通过生活方式干预与二型糖尿病缓解相关的心理社会因素:范围审查
Kathy J Hart1, Andrew Kubilius1, Martin Clark1
1Department of Psychology and Computer Science, University of Central Lancashire, Preston, Lancashire, United Kingdom.
PloS one
|November 16, 2023
概括
生活方式干预对2型糖尿病 (T2D) 缓解有希望,但心理社会因素尚未得到充分探索. 未来的研究应该将这些因素纳入全面的T2D管理和改善临床实践.
科学领域:
- 内分泌学和新陈代谢学
- 行为医学是一种行为医学.
- 公共卫生 公共卫生
背景情况:
- 通过生活方式干预,2型糖尿病 (T2D) 缓解越来越容易实现.
- 目前的研究主要集中在生理标记上,忽视了对T2D缓解的心理社会影响.
- 了解心理社会因素对于优化生活方式干预的有效性至关重要.
研究的目的:
- 综合现有的关于与T2D缓解相关的心理社会因素的文献.
- 确定心理社会因素在生活方式干预T2D缓解的成功中的作用.
主要方法:
- 进行了对五个数据库 (EMBASE,MEDLINE,CINAHL ultimate,PsychINFO,PsycArticles) 的系统审查.
- 包括2009年以后发表的研究,涉及T2D接受生活方式干预的成年人 (≥18岁).
- 选和数据提取是由两个评审人独立执行的.
主要成果:
- 36项研究符合纳入标准,分布全球,大多数研究自2017年以来发表.
- 心理社会措施未得到充分利用,67%的研究遗漏了这些措施.
- 自我监测和社会支持成为T2D缓解的关键促进因素,与基于教育的干预措施一起.
结论:
- 对于T2D缓解的心理社会因素仍未得到充分研究.
- 缓解标准和干预定义中的方法不一致存在知识差距.
- 未来的研究应该采用整体方法,整合疾病的社会模式,以加强T2D缓解策略.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Diabetes: Management and Pharmacotherapy
289
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
289
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K
Psychoneuroimmunology: Diabetes and Cancer
30
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
30
Diabetes: Symptoms, Diagnosis, and Complications
554
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
554


