Ko Ashley S, Michel Ashley A, Wisk Lauren E
California Northstate University College of Medicine, Elk Grove.
Department of Chemistry and Biochemistry.
Curr Opin Pediatr. 2025 Aug 1;37(4):350-356. doi: 10.1097/MOP.0000000000001461. Epub 2025 Mar 27.
Recent trends show an increase in the prevalence and incidence of type 2 diabetes and prediabetes among youth, adolescents, and young adults (AYA) in the United States, especially among minoritized groups, including American Indians and African Americans. Despite the growing urgency of addressing rising incidence, there is a notable lack of comprehensive intervention programs tailored to address the unique needs of AYA living with or at risk of diabetes, with current efforts largely focused on adult/older populations.
This review highlights the large gap in research regarding the implementation and efficacy of behavioral and lifestyle interventions targeting AYA with type 2 diabetes or prediabetes. Although we identified some studies that were relevant to this largely under-researched area, these studies are often limited by lack of long-term follow-up and highly selected samples lacking diversity.
The findings of this review underscore the need for more extensive studies on AYA-focused behavioral interventions to address diabetes prevention and management.
近期趋势显示,美国青少年及青年(AYA)中2型糖尿病和糖尿病前期的患病率及发病率有所上升,尤其是在少数族裔群体中,包括美国印第安人和非裔美国人。尽管应对发病率上升的紧迫性日益增加,但明显缺乏专门针对患有糖尿病或有糖尿病风险的AYA的独特需求而制定的全面干预计划,目前的努力主要集中在成人/老年人群体。
本综述强调了针对患有2型糖尿病或糖尿病前期的AYA的行为和生活方式干预措施的实施及效果方面的研究存在巨大差距。尽管我们确定了一些与这个研究严重不足的领域相关的研究,但这些研究往往受到缺乏长期随访以及样本高度精选且缺乏多样性的限制。
本综述的结果强调了需要对以AYA为重点的行为干预措施进行更广泛的研究,以解决糖尿病的预防和管理问题。