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成人潜伏性自身免疫性糖尿病的患病率与胰岛素抵抗:一项系统评价与荟萃分析。

Prevalence of latent autoimmune diabetes in adults and insulin resistance: a systematic review and meta-analysis.

作者信息

Mohammadi Malihe

机构信息

Department of Biology, Faculty of Science, University of Sistan and Baluchestan, Zahedan.

出版信息

Eur J Transl Myol. 2024 Aug 28;34(3):12694. doi: 10.4081/ejtm.2024.12694.

Abstract

Latent autoimmune diabetes in adults is a form of diabetes that progresses slowly and is controlled by diet and oral glucose-lowering medications before insulin is required. The aim of the present study was to evaluate the prevalence of latent autoimmune diabetes in adults. The present study was conducted based on PRISMA 2020-27-item checklist. To find the studies conducted in line with the purpose of the study, PubMed, Web of Science, Scopus, Science Direct, Web of Knowledge, EBSCO, Wiley, ISI, Elsevier, Embase databases and Google Scholar search engine were reviewed from 2013 to August 2023. Meta-analysis was performed using effect size with 95% confidence interval. Data analysis was done using STATA/MP. v17 software. The present study was carried out based on the PRISMA 2020 27-point checklist. To find out which studies were carried out in accordance with the purpose of the study, from 2013 to August, the databases PubMed, Web of Science, Scopus, Science Direct, Web of Knowledge, EBSCO, Wiley, ISI, Elsevier, Embase and the search engine Google Scholar reviewed 2023. Meta-analysis was performed using effect size with 95% confidence interval. Data analysis was carried out using STATA/MP. v17 software. The overall prevalence of Latent autoimmune diabetes of adults was found to be 7% (95%CI 0-20). Subgroup analysis of Latent autoimmune diabetes of adults in the context of geographic regions showed a higher prevalence in North America (15%) and South East Asia (5%). Since the identification of Latent autoimmune diabetes of adult patients with other forms of diabetes is misdiagnosed due to the combination of phenotypic features with T1D and T2D, studying its prevalence is of great importance.

摘要

成人隐匿性自身免疫性糖尿病是一种进展缓慢的糖尿病形式,在需要胰岛素治疗之前,通过饮食和口服降糖药物即可控制。本研究的目的是评估成人隐匿性自身免疫性糖尿病的患病率。本研究依据PRISMA 2020 - 27项清单开展。为查找符合研究目的的相关研究,对2013年至2023年8月期间的PubMed、科学网、Scopus、Science Direct、Web of Knowledge、EBSCO、Wiley、ISI、爱思唯尔、Embase数据库以及谷歌学术搜索引擎进行了检索。采用效应量及95%置信区间进行荟萃分析。使用STATA/MP. v17软件进行数据分析。本研究基于PRISMA 2020 27点清单进行。为查明哪些研究是按照研究目的开展的,在2013年至8月期间,对PubMed、科学网、Scopus、Science Direct、Web of Knowledge、EBSCO、Wiley、ISI、爱思唯尔、Embase数据库以及谷歌学术搜索引擎进行了检索。采用效应量及95%置信区间进行荟萃分析。使用STATA/MP. v17软件进行数据分析。发现成人隐匿性自身免疫性糖尿病的总体患病率为7%(95%CI 0 - 20)。按地理区域对成人隐匿性自身免疫性糖尿病进行亚组分析显示,北美洲(15%)和东南亚(5%)的患病率较高。由于成人隐匿性自身免疫性糖尿病患者与其他形式糖尿病在表型特征上与1型糖尿病和2型糖尿病存在重叠,易被误诊,因此研究其患病率具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c7/11487667/7c859799ab65/ejtm-34-3-12694-g001.jpg

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