Effects of the PRo-active Interdisciplinary Self-MAnagement (PRISMA, Dutch DESMOND) program on dietary intake in type 2 diabetes outpatients: a pilot study.
OBJECTIVE
To investigate the effect on dietary intake of the PRo-active Interdisciplinary Self-MAnagement (PRISMA) program, developed analogous to DESMOND, in overweight type 2 diabetes patients.


METHODS
All type 2 diabetes patients referred to the Diabetes Outpatient Clinic of the VU University Medical Center Amsterdam with a BMI >25kg/m(2), were eligible for inclusion to the PRISMA program. At baseline and after 3, 6 and 12 months of follow-up, macronutrient intake, anthropometric, biomedical and psychosocial measures were evaluated by using Generalized Estimation Equations.


RESULTS
Included into the study were 38 patients, of which 22 completed a 1-year follow-up. After 6 months energy and macronutrient intake were significantly decreased. Reductions after 12 months were still significant for protein, unsaturated fat and dietary fiber and borderline significant for energy and saturated fat intake. Patients positively evaluated the program, and most patients held the view that they had learned something from PRISMA.


CONCLUSIONS
The PRISMA program reduced energy and macronutrient intake up to 6 months. After 6 months, attention should be paid to patients' food product choices. Follow-up counselling might further improve long-term outcome. This pilot study shows that the PRISMA program is promising in decreasing dietary intake in newly diagnosed and established overweight type 2 diabetes patients in secondary care.
Leibbrandt
Anke J
AJ
Department of Nutrition and Dietetics, VU University Medical Center, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.
Kiefte-de Jong
Jessica C
JC
Hogenelst
Marloes H E
MH
Snoek
Frank J
FJ
Weijs
Peter J M
PJ
D000368:Aged; D002784:Cholesterol / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000178:diet therapy* / Q000523:psychology; D004032:Diet; D004041:Dietary Fats / Q000008:administration & dosage; D004644:Emotions; D002149:Energy Intake; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008074:Lipoproteins / Q000097:blood; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000193:education / Q000523:psychology; D050177:Overweight / Q000097:blood / Q000150:complications / Q000178:diet therapy* / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D012648:Self Care / Q000379:methods* / Q000523:psychology; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference; D015431:Weight Loss
D002784:Cholesterol; D004041:Dietary Fats; D006442:Glycated Hemoglobin; D008074:Lipoproteins; D014280:Triglycerides; C517652:hemoglobin A1c protein, human; C030104:lipoprotein cholesterol