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研究移民对肥胖和糖尿病影响的创新方法:RODAM 研究的经验教训。

Innovative ways of studying the effect of migration on obesity and diabetes beyond the common designs: lessons from the RODAM study.

机构信息

Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.

Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.

出版信息

Ann N Y Acad Sci. 2017 Mar;1391(1):54-70. doi: 10.1111/nyas.13204. Epub 2016 Oct 5.

DOI:10.1111/nyas.13204
PMID:27706830
Abstract

Type 2 diabetes and obesity are major global public health problems, with migrant populations in high-income countries being particularly affected. Type 2 diabetes and obesity are also major threats in low- and middle-income countries, from which most migrant populations originate. Transitioning of societies and the resulting changes in lifestyles are thought to be major driving forces, but the key specific factors within this broad category still need to be determined. Migrant studies provide a unique opportunity to understand the potential underlying causes of these conditions, but current research is mainly geared toward analyzing the differences between migrants and the host populations in the countries of settlement. For better understanding, there is a need to extend migrant health research across national boundaries. This review discusses innovative ways of studying the effect of migration on type 2 diabetes and obesity beyond the common designs and the relevance of extending migrant health studies across national boundaries in the current era of increasing global migration. Specifically, we describe the burden and different methods for conducting migrant studies. We use the Research on Obesity and Diabetes among African Migrants (RODAM) study as a case study, discussing the methods, some results, and lessons learned, including challenges and an essential recipe for success that may guide future migrant health research.

摘要

2 型糖尿病和肥胖是全球主要的公共卫生问题,高收入国家的移民人口尤其受到影响。2 型糖尿病和肥胖也是中低收入国家的主要威胁,而大多数移民人口都来自这些国家。社会转型和由此导致的生活方式变化被认为是主要的驱动因素,但在这一广泛类别中,关键的具体因素仍有待确定。移民研究为了解这些疾病的潜在根本原因提供了一个独特的机会,但目前的研究主要侧重于分析移民与定居国的宿主人口之间的差异。为了更好地理解,有必要跨越国界开展移民健康研究。本综述讨论了超越常见设计研究移民对 2 型糖尿病和肥胖影响的创新方法,以及在当前全球移民日益增多的时代,跨越国界开展移民健康研究的相关性。具体来说,我们描述了移民研究的负担和不同方法。我们使用非洲移民肥胖和糖尿病研究(RODAM)作为一个案例研究,讨论了方法、一些结果和经验教训,包括挑战和成功的必要秘诀,这些可能为未来的移民健康研究提供指导。

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