糖尿病预防研究中的新兴成年差距
Abigail Arons1, Hilary K Seligman2
1Division of General Internal Medicine and Department of Pediatrics, UCSF, 490 Illinois Ave, Floor 7, San Francisco, CA, 94158, USA.
Lancet regional health. Americas
|March 1, 2024
概括
新兴成年人 (18-25岁) 在心血管疾病和糖尿病预防研究中代表性不足. 这一关键的差距阻碍了早期干预,将儿童的风险与成人慢性疾病联系起来.
科学领域:
- 预防心血管疾病 预防心血管疾病
- 公共卫生 公共卫生
- 发展科学 发展科学
背景情况:
- 新兴成年 (18-25岁) 是一个独特的发展时期,具有影响长期健康的显著生理和社会因素.
- 对于其他年龄组,心血管疾病 (CVD) 和糖尿病预防工作已经取得进展,但新兴成年人仍未得到充分研究.
- 这一年龄组代表了早期干预的关键窗口,以预防晚年慢性疾病.
研究的目的:
- 突出新兴成年人在心血管疾病和糖尿病预防研究中的代表性不足.
- 分析现有的临床指南,用于美国的糖尿病前期查和管理.
- 确定研究缺口,并提出建议,以增加新兴成年人的包容性.
主要方法:
- 分析了四个主要的美国临床实践指南,用于糖尿病前期查和管理.
- 审查这些指南中引用的证据,重点关注儿科和成人群体.
- 检查研究人口统计数据,以确定新兴成年人的纳入.
主要成果:
- 大多数在主要儿科和成人糖尿病预防指南中引用的研究不包括新兴成年人.
- 儿科和成人研究之间存在很大的差距,未能将儿童的风险与成人慢性疾病联系起来.
- 新兴成年人很大程度上被排除在研究中,这些研究对当前的临床实践提供了信息.
结论:
- 迫切需要在糖尿病和心血管疾病预防研究中增加新兴成年人的代表性.
- 解决这一研究缺口对于建立有效的早期干预和预防成人慢性疾病至关重要.
- 为研究人员提供建议,以加强对新兴成年人的纳入未来研究.
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