Effect of different dietary approaches compared with a regular diet on systolic and diastolic blood pressure in patients with type 2 diabetes: A systematic review and meta-analysis

Abbasnezhad, Amir and Falahi, Ebrahim and J. Gonzalez, Michael and Fouladvand, Faezeh and Kavehi, Parivash and Choghakhori, Razieh (2020) Effect of different dietary approaches compared with a regular diet on systolic and diastolic blood pressure in patients with type 2 diabetes: A systematic review and meta-analysis. Diabetes Research and Clinical Practice.

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Abstract

Aims: We aimed to investigate the effect of different dietary approaches on systolic and diastolic blood pressure (SBP and DBP) in Type II diabetes (T2D). Methods: A systematic search was performed in Web of Science, PubMed, Scopus and Cochrane library without any language and time restriction up to December 2018, to retrieve the randomized controlled trials (RCTs) which examined the effects of different dietary approaches on SBP and DBP in T2D patients. Meta-analyses were carried out using a random effects model. I2 index was used to evaluate the heterogeneity. Results: Twenty four RCTs with 1130 patients were eligible. The dietary modifications were more effective in reducing both SBP and DBP vs. control diet. The Low-sodium, High-fiber, DASH, Low-fat, Low-protein and Vegan dietary approach were significantly more effective in reducing SBP compared to a control diet. The High-fiber, Low-fat, Low-protein and Vegan diet were significantly more effective in reducing DBP. The Low-sodium and High fiber diets had the greatest lowering effect on SBP and DBP in T2D patients. Conclusions: Adopting healthful dietary modifications were more effective in reducing both SBP and DBP vs. control. The High-fiber and Low-sodium diets had the greatest lowering effect on SBP and DBP in T2D.

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