Lifestyle intervention for the prevention of type 2 diabetes mellitus: putting theory to practice.
Lifestyle intervention for the prevention of type 2 diabetes mellitus: putting theory to practice.
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DOI：
10.2165/00024677-200302050-00003
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发表时间：
2003-01-01
期刊：
影响因子：
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通讯作者：
Gregg, Edward W
中科院分区：
文献类型：
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作者：
Narayan, K M Venkat;Kanaya, Alka M;Gregg, Edward W
2型糖尿病是一个严重的、日益严重的、代价高昂的公共卫生问题。这种疾病是慢性和退行性的，因此一级预防是可取的。观察性研究将2型糖尿病与特定的生活方式行为联系起来。最近几项重要的临床试验证实，在高危人群中，2型糖尿病可以延迟或预防；多种生活方式的改变可以减少高达58%的糖尿病发病率。美国糖尿病协会最近建议对糖尿病前期患者进行生活方式干预，以预防或延缓糖尿病。在实践中提供生活方式干预充满了挑战，但有一些工具和实用策略可用于实施试验结果。
Type 2 diabetes mellitus is a serious, growing, and costly public health problem. The disease is chronic and degenerative, and thus primary prevention is desirable. Observational studies have linked type 2 diabetes to specific lifestyle behaviors. Several recent major clinical trials confirm that type 2 diabetes can be delayed or prevented in people at high risk; multicomponent lifestyle modification can reduce the incidence of diabetes up to 58%. The American Diabetes Association has recently recommended that lifestyle interventions to prevent or delay diabetes be delivered to people with prediabetes. Delivery of lifestyle interventions in practice is fraught with challenges, but there are several tools and practical strategies available for the implementation of trial findings.