Functional Foods and Lifestyle Approaches for Diabetes Prevention and Management

Alkhatib, Ahmad; Tsang, Catherine; Tiss, Ali; Bahorun, Theeshan; Arefanian, Hossein; Barake, Roula; Khadir, Abdelkrim; Tuomilehto, Jaakko

doi:10.3390/nu9121310

Cited by 376Nutritional Studies and DietNutrition, Genetics, and DiseaseNatural Antidiabetic Agents Studies

Functional Foods and Lifestyle Approaches for Diabetes Prevention and Management

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Alkhatib, Ahmad, Tsang, Catherine, Tiss, Ali, Bahorun, Theeshan, Arefanian, Hossein, Barake, Roula, Khadir, Abdelkrim, Tuomilehto, Jaakko·2017·Nutrients

DOI 10.3390/nu9121310PMC PMC5748760

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Abstract

Functional foods contain biologically active ingredients associated with physiological health benefits for preventing and managing chronic diseases, such as type 2 diabetes mellitus (T2DM). A regular consumption of functional foods may be associated with enhanced anti-oxidant, anti-inflammatory, insulin sensitivity, and anti-cholesterol functions, which are considered integral to prevent and manage T2DM. Components of the Mediterranean diet (MD)—such as fruits, vegetables, oily fish, olive oil, and tree nuts—serve as a model for functional foods based on their natural contents of nutraceuticals, including polyphenols, terpenoids, flavonoids, alkaloids, sterols, pigments, and unsaturated fatty acids. Polyphenols within MD and polyphenol-rich herbs—such as coffee, green tea, black tea, and yerba maté—have shown clinically-meaningful benefits on metabolic and microvascular activities, cholesterol and fasting glucose lowering, and anti-inflammation and anti-oxidation in high-risk and T2DM patients. However, combining exercise with functional food consumption can trigger and augment several metabolic and cardiovascular protective benefits, but it is under-investigated in people with T2DM and bariatric surgery patients. Detecting functional food benefits can now rely on an “omics” biological profiling of individuals’ molecular, genetics, transcriptomics, proteomics, and metabolomics, but is under-investigated in multi-component interventions. A personalized approach for preventing and managing T2DM should consider biological and behavioral models, and embed nutrition education as part of lifestyle diabetes prevention studies. Functional foods may provide additional benefits in such an approach.

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Tea has beneficial effects on the pathogenesis of diabetes mellitus by improving glucose metabolism and consequently lowering fasting glucose level.
“Thus, according to Alkhatib et al., the tea has beneficial effects on the pathogenesis of diabetes mellitus by improving glucose metabolism and consequently lowering the fasting glucose level.”
From Mediterranean Diet as an Antioxidant: The Impact on Metabolic Health and Overall Wellbeing (2021) · cites this paper as [10]
The positive properties of the Mediterranean diet for prevention and management of type 2 diabetes are not confined within selected PUFA- and/or MUFA-enriched functional foods, but incorporate additional and synergistic benefits from ingestion of numerous bioactive polyphenol compounds.
“Finally, the positive properties of the MedDiet for prevention and management of T2D are not confined within selected PUFA- and/or MUFA-enriched functional foods, but incorporate additional and synergistic benefits from the ingestion of numerous promising bioactive polyphenol compounds [56], which are currently under investigation.”
From Mediterranean diet nutrients to turn the tide against insulin resistance and related diseases (2020) · cites this paper as [56]

