对糖尿病前期和2型糖尿病的查:美国预防服务工作组建议声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|August 24, 2021
概括
在超重或肥胖的35至70岁成年人中,建议对糖尿病前期和2型糖尿病进行查. 早期检测和预防措施为改善健康结果提供了适度的好处.
科学领域:
- 内分泌学
- 预防医学
- 公共卫生
背景情况:
- 美国13%的成年人患有糖尿病,老年人患病率更高.
- 糖尿病前期影响34.5%的美国成年人,糖尿病的进展率各不相同.
- 糖尿病是造成衰竭,失明和心血管疾病的主要原因.
研究的目的:
- 更新关于糖尿病前期和2型糖尿病查的建议.
- 评估糖尿病前期患者的预防干预措施.
主要方法:
- 系统审查由USPSTF委托进行.
- 包括35至70岁的无症状,不怀孕的超重或肥胖成年人.
主要成果:
- 对糖尿病前期和2型糖尿病的查显示中等净益.
- 对糖尿病前期的有效预防措施提供了适度的净益.
结论:
- 在35-70岁的超重或肥胖成年人中,USPSTF建议对糖尿病前期和2型糖尿病进行查.
- 临床医生应建议或转诊糖尿病前期患者进行有效的预防性干预.
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