糖尿病与气候变化。
Diabetes and climate change.
作者信息
Zilbermint Mihail
机构信息
Johns Hopkins Community Physicians at Suburban Hospital, Suburban Hospital, Bethesda, MD, USA.
Division of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
出版信息
J Community Hosp Intern Med Perspect. 2020 Sep 3;10(5):409-412. doi: 10.1080/20009666.2020.1791027.
BACKGROUND
Diabetes mellitus, a looming crisis, is approaching worldwide epidemic proportions. In 2018, 34.2 million Americans, or 10.5% of the population had diabetes. Climate change, and in particular rising global temperatures, may exacerbate various health issues, including diabetes and ultimately lead to increased mortality.
OBJECTIVES
To identify the impact of climate change on diabetes.
METHODS
A systematic literature review of Pubmed (MEDLINE database of references and abstracts on life sciences and biomedical topics from the USA National Library of Medicine at the National Institutes of Health) and Scopus (Elsevier's abstract and citation database) with the following terms: 'diabetes' [AND] 'climate change'.
RESULTS
The following risk factors for diabetes due to climate change were identified and discussed: extreme temperatures (heat), the risk of hospitalization, shortage of medical and food supplies and urbanization.
CONCLUSIONS
Diabetes and climate change are interconnected. Extreme weather events and rising temperatures may increase morbidity and mortality in patients living with diabetes, especially in those with cardiovascular complications. Failure to mitigate climate change and the diabetes epidemic threatens the lives of many people in the U.S. and beyond.
背景
糖尿病这一迫在眉睫的危机正呈现全球流行之势。2018年，3420万美国人，即10.5%的人口患有糖尿病。气候变化，尤其是全球气温上升，可能会加剧包括糖尿病在内的各种健康问题，并最终导致死亡率上升。
目的
确定气候变化对糖尿病的影响。
方法
对美国国立医学图书馆（美国国立卫生研究院生命科学和生物医学主题参考文献及摘要的MEDLINE数据库）的PubMed和爱思唯尔摘要与引文数据库Scopus进行系统文献综述，检索词如下：“糖尿病”[与]“气候变化”。
结果
确定并讨论了以下因气候变化导致糖尿病的风险因素：极端温度（高温）、住院风险、医疗和食品供应短缺以及城市化。
结论
糖尿病与气候变化相互关联。极端天气事件和气温上升可能会增加糖尿病患者的发病率和死亡率，尤其是那些患有心血管并发症的患者。未能缓解气候变化和糖尿病流行威胁着美国及其他地区许多人的生命。
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