Effect of the Islamic Self-care Nutrition Method on the Lipid Profile of Patients with Type 2 Diabetes: A Randomized Clinical Controlled Trial

  • Manizheh Zakizad Abkenar Department of Community Health Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
  • Fazlollah Ghofranipour Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  • Zahra Kashi Department of Internal Medicine, Diabetes Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
  • Ali Montazeri Population Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
Keywords: Islamic self-care, Nutrition, Lipid profile, Diabetes

Abstract

BACKGROUND: Dyslipidemia is one of the main risk factors of cardiovascular disease in people with diabetes. The principle of diabetes prevention and control is based on patient self-care and education. The Islamic self-care nutrition method is a common and successful way to modify behavior in Islamic ethics and mysticism.

AIM: The study aimed to determine the effect of the Islamic self-care nutrition method on the lipid profile of patients with type 2 diabetes.

MATERIALS AND METHODS: The present clinical trial was conducted in 2014 on 98 middle-aged patients with type 2 diabetes referred to the Diabetes Center of the Mazandaran University of Medical Sciences, Sari, Iran, who were randomly allocated into two groups of experimental and control. Lipid indices were measured before intervention, and the same education about diabetic healthy diet was provided in both groups. In addition, in the experimental group, Islamic teachings and the Islamic self-care method of nutrition were taught with the intention of pleasing God. Data were analyzed with SPSS 22 software using independent and paired t-test, Chi-square, Fisher’s exact, and analysis of covariance (ANCOVA).

RESULTS: After adjusting for the effect of confounding variables with ANCOVA, significant improvement was observed in triglycerides and low-density lipoprotein indices in the experimental group after intervention compared to the control group. Two-proportion z-test results showed a significant increase in the use of lipid-lowering drugs in the control group compared with the experimental group after intervention.

CONCLUSION: The Islamic self-care nutrition method could be used to control chronic diseases such as type 2 diabetes affected by behavioral factors.

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References

Dunachie S, Chamnan P. The double burden of diabetes and global infection in low and middle-income countries. Trans R Soc Trop Med Hyg. 2019;113():56-64. https://doi.org/10.1093/trstmh/try124 PMid:30517697

Biadgo B, Abebe SM, Baynes HW, Yesuf M, Alemu A, Abebe M. Correlation between serum lipid profile with anthropometric and clinical variables in patients with Type 2 diabetes mellitus. Ethiop J Health Sci. 2017;27(3):215-26. https://doi.org/10.4314/ejhs.v27i3.3 PMid:29217920

American Diabetes Association. Standards of medical care in diabetes-2017 abridged for primary care providers. Clin Diabetes. 2017;35(1):5-26. https://doi.org/10.2337/cd16-0067 PMid:28144042

Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad GH. The effect of nutrition education on risk factors of cardiovascular diseases in elderly patients with Type 2 diabetes: A randomized controlled trial. Iran J Endocrinol Metab. 2011;13(3):256-64.

Ramezani M, Ahmadi F, Mohammadi E, Kazemnejad A. Spiritual care in nursing: A concept analysis. Int Nurs Rev. 2014;61(2):211-9. https://doi.org/10.1111/inr.12099 PMid:24712404

Powell LH, Shahabi L, Thoresen CE. Religion and spirituality. Linkages to physical health. Am Psychol. 2003;58(1):36-52. https://doi.org/10.1037/0003-066x.58.1.36 PMid:12674817

Isfahani MM. Rituals of Well-Being. 10th ed. Tehran, Iran: Tandis; 2009.

Rassool GH. The crescent and Islam: Healing, nursing and the spiritual dimension. Some considerations towards an understanding of the Islamic perspectives on caring. J Adv Nurs. 2000;32(6):1476-84. https://doi.org/10.1046/j.1365-2648.2000.01614.x PMid:11136416.

Isfahani MM. To Preserve and Promote Public Health.Congress on Health Promotion. Tehran, Iran: Ministry of Health and Medical Education; 2012.

