发展中国家的代谢障碍相关病和糖尿病病
Sunita Bavanandan1, Irene L Noronha2, Irma Tchokhonelidze3
1Department of Nephrology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Kidney international
|June 29, 2025
概括
与代谢障碍相关的病在发展中国家构成重大威胁,原因是代谢综合征和糖尿病的高发病率. 资源的局限性加剧了结果,需要紧急,多方面的干预措施,以预防和护理.
科学领域:
- 科和公共卫生
- 慢性病的流行病学 慢性病的流行病学
- 代谢障碍和全球健康问题
背景情况:
- 关于发展中国家代谢障碍相关病 (MDKD) 流行病学的数据有限.
- 代谢综合征和糖尿病病 (DKD) 的高患病率表明,代谢综合征对糖尿病造成的负担很大.
- 低收入和中等收入国家 (LMICs) 的资源限制加剧了MDKD和DKD管理的挑战.
研究的目的:
- 突出MDKD和DKD在发展中国家对健康和经济的影响.
- 为了强调因资源有限而导致的预防,检测和治疗方面的挑战.
- 倡导紧急,全面的战略来应对不断增长的流行病.
主要方法:
- 从现有关于代谢综合征和糖尿病病在LMICs中的流行率的数据进行推断.
- 分析资源限制对脏护理能力和临床结果的影响.
- 对置换疗法和非并发症的可用性和负担能力的审查.
主要成果:
- 据推断,MDKD和DKD对健康和经济的影响很大.
- 与高收入国家相比,观察到较差的临床结果,包括较高的死亡率和残疾率.
- 人们对脏替代疗法的获取有限,心血管疾病的负担很高.
结论:
- 紧急的上游干预措施对于控制糖尿病和代谢综合征流行病至关重要.
- 改善对MDKD和DKD的早期检测和护理在发展中国家至关重要.
- 迫切需要全社会,全政府和全球的方法,以国家特定的背景量身定制.
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