Davis N, Forges B, Wylie-Rosett J
Division of General Internal Medicine, Department of Medicine, North Bronx Health Care Network, Albert Einstein College of Medicine, New York, NY 10461, USA.
Minerva Med. 2009 Jun;100(3):221-8.
The growing prevalence of obesity is closely linked to the increased prevalence of diabetes worldwide. Lifestyle interventions including diet and exercise successfully reduce diabetes incidence. Long-term follow up of lifestyle intervention trials demonstrate continued reduction in diabetes incidence for up to 20. Ongoing studies are continuing to examine the translation of lifestyle interventions, as well as the effectiveness of lifestyle interventions in preventing complications of type 2 diabetes. This article will review the major studies of lifestyle interventions in preventing type 2 diabetes and translation of lifestyle interventions beyond clinical trial settings. In addition, authors will review the evidence regarding weight loss in the treatment of type 2 diabetes.
全球肥胖患病率的不断上升与糖尿病患病率的增加密切相关。包括饮食和运动在内的生活方式干预可成功降低糖尿病发病率。生活方式干预试验的长期随访表明,糖尿病发病率持续降低长达20年。正在进行的研究继续探讨生活方式干预的转化情况,以及生活方式干预在预防2型糖尿病并发症方面的有效性。本文将综述生活方式干预预防2型糖尿病的主要研究以及生活方式干预在临床试验环境之外的转化情况。此外,作者还将综述有关2型糖尿病治疗中体重减轻的证据。