Prevention of type 2 diabetes through remotely administered lifestyle programs: A systematic review.
Prevention of type 2 diabetes through remotely administered lifestyle programs: A systematic review.
复制标题
通过远程管理的生活方式计划预防 2 型糖尿病：系统评价。
DOI：
10.1016/j.cct.2022.106817
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发表时间：
2022
影响因子：
2.2
通讯作者：
Tobias,DeirdreK
中科院分区：
文献类型：
--
作者：
Villegas,Valaree;Shah,Alisha;Manson,JoAnnE;Tobias,DeirdreK
背景虽然在降低2型糖尿病（T2 D）的风险方面有效，但生活方式改变项目并未得到充分利用。为了最大限度地减少与便利性和可及性相关的障碍，最近的研究重点是开发虚拟或远程干预措施，这些措施在促进生活方式改变和降低T2 D风险方面可能具有可比或更大的功效。我们进行了一项系统评价，以评估远程管理的生活方式干预预防T2D.MethodsWe的有效性电子数据库中使用的关键字进行检索，并基于网络的软件平台被用来筛选文章和提取数据的副本。我们纳入了青少年/成人受试者人群的文章，这些受试者患有前驱糖尿病或糖尿病风险升高，对T2 D预防进行远程管理的生活方式干预，以及血糖特征的变化。我们排除了流行的T2 D患者的试验，干预措施，包括药物，和那些不相关的我们的结果interest.ResultsA共8篇出版物被纳入本系统的审查。6篇论文表明体重和/或血糖生物标志物（如HbA 1c和空腹血糖）显著降低。所有的研究报告，远程管理的干预措施方便的参与者，和一个出版物报道，参与的在线DPP组显着高于在人DPP.ConclusionThese研究结果表明，远程管理的生活方式干预T2 D预防可能是一个有前途的参与者友好的替代方案，以减少体重和血糖生物标志物的疗效。
BackgroundAlthough effective in reducing the risk of type 2 diabetes (T2D), in-person lifestyle modification programs have been underutilized. To minimize barriers related to convenience and accessibility, recent research has focused on developing virtual or remote interventions that may have comparable or greater efficacy in promoting lifestyle changes and reducing the risk of T2D. We conducted a systematic review to evaluate the efficacy of remotely-administered lifestyle interventions on preventing T2D.MethodsWe searched an electronic database by using keywords, and a web-based software platform was used to screen articles and extract data in duplicate. We included articles with adolescent/adult participant populations who had prediabetes or were at elevated risk of diabetes, remotely-administered lifestyle interventions on T2D prevention, and changes in glycemic traits. We excluded trials of patients with prevalent T2D, interventions that included medications, and those not relevant to our outcomes of interest.ResultsA total of 8 publications were included in this systematic review. Six papers indicated significant reductions in weight and/or glycemic biomarkers such as HbA1c and fasting glucose. All studies reported that remotely-administered interventions were convenient for participants, and one publication reported that participation of the online DPP group was significantly higher than the in-person DPP.ConclusionThese findings suggest that remotely-administered lifestyle interventions for T2D prevention could be a promising participant-friendly alternative to in-person programs, with efficacy for reducing weight and glycemic biomarkers.