步行速度和2型糖尿病的风险:系统性审查和元分析
Ahmad Jayedi1, Mahdieh-Sadat Zargar2, Alireza Emadi3
1Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran ahmadjayedi@yahoo.com.
British journal of sports medicine
|December 5, 2023
概括
走得更快与2型糖尿病的风险降低有关. 即使是适度步行也显示出好处,快速步行提供了最显著的降低糖尿病风险.
科学领域:
- 流行病学 流行病学
- 预防医学 预防医学
- 代谢健康 代谢健康
背景情况:
- 2型糖尿病是全球主要的健康问题.
- 包括散步在内的体力活动被认为是预防糖尿病的关键因素.
- 了解步行强度对糖尿病风险的具体影响对于公共卫生指南至关重要.
研究的目的:
- 系统地审查和元分析现有的队列研究.
- 研究各种步行速度与患2型糖尿病的风险之间的关联.
- 评估证据的确定性和潜在效果的修改.
主要方法:
- 对队列研究进行系统审查和元分析.
- 搜索的主要数据库 (PubMed,Scopus,CENTRAL,Web of Science) 截至2023年5月.
- 使用随机效应模型计算相对风险 (RR) 和风险差异 (RD).
主要成果:
- 步行速度更快与2型糖尿病风险降低有关.
- 快速步行 (>6.4公里/小时) 显示了最显著的风险降低 (RR=0.61).
- 观察到剂量与反应的关系,在4公里/小时及以上的速度下,风险显著降低.
结论:
- 低至中等确定性证据表明,随着步行速度的提高,二型糖尿病风险的逐渐降低.
- 尽管在一些研究中存在一些局限性,包括偏差的高风险,但研究结果支持促进更快的步行以预防糖尿病.
- 可能需要进一步的高质量研究来证实这些关联.
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