对澳大利亚原住民2型糖尿病的主要风险因素进行系统审查
Utpal K Mondal1, Kedir Y Ahmed1, Subash Thapa1
1Rural Health Research Institute, Charles Sturt University, Orange, NSW, 2800, Australia.
BMC public health
|November 20, 2024
概括
澳大利亚第一民族的2型糖尿病 (T2D) 风险在偏远地区更高,并与社会经济因素,肥胖,高甘油三和低维生素D有关.干预措施应优先考虑这些领域.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 土著健康土著健康
背景情况:
- 2型糖尿病 (T2D) 不成比例地影响澳大利亚第一民族,突出了严重的健康差距.
- 了解相关风险因素对于有针对性的公共卫生干预至关重要.
研究的目的:
- 系统地审查和综合有关澳大利亚第一民族人T2D的社会人口统计学,人体统计学,生物化学,生活方式和心脏代谢风险因素的证据.
主要方法:
- 一个系统的审查20个前性队列和截面研究发表到2023年8月.
- 在主要的电子数据库中进行了搜索 (MEDLINE,Embase,CINHAL,PsycINFO).
- 按照PRISMA指南进行应用叙事综合.
主要成果:
- 与居住在非常偏远地区 (MM7) 相关的T2D风险更高,靠近"西方"食品商店,房屋出租和兼职就业.
- 肥胖 (BMI>30 kg/m2,中心肥胖),高甘油 (≥1.7 mmol/L),高C反应蛋白 (CRP) 和低维生素D (<53 nmol/L) 是显著的危险因素.
- 没有发现与日常吸烟或饮酒的显著关联.
结论:
- 解决T2D健康差距的干预措施必须优先考虑偏远地区,社会经济劣势,中心肥胖,高甘油和维生素D缺乏.
- 本综述提供了对这一群体T2D风险因素的全面概述.
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