Sadat-Hoseini AS, Khosropanah AH. Comparing the concept of caring in Islamic perspective with Watson and parse’s nursing theories. Iran J Nurs Midwifery Res. 2017;22(2):83-90. https://doi.org/10.4103/ijnmr.ijnmr_311_14 PMid:28584543

Skinner R. Traditions, paradigms and basic concepts in Islamic psychology. J Relig Health. 2019;58(4):1087-94. https://doi.org/10.1007/s10943-018-0595-1 PMid:29572773

Marzband R, Zakavi AA. A concept analysis of self-care based on Islamic sources. Int J Nurs Knowl. 2017;28(3):153-8. https://doi.org/10.1111/2047-3095.12126 PMid:26620383

Salsali M, Salehi H, Noktehdan H, Hoseini M, Nikoo MK, Ebrahimi SM. Evaluation of the effect of using Symptom Focused Management Model (SFMM(on the amount of HbA1c, knowledge, and self-care behavior of type 2 diabetes patients. Evidence Based Care 2013;3(7):28-35.

American Diabetes Association. Standards of medical care in diabetes-2019 abridged for primary care providers. Clin Diabetes. 2019;37(1):11-34. https://doi.org/10.2337/cd18-0105 PMid:30705493.

Nasiri M, Fayazi S, Karimvand HK. The effect of reciting the word “Allah†on vital signs and SpO2 of patients after coronary artery bypass graft surgery: A randomized clinical trial. Jundishapur J Chronic Dis Care. 2015;4(2):e60300. https://doi.org/10.5812/jjcdc.28337

Kobayashi D, Shimbo T, Takahashi O, Davis RB, Wee CC. The relationship between religiosity and cardiovascular risk factors in Japan: A large-scale cohort study. J Am Soc Hypertens. 2015;9(7):553-62. https://doi.org/10.1016/j.jash.2015.04.003 PMid:26188400

Anyfantakis D, Symvoulakis EK, Panagiotakos DB, Tsetis D, Castanas E, Shea S, et al. Impact of religiosity/spirituality on biological and preclinical markers related to cardiovascular disease. Results from the SPILI III study. Hormones (Athens). 2013;12(3):386-96. https://doi.org/10.1007/bf03401304 PMid:24121380

Darvyri P, Christodoulakis S, Galanakis M, Avgoustidis AG, Thanopoulou A, Chrousos GP. On the role of spirituality and religiosity in Type 2 diabetes mellitus management a systematic review. Psychology.2018;9(4):728-44. https://doi.org/10.4236/psych.2018.94046

Shattuck EC, Muehlenbein MP. Religiosity/spirituality and physiological markers of health. J Relig Health. 2018;1:1-20. https://doi.org/10.1007/s10943-018-0663-6

Bellinger DL, Berk LS, Koenig HG, Daher N, Pearce MJ, Robins CJ, et al. Religious involvement, inflammatory markers and stress hormones in major depression and chronic medical illness. OJPsych.2014;4(4):335. https://doi.org/10.4236/ojpsych.2014.44040

Benson H, Dusek JA, Sherwood JB, Lam P, Bethea CF, Carpenter W, et al. Study of the Therapeutic Effects of Intercessory Prayer (STEP) in cardiac bypass patients: A multicenter randomized trial of uncertainty and certainty of receiving intercessory prayer. Am Heart J. 2006;151:934-42. https://doi.org/10.1016/j.ahj.2005.05.028 PMid:16569567

Berk LS, Bellinger DL, Koenig HG, Daher N, Pearce MJ, Robins CJ, et al. Effect of religious VS, conventional cognitive-behavioral therapy on inflammatory markers and stress hormones in major depression and chronic medical illness: A randomized clinical trial. OJPsych. 2015;5(3):238-59. https://doi.org/10.4236/ojpsych.2015.53028

How CB, Ming KE, Chin CY. Does religious affiliation influence glycaemic control in primary care patients with Type 2 diabetes mellitus? Ment Health Fam Med. 2011;8(1):21-8. PMid:22479289

Al-Busaidi ZQ. Qualitative research and its uses in health care. Sultan Qaboos Univ Med J. 2008;8(1):11-9. PMid:21654952

American Diabetes Association, Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG, et al. Nutrition recommendations and interventions for diabetes: A position statement of the American Diabetes Association. Diabetes Care. 2008;31(Suppl 1):S61-78. https://doi.org/10.2337/dc08-s061 PMid:17192379

Amolie AJ. Mafatih Al-Hayat. Qom, Iran: Asra Publication Center; 2013.

Mohammadi Rey Shahri M. The Encyclopedia of Medical Hadithes. Qom, Iran: Daralhadith; 2007.

