Depression and adherence to lifestyle changes in type 2 diabetes: a systematic review.

Depression and adherence to lifestyle changes in type 2 diabetes: a systematic review.
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DOI:
10.1177/0145721714538925
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发表时间:
2014-11
期刊:
The Diabetes educator
影响因子:
--
通讯作者:
Cuevas HE
Cuevas HE
中科院分区:
其他
文献类型:
--
作者:
Sumlin LL;Garcia TJ;Brown SA;Winter MA;García AA;Brown A;Cuevas HE

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抑郁症影响着全球数百万人,并且在糖尿病患者中普遍存在。本综述的目的是综合最近的研究抑郁症和坚持饮食和体力活动的建议,2型糖尿病(T2 DM)的人。本系统评价是NIH资助的模型检验荟萃分析的子分析。使用以下术语检索了13个电子数据库:抑郁、依从性、T2 DM、糖尿病。选定的研究:在2000-2012年期间以英语报告,重点关注T2 DM成人,并测量抑郁症和饮食和/或体力活动依从性。选择了27项研究,涉及7,266名参与者;参与者中54%为女性,平均年龄为62岁。当报告时,研究样本中的抑郁症患病率从4.5%到74%不等。六项干预研究针对糖尿病治疗,有或没有抑郁症治疗;没有研究只关注治疗抑郁症。21项描述性研究检查了抑郁症与饮食/体力活动依从性之间的关系,发现了负相关。6项干预研究中只有2项研究了这种关系;结果不一致。抑郁症与糖尿病自我护理的依从性较低相关,主要由描述性研究证明;干预研究的结果相互矛盾。未来的研究应该集中在治疗抑郁症对糖尿病健康结果的影响。
Depression affects millions of people worldwide and is prevalent among those with diabetes. The purpose of this review was to synthesize recent research on depression and adherence to dietary and physical activity recommendations in persons with type 2 diabetes (T2DM). This systematic review is a sub-analysis of a NIH-funded model-testing meta-analysis. Thirteen electronic databases were searched using terms: depression, adherence, T2DM, diabetes. Selected studies: were reported in English between 2000–2012, focused on adults with T2DM, and measured depression and dietary and/or physical activity adherence. Twenty-seven studies involving 7,266 participants were selected; participants were 54% female and 62 years of age, on average. When reported, depression prevalence in study samples ranged from 4.5% to 74%. Six intervention studies targeted diabetes treatment, with or without depression treatment; no studies focused solely on treating depression. Twenty-one descriptive studies examined relationships between depression and diet/physical activity adherence, finding a negative association. Only 2 of the 6 intervention studies examined this relationship; findings were inconsistent. Depression was associated with lower adherence to diabetes self-care, as evidenced primarily by descriptive studies; results of intervention studies were conflicting. Future research should focus on the effects of treating depression on diabetes health outcomes.
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