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改善2型糖尿病成年人饮食遵守的社交网络干预措施:系统审查
Halimatou Alaofè1, Abidemi Okechukwu1, Sarah Yeo1
1Health Promotion Sciences, The University of Arizona, Tucson, AZ 85724, United States.
Nutrition reviews
|August 5, 2025
概括
社交网络干预措施在改善2型糖尿病 (T2D) 的饮食遵守方面显示出希望. 然而,需要更多高质量的研究来确认有效性和指导建议.
科学领域:
- 健康行为干预措施健康行为干预措施
- 糖尿病管理 糖尿病管理
- 社交网络分析分析
背景情况:
- 坚持饮食是管理2型糖尿病 (T2D) 中的血糖控制的关键.
- 关于基于社交网络的干预措施在改善T2D患者的饮食坚持方面有效性的证据有限.
- 普罗斯佩罗的注册编号是Prospero. 在CRD42023441223.3中使用.
研究的目的:
- 评估社交网络干预措施 (涉及家人,朋友,同龄人) 在改善T2D患者饮食遵守的有效性.
- 综合来自随机对照试验和对照前后研究的证据.
主要方法:
- 搜索了7个数据库和2个试验注册表,直到2024年10月为相关研究.
- 包括随机对照试验 (RCT) 和对照前后研究.
- 通过使用Cochrane Revised Risk of Bias工具和ROBINS-I工具评估研究质量.
主要成果:
- 包括2014-2023年间的10项研究 (9项RCT,1项准RCT),主要涉及家庭网络.
- 一半的研究报告说,改善了饮食坚持;6项研究显示血红蛋白A1C降低.
- 其他好处包括增加体力活动,减轻体重/BMI,降低血压,减少与糖尿病有关的压力,改善生活质量.
结论:
- 社交网络干预措施显示了增强和维持T2D中饮食遵守的潜力.
- 由于缺乏高质量的研究和干预措施的可变性,证据受到限制.
- 需要使用标准化指标和成本效益数据进行更严格的研究.
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