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一种降低巴基斯坦暴发性2型糖尿病发病率的多层次方法。

A multi-level approach to reduce exploding type 2 diabetes in Pakistan.

作者信息

Jamil Fazal, Mir Umaima, Niazi Anum G, Kifayat Shandana, Kifayat Shanlina, Shafiq Sobia, Wali Zeeshan, Khan Muhammad Ali Jan, Wali Baber, Kobra Khadija Tul, Khan Muhammad Salar

机构信息

St. Elizabeth Youngstown Hospital, Youngstown, OH, United States.

Lady Reading Hospital, Peshawar, Pakistan.

出版信息

Front Public Health. 2025 Mar 21;13:1514090. doi: 10.3389/fpubh.2025.1514090. eCollection 2025.

DOI:10.3389/fpubh.2025.1514090
PMID:40190761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11968735/
Abstract

Pakistan has the third-highest rate of type 2 diabetes globally, following China and India, making this a significant public health crisis. Despite the severity of the issue, efforts from health and policy practitioners to address it remain limited. With millions already diagnosed as pre-diabetic, the rising incidence of diabetes is rapidly becoming a public health emergency that demands immediate attention. This policy brief provides an accessible overview of diabetes, focusing on its types, mechanisms, and preventive measures. It also identifies key contributing factors, such as dietary habits, obesity, physical inactivity, and the influence of modern dietary trends, while proposing strategies for individuals, communities, and policymakers to combat this growing epidemic in Pakistan. The brief emphasizes the need for a multi-level approach that includes public awareness, education, behavioral and dietary changes, and policy interventions to reverse the trend. Strategies discussed include promoting healthy eating, increasing physical activity, managing obesity, and enhancing access to affordable, healthy food. Additionally, the brief highlights the importance of community and government support, such as public health campaigns, infrastructure improvements, and legislative efforts. By adopting this comprehensive approach, Pakistan can take meaningful steps to address the diabetes epidemic and improve public health outcomes.

摘要

在全球范围内,巴基斯坦的2型糖尿病发病率位居第三,仅次于中国和印度,这已成为一个重大的公共卫生危机。尽管该问题十分严重,但卫生和政策从业者为解决这一问题所做的努力仍然有限。数百万已被诊断为糖尿病前期,糖尿病发病率的不断上升正迅速成为一个需要立即关注的公共卫生紧急情况。本政策简报提供了关于糖尿病的通俗易懂的概述,重点介绍了其类型、发病机制和预防措施。它还确定了关键的促成因素,如饮食习惯(原文为dietary habits,“饮食习惯”比“饮食模式”更符合语境)、肥胖、缺乏体育锻炼以及现代饮食趋势的影响,同时为个人、社区和政策制定者提出了应对巴基斯坦这一日益严重的流行病的策略。简报强调需要采取多层次方法,包括提高公众意识、开展教育、改变行为和饮食习惯以及进行政策干预,以扭转这一趋势。所讨论的策略包括推广健康饮食、增加体育活动、控制肥胖以及增加获得负担得起的健康食品的机会。此外,简报强调了社区和政府支持的重要性,如公共卫生运动、基础设施改善和立法努力。通过采取这种全面的方法,巴基斯坦可以采取切实可行的措施来应对糖尿病流行并改善公共卫生状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/11968735/66ec8232e31c/fpubh-13-1514090-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/11968735/66ec8232e31c/fpubh-13-1514090-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/11968735/66ec8232e31c/fpubh-13-1514090-g001.jpg

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本文引用的文献

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Nationwide prevalence of type 2 diabetes mellitus and pre-diabetes in Pakistan: A systematic review and meta-analysis.巴基斯坦 2 型糖尿病和糖尿病前期的全国流行情况:系统评价和荟萃分析。
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Pakistan's national COVID-19 response: lessons from an emergent response to the pandemic.巴基斯坦的国家 COVID-19 应对措施:从对大流行的紧急应对中吸取的教训。
Front Public Health. 2024 Aug 5;12:1379867. doi: 10.3389/fpubh.2024.1379867. eCollection 2024.
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Health Educ Behav. 2024 Oct;51(5):677-690. doi: 10.1177/10901981241252800. Epub 2024 Aug 5.
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Urban Churches Show an Increase in Attendance, Donations, and Finances During the COVID-19 Pandemic in the USA: Evidence from the United Methodist Church.美国城市教堂在 COVID-19 大流行期间出现了出席人数、捐款和财务的增长:来自卫理公会的证据。
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Doctors' adherence to guidelines recommendations and glycaemic control in diabetic patients in Quetta, Pakistan: Findings from an observational study.巴基斯坦奎达糖尿病患者中医生对指南建议的遵循情况及血糖控制:一项观察性研究的结果
Front Med (Lausanne). 2022 Oct 31;9:978345. doi: 10.3389/fmed.2022.978345. eCollection 2022.
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Improving the Covid-19 Vaccination Rate in Pakistan-A Multipronged Policy Approach.提高巴基斯坦的新冠疫苗接种率——一种多管齐下的政策方法。
Front Public Health. 2021 Sep 3;9:729102. doi: 10.3389/fpubh.2021.729102. eCollection 2021.
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