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RETRACTED: Primary Prevention of Cardiovascular Disease with a Mediterranean Diet
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Black tea reduces uric acid and C-reactive protein levels in humans susceptible to cardiovascular diseases
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Bariatric Surgery and Precision Nutrition
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MAP kinase phosphatase DUSP1 is overexpressed in obese humans and modulated by physical exercise
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The effects of a 2 week modified high intensity interval training program on the homeostatic model of insulin resistance (HOMA-IR) in adults with type 2 diabetes.
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Immunohistochemical profiling of the heat shock response in obese non-diabetic subjects revealed impaired expression of heat shock proteins in the adipose tissue
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Effects of hypocaloric diet, low-intensity resistance exercise with slow movement, or both on aortic hemodynamics and muscle mass in obese postmenopausal women
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Metabolic surgery for treating type 2 diabetes mellitus: Now supported by the world’s leading diabetes organizations
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Associations of the Baltic Sea diet with cardiometabolic risk factors – a meta-analysis of three Finnish studies
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Western and Mediterranean Dietary Patterns and Physical Activity and Fitness among Spanish Older Adults
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Yerba Maté (Ilex paraguariensis) Metabolic, Satiety, and Mood State Effects at Rest and during Prolonged Exercise
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Yerba Maté (Illex Paraguariensis) ingestion augments fat oxidation and energy expenditure during exercise at various submaximal intensities
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Long-term effects of an exercise and Mediterranean diet intervention in the vascular function of an older, healthy population
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Acute effectiveness of a “fat-loss” product on substrate utilization, perception of hunger, mood state and rate of perceived exertion at rest and during exercise
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Benefits of the Mediterranean diet beyond the Mediterranean Sea and beyond food patterns
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Effects of dietary counselling on food habits and dietary intake of Finnish pregnant women at increased risk for gestational diabetes – a secondary analysis of a cluster‐randomized controlled trial
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“Healthy meal plans such as the MD can also be individualized and tailored to match diabetics’ needs and requirements based on understanding the behavioral barriers and facilitators to MD, such as food availability in local markets [136,137], and reported affordability”
Background
[In Process Citation].
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Herbal Medications and Plastic Surgery: A Hidden Danger
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Nutraceuticals and Mediterranean Diet
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Modulatory effects of green tea on HEK-293 cell energy metabolism: implications in diabetic nephropathy
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[2]IDF Diabetes Atlas 2015-7th Edition Available online: http://www.diabetesatlas.org/ (accessed on 12 September 2017)
[20]Jimenez-Redondo S. Beltran de Miguel B. Gomez-Pavon J. Cuadrado Vives C. Food consumption and risk of malnutrition in community-dwelling very old Spanish adults (≥80 years) Nutr. Hosp. 2016 33 263 27513490

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“Finally, the positive properties of the MedDiet for prevention and management of T2D are not confined within selected PUFAand/or MUFA-enriched functional foods, but incorporate additional and synergistic benefits from the ingestion of numerous promising bioactive polyphenol compounds [56], which are currently under in…”
Background
Effectiveness of probiotics, prebiotics, and prebiotic‐like components in common functional foods
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Self-citation
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Natural Bioactive Compounds Useful in Clinical Management of Metabolic Syndrome
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Lifestyle Diabetes Prevention
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Self-citation
Functional foods-based diet as a novel dietary approach for management of type 2 diabetes and its complications: A review
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Improving Metabolic Control Through Functional Foods
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Functional Foods in Prevention of Diabetes Mellitus
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Authors: Alkhatib, A., Tsang, C., Tiss, A., Bahorun, T., Arefanian, H., Barake, R., Khadir, A., & Tuomilehto, J.
Affiliations: Dasman Diabetes Institute (KW)
Edge Hill University (GB)
Mauritius Sugarcane Industry Research Institute (MU)
Dasman Diabetes Institute, P.O. Box 1180, Dasman 15462, Kuwait
King Abdulaziz University (SA)
Corresponding author: Alkhatib, Ahmad
ORCID: Alkhatib, Ahmad
Tsang, Catherine
Tiss, Ali
Bahorun, Theeshan
Arefanian, Hossein
Khadir, Abdelkrim
Tuomilehto, Jaakko
Venue: Nutrients
Publisher: MDPI AG
Published: 2017-12-01
Volume: 9
Issue: 12
Pages: 1310
ISSN: 2072-6643 (ISSN-L)
DOI: 10.3390/nu9121310
PMC: PMC5748760
OpenAlex: W2772650360
Cited by: 376
References: 141
Citations by year: 2026: 26 · 2025: 48 · 2024: 42 · 2023: 50 · 2022: 53 · 2021: 69 · 2020: 51 · 2019: 24 · 2018: 12 · 2017: 1
FWCI: 3.91
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (vor)
Locations: Nutrients (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Edge Hill University Research Information Repository (Edge Hill University) (publishedVersion, cc-by)
TeesRep (Teesside University) (acceptedVersion, other-oa)
Northumbria Research Link (Northumbria University) (acceptedVersion, other-oa)
Edge Hill University (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Queen Margaret University Publications Repository (Queen Margaret University) (submittedVersion, cc-by)
Funders: Dasman Diabetes Institute
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Natural Antidiabetic Agents Studies
Keywords: functional foods, type 2 diabetes, diabetes prevention, diabetes management, Mediterranean diet, nutraceuticals, polyphenols, anti-inflammatory activity, antioxidant activity, insulin sensitivity, physical activity, bariatric surgery, personalized nutrition, omics profiling, lifestyle intervention, nutrition education, olive oil, green tea, Ilex paraguariensis
MeSH terms: Diabetes Mellitus, Type 2, Humans, Life Style, Diet, Mediterranean, Functional Food

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