Effect of nutritional and lifestyle counselling on anthropometrics of pre-diabetic subjects
Year: 2025
Type: article
Abstract: Prediabetes is an important intermediate stage in the transition to type 2 diabetes mellitus and relates to increased cardio metabolic burden. Nutritional counselling represents a potential intervention to alleviate low metabolic health; however, its effect on anthropometric indices in pre-diabetics needs to be further elucidated. The aim of this study was to assess the effect of nutritional counselling on key anthropometric markers, including weight, body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR) in a cohort of prediabetes patients. 499 subjects were remotely recruited between the age of 20 and 60 years via a partnering healthcare organization who met the inclusion and exclusion criteria. Participants were instructed through standardized videos (pre-recorded) and protocols on how to correctly assess their weight, height and waist circumference (working with digital scales and non-elastic measuring tapes). Data were obtained through an online diabetic reversal platform, which included a 24-hour food recall personalized nutrition counselling and physical activity. All anthropometric indices were calculated and classified according to the Asian specific cut points. Participants who completed the nutritional counselling intervention demonstrated significant improvements from baseline in all anthropometric measures, including weight, BMI, and waist circumference. These improvements were also significantly greater than those observed in a non-intervention control group of non-completers. Males had the maximum decrease in weight in the age group of 20–30 years (mean loss −2.63 kg), while females had the maximum weight loss in 50–60-year group (mean loss −2.97 kg). Similar reductions in BMI, WC and Waist Height Ratio were noted, though many subjects remained above recommended thresholds for increased cardio metabolic risk. Nutritional counselling appears to provide relevant benefits for WC, WHtR, as well as enhancing weight & amp; BMI improvements among pre-diabetics. Notably, however, despite these improvements, a considerable proportion of subjects still have high-risk levels, indicating the importance of continuing and prolonged lifestyle modification to lower the risk of progression to type 2 diabetes.
Source: Clinical Nutrition Open Science
Authors: Deepashri C.V., M.S. Hemalatha, Chhavi Mehra, Shivtosh Kumar, Annie Mattilda Raymond
Institution: Karnataka State Open University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,200
OpenAlex ID: W4417122272