Bennet Louise
Lund University - Department of Clinical Sciences Malmö, Sweden Lund University - Department of Clinical Sciences Malmö, Sweden.
Lakartidningen. 2018 Feb 20;115:EWPF.
Political instability the last decades has forced millions of people to migrate from their homelands. In Sweden today, 1.6 million are born abroad, of which the largest immigrant groups originate from the Middle East. Immigrants from these areas represent high risk populations for type 2 diabetes with prevalence of type 2 diabetes twice as high compared to the native Swedish population. The mechanisms behind this increased diabetes risk are not fully unraveled but are likely connected to lifestyle, socioeconomic situation, genetics and epigenetics. A large proportion still free from diabetes are likely to develop diabetes within the coming decade. To prevent this epidemic, increased awareness of risk factors, lifestyle habits, potential barriers and of success factors for lifestyle change in immigrant populations is important. Examples of such preventive actions are culturally adapted lifestyle interventions addressing cultural barriers and behavioral change, which are described in this article.
过去几十年的政治动荡迫使数百万人背井离乡。如今在瑞典，有160万人出生在国外，其中最大的移民群体来自中东。这些地区的移民是2型糖尿病的高危人群，2型糖尿病的患病率是瑞典本土人口的两倍。这种糖尿病风险增加背后的机制尚未完全阐明，但可能与生活方式、社会经济状况、遗传学和表观遗传学有关。很大一部分尚未患糖尿病的人在未来十年内可能会患上糖尿病。为预防这种流行病，提高对移民群体中风险因素、生活习惯、潜在障碍以及生活方式改变的成功因素的认识非常重要。本文介绍了一些针对文化障碍和行为改变的文化适应性生活方式干预措施等预防行动实例。