Yasrebi SY. Practical Mysticism. Qom, Iran: Boostan Ketab Publisher; 2013.

Zakizad Abkenar M, Ghofranipour F, Maghrebi HF, Kashi Z, Shokravi FA. The effect of islamic care method on nutritional self-care, anthropometric indices and blood pressure in diabetic patients. J Mazandaran Univ Med Sci. 2016;26(136):36-53.

Naderi Magham Sh. The Integration of TTM and SCT and It’s Impact on the Extent of Self-care Behaviors in Middle-aged Patients with Type 2 Diabetes who Referred to the Diabetes Screening Units of Tehran University of Medical Sciences 2010. A Thesis Presented for the Degree of Doctor of Philosophy in Health Education. Tehran: Tehran, Tarbiat Modares University, Faculty of Medical Sciences; 2013. https://doi.org/10.29252/joge.3.2.21

Qur’an 96:14. translated by Mehdi Elahi Ghomshei. Tehran: Islamic Publications, 2007.

Hosseini SH, Rafiei A, Janbabai G, Tirgari A, Zakavi A, Yazdani J, et al. Comparison of religious cognitive behavioral therapy (RCBT), cognitive behavioral therapy (CBT) and citalopram on depression and anxiety among women with breast cancer: A randomized controlled trial. Pharmacophore. 2018;9(3):37-47. https://doi.org/10.18311/ajprhc/2016/8364

Hosseini SH, Rafiei A, Gaemian A, Tirgari A, Zakavi A, Yazdani J, et al. Comparison of the effects of religious cognitive behavioral therapy (RCBT), cognitive behavioral therapy (CBT), and sertraline on depression and anxiety in patients after coronary artery bypass graft surgery: Study protocol for a randomized controlled trial. Iran J Psychiatry. 2017;12(3):206-13. https://doi.org/10.5742/mewfm.2017.93135 PMid:29062373

Sajadi M, Niazi N, Khosravi S, Yaghobi A, Rezaei M, Koenig HG. Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial. Complement Ther Clin Pract. 2018;30:79-84. https://doi.org/10.1016/j.ctcp.2017.12.011 PMid:29389484

Dolatian M, Mahmoodi Z, Dilgony T, Shams J, Zaeri F. The Structural Model of Spirituality and Psychological Well-Being for Pregnancy-Specific Stress. J Relig Health. 2017;56(6):2267-75. https://doi.org/10.1007/s10943-017-0395-z PMid:28447176

Koenig HG, Pearce M, Nelson B, Shaw S, Robins C, Daher N, et al. Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial. Psychother Res. 2016;26(3):365-76. https://doi.org/10.1080/10503307.2015.1006156 PMid:25669236

Kontogianni MD, Liatis S, Grammatikou S, Perrea D, Katsilambros N, Makrilakis K. Changes in dietary habits and their association with metabolic markers after a non-intensive, community-based lifestyle intervention to prevent Type 2 diabetes, in Greece. The DEPLAN study. Diabetes Res Clin Pract. 2012;95(2):207-14. https://doi.org/10.1016/j.diabres.2011.09.010 PMid:21955962

Nasser R, Cook SL, Dorsch KD, Haennel RG. Comparison of two nutrition education approaches to reduce dietary fat intake and serum lipids reveals registered dietitians are effective at disseminating information regardless of the educational approach. J Am Diet Assoc. 2006;106(6):850-9. https://doi.org/10.1016/j.jada.2006.03.011 PMid:16720126

Kim HS, June KJ, Song R. Effects of nutrition education and exercise programs on perceived dietary behaviors, food intake and serum lipid profiles in elderly korean women living in residential homes. Asian Nurs Res (Korean Soc Nurs Sci). 2007;1(1):35-47. https://doi.org/10.1016/s1976-1317(08)60007-9 PMid:25030542

Published
2020-04-20
How to Cite
1.
Zakizad Abkenar M, Ghofranipour F, Kashi Z, Montazeri A. Effect of the Islamic Self-care Nutrition Method on the Lipid Profile of Patients with Type 2 Diabetes: A Randomized Clinical Controlled Trial. Open Access Maced J Med Sci [Internet]. 2020Apr.20 [cited 2020Oct.29];8(B):181-7. Available from: https://www.id-press.eu/mjms/article/view/4217