在土著和托雷斯海峡岛民中预防和管理2型糖尿病的体力活动干预措施:系统性审查
Raymond J Kelly1, Rona Macniven2, Leonid Churilov1
1Melbourne Medical School, the University of Melbourne, Melbourne, VIC.
The Medical journal of Australia
|October 22, 2024
概括
对澳大利亚原住民2型糖尿病的体力活动干预措施的证据有限. 需要更多的社区参与的研究来改善健康结果,并有效地转化研究结果.
科学领域:
- 公共卫生 公共卫生
- 运动科学 运动科学
- 土著健康土著健康
背景情况:
- 2型糖尿病对澳大利亚的土著和托雷斯海峡岛民造成了重大健康负担.
- 身体活动是预防和管理糖尿病的关键策略.
- 有必要综合现有的证据,对这个人群的体力活动干预措施.
研究的目的:
- 系统地审查有关预防和管理澳大利亚土著成年人2型糖尿病的身体活动干预措施的证据.
- 评估相关研究的质量和研究结果.
主要方法:
- 在2022年10月之前,对多个电子数据库进行了全面的搜索.
- 如果报告了土著成年人 (18岁以上) 对2型糖尿病的体力活动干预措施,则包括研究,但不包括短期干预措施.
- 通过Joanna Briggs Institute (JBI) 和CREATE批判性评估工具来评估研究质量.
主要成果:
- 九项研究符合纳入标准,包括随机对照试验,队列研究,准实验研究和重复的横截面研究.
- 大多数研究的质量低至中,基于JBI和土著特定 (CREATE) 评估.
- 只有两项队列研究报告了显著降低糖化血红蛋白 (HbA1c) 水平,详细结果有限. 没有试验结合了体育活动和饮食干预措施.
结论:
- 对澳大利亚原住民2型糖尿病的体力活动干预措施的高质量研究很少.
- 未来的研究必须在各个阶段都涉及土著社区成员,以提高发现的相关性和改进翻译.
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