2型糖尿病患者的斋月禁食和血糖控制:现实世界的数据分析
Swan-Abu Salih A1, G Chodick1, P Klein2
1Department of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Primary care diabetes
|January 23, 2025
概括
斋月间歇性禁食可能会增加穆斯林2型糖尿病患者HbA1C水平升高的风险. 这突显了在斋月禁食期间对血糖控制的潜在双重影响.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 公共卫生 公共卫生
背景情况:
- 2型糖尿病的管理需要仔细注意生活方式因素.
- 断断续续的禁食,特别是在像斋月这样的宗教仪式期间,在穆斯林人口中很常见.
- 血糖控制是糖尿病护理的一个关键方面,HbA1C是关键指标.
研究的目的:
- 评估斋月间歇性禁食对2型糖尿病患者血糖控制的影响.
- 为了比较穆斯林和非穆斯林个人在斋月期间HbA1C水平的变化.
主要方法:
- 一个使用电子健康记录的历史前性研究设计.
- 包括40至70岁的穆斯林成年人,患有2型糖尿病.
- 在6年 (2011-2016) 期间,从斋月前90天到斋月后45天的HbA1C数据的分析.
主要成果:
- 与非穆斯林 (OR=1.89) 相比,穆斯林参与者的HbA1C变化概率明显更高 (≥0.5%).
- 在最初正常HbA1C (≤7%) 的穆斯林中,HbA1C水平降低 (OR=2.62) 和增加 (OR=2.85) 的风险增加.
- 斋月期间的禁食与穆斯林2型糖尿病患者HbA1C水平上升0.5%以上的风险增加有关.
结论:
- 斋月间歇性禁食可能会增加穆斯林2型糖尿病患者HbA1C水平升高的风险.
- 这些发现表明,斋月禁食对血糖控制有潜在的双重影响.
- 进一步的研究和个性化管理策略是为这个人群的必要.
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