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糖尿病预防技术辅助干预综述

A Review of Technology-Assisted Interventions for Diabetes Prevention.

作者信息

Grock Shira, Ku Jeong-Hee, Kim Julie, Moin Tannaz

机构信息

Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, David Geffen School of Medicine at UCLA, 900 Veteran Avenue, 24-130 Warren Hall, Los Angeles, CA, 90095, USA.

Veterans Affairs Greater Los Angeles Healthcare Systems, 10940 Wilshire Boulevard, Suite 700, Los Angeles, CA, 90024, USA.

出版信息

Curr Diab Rep. 2017 Sep 23;17(11):107. doi: 10.1007/s11892-017-0948-2.

Abstract

PURPOSE OF REVIEW

The high prevalence of prediabetes and success of the diabetes prevention program (DPP) has led to increasing efforts to provide readily accessible, cost-effective DPP interventions to the general public. Technology-assisted DPP interventions are of particular interest since they may be easier to widely distribute and sustain as compared to traditional in-person DPP. The purpose of this article is to provide an overview of currently available technology-assisted DPP interventions.

RECENT FINDINGS

This review focuses on studies that have examined the use of mobile phone text messaging, smartphone/web-based apps, and telehealth programs to help prevent or delay the onset of incident type 2 diabetes. While there is variability in the results of studies focused on technology-assisted DPP and weight loss interventions, there is evidence to suggest that these programs have been associated with clinically meaningful weight loss and can be cost-effective. Patients who are at risk for diabetes can be offered technology-assisted DPP and weight loss interventions to lower their risk of incident diabetes. Further research should determine what specific combination of intervention features would be most successful.

摘要

综述目的

糖尿病前期的高患病率以及糖尿病预防计划(DPP)的成功,促使人们越来越努力地为公众提供易于获得且具有成本效益的DPP干预措施。技术辅助的DPP干预措施尤其受到关注,因为与传统的面对面DPP相比,它们可能更易于广泛推广和持续开展。本文旨在概述当前可用的技术辅助DPP干预措施。

最新发现

本综述重点关注了那些研究使用手机短信、基于智能手机/网络的应用程序以及远程医疗计划来帮助预防或延迟2型糖尿病发病的研究。虽然专注于技术辅助DPP和减肥干预措施的研究结果存在差异,但有证据表明这些计划与具有临床意义的体重减轻相关,并且具有成本效益。可以为糖尿病高危患者提供技术辅助的DPP和减肥干预措施,以降低他们患糖尿病的风险。进一步的研究应确定哪些特定的干预特征组合会最为成功。

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