对糖尿病预防计划进行系统审查,以适应包括家庭成员的情况
Susan J Andreae1, Hailey Reeves1, Thomas Casey1
1Kinesiology Department, University of Wisconsin-Madison, Madison, WI, United States.
Preventive medicine reports
|February 23, 2024
概括
基于家庭的生活方式的干预措施有望预防糖尿病风险,类似于个人计划. 需要更多的研究来优化家庭参与,并了解这些计划是如何工作的.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 健康 行为 改变 改变
背景情况:
- 基于家庭的计划是预防2型糖尿病等遗传性健康状况的潜在策略.
- 适应糖尿病预防计划 (DPP) 生活方式课程的家庭参与是一个新兴的研究领域.
研究的目的:
- 审查关于调整糖尿病预防计划 (DPP) 生活方式改变课程的干预措施的科学文献,以包括家庭成员.
- 检查基于家庭的DPP干预措施对糖尿病风险相关结果的有效性.
主要方法:
- 在多个数据库 (CINAHL,Cochrane Central,PsycINFO,PubMed,Scopus) 进行了系统的文献搜索,查找2002年至2023年8月期间发表的同行评审研究.
- 包括评估DPP生活方式课程的基于家庭的适应,报告糖尿病风险结果,包括初级和家庭参与者的研究.
- 数据提取和质量评估由两位研究人员独立进行,随后由于研究异质性而进行叙事综合.
主要成果:
- 四项研究符合纳入标准,其中三项专注于成人初级参与者,一项专注于年轻人.
- 两项研究报告了对主要参与者的体重相关结果的显著干预效应.
- 在家庭参与者中,三项研究中的一项显示了对体重的显著干预效应.
结论:
- 糖尿病预防计划 (DPP) 的基于家庭的调整显示出有希望的结果,与基于个人的干预措施相比.
- 需要进一步的研究来阐明行动机制,并确定最佳策略,让家庭参与这些预防计划.
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