利用持续的葡萄糖监测作为行为改变的催化剂:一个范围审查
Michelle R Jospe1, Kelli M Richardson2, Ahlam A Saleh3
1Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, Washington DC, USA.
概括
持续血糖监测 (CGM) 显示出行为改变干预措施的希望,但目前的研究主要集中在2型糖尿病上. 需要更多的研究来探索CGM.
科学领域:
- 健康行为研究研究健康行为研究
- 生物医学工程 生物医学工程
- 内分泌学 在内分泌学.
背景情况:
- 与葡萄糖相关的慢性疾病的流行率不断上升,需要创新的健康行为干预措施.
- 连续血糖监测器 (CGM) 提供了用于监测血糖水平的先进功能.
- 在行为干预研究中对CGM的应用存在有限的研究.
研究的目的:
- 对使用CGM进行行为改变的随机对照试验 (RCT) 进行范围审查.
- 在这些RCT中描述目标人群,健康行为,结果和CGM协议.
- 识别研究缺口,并为CGM在行为改变干预中未来的应用提供信息.
主要方法:
- 在多个数据库 (Ovid MEDLINE,Embase,Cochrane,PsycINFO,ProQuest) 进行全面的文献搜索,直到2024年1月.
- 包括涉及成年人的RCT和基于CGM的行为改变的生物反.
- 引用搜索和协议注册 (https://doi.org/10.17605/OSF.IO/SJREA) 为方法论的严格.
主要成果:
- 包括31个RCT,其中大多数 (65%) 专注于2型糖尿病成年人.
- HbA1c是报告结果最多的结果 (94%),干预措施主要针对饮食 (87%) 和体育活动 (52%).
- CGM数据通常是不盲目的 (77%),反通常通过CGM和双向通信 (39%) 传递,主要是面对面.
结论:
- 目前基于CGM的干预措施主要针对糖尿病管理,这表明需要更广泛的应用.
- 在利用CGM用于糖尿病以外的各种行为改变目标方面存在研究缺口.
- 未来的研究应该专注于扩大CGM在行为改变中的作用,并建立实施最佳实践.
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