1型,2型糖尿病和没有糖尿病的个体的预期寿命:系统性审查和元分析
Yasmin Ezzatvar1,2, José Francisco López-Gil3,4, Rodrigo Yáñez-Sepúlveda5
1Lifestyle Factors with Impact on Ageing and Overall Health (LAH) Research Group, Department of Nursing, University of València, Valencia, Spain.
Frontiers in endocrinology
|December 1, 2025
概括
与没有糖尿病的人相比,患有1型糖尿病 (T1D) 和2型糖尿病 (T2D) 的人的预期寿命显著较短. 第1型糖尿病显示了寿命的最大缩短,突出显示了持续的健康差异.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 糖尿病,包括1型 (T1D) 和2型 (T2D),是一个全球性的健康问题.
- 估计糖尿病人群的预期寿命对于公共卫生规划和资源分配至关重要.
研究的目的:
- 估计和比较T1D,T2D和非糖尿病患者的预期寿命.
- 根据性别,地理区域和研究期间分析预期寿命的变化.
- 作为次要结果,评估失去的潜在生命年 (YPLL).
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了PubMed,EMBASE和科学网络,从创立到2025年6月.
- 使用随机效应模型的聚合预期寿命估计,根据性别和地区进行子组分析.
主要成果:
- 预期寿命在T1D中最短:65.12年 (男性) 和68.26年 (女性).
- 预期寿命为74.34岁 (男性) 和79.63岁 (女性).
- 没有糖尿病的个体的寿命更长:79.56年 (男性) 和84.46年 (女性). 患有T1D的男性为11.3年,女性为10.9年.
结论:
- 与非糖尿病人群相比,T1D和T2D患者的预期寿命仍然要低得多.
- 尽管出现了时间上的改善,但糖尿病类型,性别和地区的寿命仍然存在显著差异.
- 这些发现强调了需要有针对性的干预措施来改善糖尿病患者的治疗结果.
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