie Diet Upon Carbohydrate Tolerance in Diabetes Mellitus. Can Med Assoc J. 1935 Aug;33(2):136-44.
SAMPLE, I. 2014. Diets high in meat, eggs and dairy could be as harmful to health as smoking. Retrieved August 22, 2016. Disponível em:
https://www.theguardian.com/science/2014/mar/04/animal-protein-diets-smoking-meat-eggs-dairy
SATIJA A, BHUPATHIRAJU SN, RIMM EB, et al. Padrões dietéticos baseados em plantas e incidência de Diabetes Tipo 2 em Homens e Mulheres dos EUA: Resultados de três Estudos Prospectivos de Coorte. Moore SC, ed. PLoS Medicine, 2016.
SCHWINGSHACKI, l., HOFFMANN, G. Diet quality as assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension score, and health outcomes: a systematic review and meta-analysis of cohort studies. J Acad Nutr Diet. 2015;115(5):780-800.e5.
SLYWITCH, E. Guia alimentar de dietas vegetarianas para adultos. Florianópolis: Sociedade Vegetariana Brasileira, 2012.
SNOWDON, D.A., PHILLIPS, R.L. x Does a vegetarian diet reduce the occurrence of diabetes? Am J Public Health. 1985 May;75(5):507-12.
SOARE, A., KHAZRAI, Y.M., DEL TORO, R. et al. The effect of the macrobiotic Ma-Pi 2 diet vs. the recommended diet in the management of type 2 diabetes: the randomized controlled MADIAB trial. Nutr Metab (Lond). 2014;11:39.
TONSTAD, S. et al. Vegetarian diets and incidence of diabetes in the Adventist Health Study-2. Nutr Metab Cardiovasc Dis. 2013 Apr;23(4):292-9. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0939475311001700
TRAPP, C.B., BARNARD, N.D. Usefulness of vegetarian and vegan diets for treating type 2 diabetes. Curr Diab Rep. 2010 Apr;10(2):152-8.
UTAMI D. B.; FINDYARTINI A. Plant Based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: An Evidence-based Case Report. Indones J Intern Med., v. 50, n.3, 2018.
WEST, K.M., KALBFLEISCH, J.M. Influence of nutritional factors on prevalence of diabetes. Diabetes. 1971 Feb;20(2):99-108.
YOKOYAMA, Y. et al. Vegetarian diets and glycemic control in diabetes: a systematic review and meta-analysis. Cardiovasc Diagn Ther. 2014;4(5):373-382.
