title: Low glycaemic index dietary interventions in youth with cystic fibrosis: a systematic review and discussion of the clinical implications.
abstract: A systematic review was conducted to assess what is known about the effect of low glycaemic index (GI) diets on glycaemic control, weight and quality of life in youth with cystic fibrosis (CF). Eligibility criteria were systematic reviews, randomised and non-randomised trials of low GI dietary interventions in CF. Outcomes examined were glycaemic control, quality of life, anthropometry and respiratory function. Reference lists were manually searched and experts in the field were consulted. Four studies met the eligibility criteria; two were excluded because they did not include data on any of the outcomes. The remaining two were studies that examined GI secondary to any other intervention: one used GI as a factor in enteral feeds and the other incorporated low GI dietary education into its treatment methodology. There is insufficient evidence to recommend use of low GI diets in CF. Since there is evidence to support use of low GI diets in type 1, type 2 and gestational diabetes, low GI diets should be tested as an intervention for CF. The potential risks and benefits of a low GI diet in CF are discussed.
authors.affiliation: Department of Adolescent Medicine, The Children's Hospital at Westmead, Westmead 2145, Australia. bbal8821@uni.sydney.edu.au
authors.forename: Ben W R
authors.initials: BW
authors.lastname: Balzer
authors.forename: Christie L
authors.initials: CL
authors.lastname: Graham
authors.forename: Maria E
authors.initials: ME
authors.lastname: Craig
authors.forename: Hiran
authors.initials: H
authors.lastname: Selvadurai
authors.forename: Kim C
authors.initials: KC
authors.lastname: Donaghue
authors.forename: Jennie C
authors.initials: JC
authors.lastname: Brand-Miller
authors.forename: Kate S
authors.initials: KS
authors.lastname: Steinbeck
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000502:physiology; D001835:Body Weight; D003550:Cystic Fibrosis / Q000150:complications / Q000178:diet therapy*; D003920:Diabetes Mellitus / Q000178:diet therapy* / Q000209:etiology; D019317:Evidence-Based Medicine; D018149:Glucose Intolerance / Q000178:diet therapy* / Q000209:etiology; D038321:Glycemic Index; D006801:Humans; D011788:Quality of Life
chemical_list: D001786:Blood Glucose