Document Type : Original Article
Authors
1
Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Malang 65151, Indonesia
2
Department of Clinical Pathology and Laboratory Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
3
Department of Nutrition and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
10.30476/ijns.2026.108031.1538
Abstract
Background: Type 2 Diabetes Mellitus (T2DM) is a major global health issue that requires integrated management strategies. Indigenous dietary practices and physical activity may offer culturally relevant and sustainable interventions. This study aimed to assess the effect of local food-based dietary recommendations (FBR), alone and in combination with physical exercise (PE), on glycemic control in patients with T2DM.
Methods: In a quantitative study and employing a pre-post experimental design, 69 participants were enrolled and randomly assigned to three groups of FBR (n=24), FBR together with physical exercise (FBR+PE) (n=24) and standard care control (n=21). The intervention lasted 4 weeks and the pre- and post-intervention assessments were dietary adherence, physical activity compliance, and glycemic control parameters (fasting blood glucose, 2-h postprandial glucose, and glycated albumin).
Results: The FBR and FBR+PE groups showed an increase in dietary intake adherence to several nutrients. The FBR+PE group exhibited significant improvement in all glycemic control parameters after the intervention period. Notably, the combined intervention group exhibited a significantly greater reduction in glycated albumin level when compared
to the control and FBR-only groups.
Conclusion: Integrating local FBR with physical activity could enhance glycemic control in T2DM and can be a promising strategy for management of culturally relevant diseases.
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