Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA, 30322, USA.
Division of Hospital Medicine, School of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Curr Diab Rep. 2021 Jun 7;21(8):23. doi: 10.1007/s11892-021-01393-5.
This review summarizes the burden of diabetes in South Asian populations and reviews recent evidence for diabetes prevention through lifestyle modification among South Asians worldwide. We indicate important gaps in the current literature and point to opportunities for additional research in this area.
Randomized, controlled, efficacy studies and implementation research show that lifestyle intervention can be an effective, cost-effective, and feasible method for reducing diabetes risk, improving cardiometabolic health, and improving lifestyle behaviors in South Asian populations, a population at high diabetes risk and elevated rates of diabetes risk factors. Additional research is needed to address diabetes risk reduction in normal-weight South Asians and individuals with impaired fasting glucose; improve community-level implementation, individual uptake, and dissemination of proven programs; and assess long-term outcomes of interventions.
本文总结了南亚人群糖尿病的负担,并综述了全球范围内通过生活方式改变预防糖尿病的最新证据。我们指出了当前文献中的重要空白,并指出了在该领域进行更多研究的机会。
随机对照、疗效研究和实施研究表明,生活方式干预可能是一种有效、具有成本效益且可行的方法,可以降低南亚人群的糖尿病风险,改善心血管代谢健康,并改善生活方式行为,该人群具有较高的糖尿病风险和升高的糖尿病风险因素。需要进一步的研究来解决正常体重的南亚人和空腹血糖受损个体的糖尿病风险降低问题;改善社区层面的实施、个体参与和已证明方案的传播;并评估干预措施的长期结果。