1型糖尿病青少年中的超重与肥胖
Overweight and obesity in youth with type 1 diabetes.
作者信息
Minges Karl E, Whittemore Robin, Grey Margaret
出版信息
Annu Rev Nurs Res. 2013;31:47-69. doi: 10.1891/0739-6686.31.47.
Abstract
Overweight and obesity in youth with type 1 diabetes (T1D) is now prevalent and accounts for significant health consequences, including cardiovascular complications and dual diagnosis of type 2 diabetes. Physical activity and lifestyle are modifiable and play an important role in the prevention and management of excessive weight, but it is unclear how these factors relate to overweight and obese youth with T1D. Thus, a systematic review was conducted to examine how physical activity, sedentary behavior, sleep, and diet are related to overweight/obesity in youth with T1D. Seven observational and intervention studies published between 1990 and 2013 were included in the review. Prevalence of overweight ranged from 12.5% to 33.3%. Overweight in youth with T1D was associated with infrequent napping, increased screen time, and skipping breakfast and dinner but was not related to time engaged in physical activity. Weight-related interventions indicated modest weight loss along with improved glycemic control. In light of this review, there is a need for high quality research that examines all levels of activity in youth with T1D to identify lifestyle modification targets for weight prevention and management.
摘要
1型糖尿病（T1D）青少年中的超重和肥胖现象如今很普遍，且会引发包括心血管并发症和2型糖尿病双重诊断在内的严重健康后果。身体活动和生活方式是可以改变的，在预防和管理超重方面发挥着重要作用，但尚不清楚这些因素与患有T1D的超重和肥胖青少年之间存在怎样的关联。因此，开展了一项系统综述，以研究身体活动、久坐行为、睡眠和饮食与患有T1D的青少年超重/肥胖之间的关系。该综述纳入了1990年至2013年间发表的七项观察性和干预性研究。超重患病率在12.5%至33.3%之间。患有T1D的青少年超重与不常午睡、屏幕使用时间增加以及不吃早餐和晚餐有关，但与进行身体活动的时间无关。与体重相关的干预措施显示体重有适度减轻，同时血糖控制得到改善。鉴于此综述，需要开展高质量研究，考察患有T1D的青少年的所有活动水平，以确定预防和管理体重的生活方式改变目标。
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