Factors Determining the Success of Therapeutic Lifestyle Interventions in Diabetes - Role of Partner and Family Support.
Factors Determining the Success of Therapeutic Lifestyle Interventions in Diabetes - Role of Partner and Family Support.
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DOI：
10.17925/ee.2019.15.1.18
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发表时间：
2019-04-01
影响因子：
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通讯作者：
Dutta, Deep
中科院分区：
文献类型：
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作者：
Gupta, Lovely;Khandelwal, Deepak;Dutta, Deep
背景和目标：治疗性生活方式干预的知识是糖尿病护理最重要的支柱之一；然而，它与现实世界环境的结合很差。本综述评估了伴侣和家庭支持在糖尿病管理中的作用。方法：使用术语“治疗性生活方式干预”[MeSH 术语]、OR“饮食改变”[所有领域]、OR“配偶参与”[所有领域]、OR“生活方式干预”[所有领域]、“生活方式改变”[所有领域]和“糖尿病”[所有领域]，在 PubMed、Medline 和 Embase 中检索 2018 年 7 月之前发表的文章。检索不限于英语文献；还对西班牙语、法语和德语文献进行了评估。结果：共综述66篇文章，其中原创论文33篇，综述文章21篇，系统综述和荟萃分析12篇。研究和荟萃分析表明，如果一个伴侣患有 2 型糖尿病，其他伴侣患 2 型糖尿病的风险就会增加 5-26%。伴侣和家人有相似的饮食、生活方式以及微观和宏观环境，这可以解释糖尿病和非传染性疾病风险的相似增加。研究一致表明，配偶和家庭的支持在克服消极行为和优化糖尿病控制行为方面发挥着关键作用。合作伙伴的支持在预防和控制糖尿病困扰、相关抑郁症和药物不依从性方面发挥着重要作用，这些因素会对血糖结果产生不利影响。这些数据主要来自观察性研究。评估家庭和配偶参与对健康、血糖控制和生活质量影响的干预性试验数据很少。结论：家人和配偶/伴侣的支持有利于提高对实现最佳血糖控制和避免相关并发症所需的生活方式干预和药物治疗的依从性。
Background and aims: Knowledge of therapeutic lifestyle interventions is one of the most important pillars of diabetes care; however, its incorporation in real-world settings is poor. This review evaluates the role of partner and family support in diabetes management. Methods: Literature searches were performed in PubMed, Medline and Embase for articles published before July 2018, using the terms "therapeutic lifestyle intervention" [MeSH Terms], OR "diet changes" [All Fields], OR "spousal participation" [All Fields], OR "lifestyle interventions" [All Fields], "lifestyle changes" [All Fields] AND "diabetes" [All Fields]. The search was not restricted to English-language literature; literature in Spanish, French and German were also evaluated. Results: A total of 66 of articles were reviewed, which included 33 original work, 21 review articles, and 12 systematic reviews and meta-analyses. Studies and meta-analyses have showed that if one partner has type-2 diabetes this increases the risk in other by 5-26%. Partner and family have similar diet, lifestyle, and micro- and macro-environments which could explain the similar increased risk of diabetes and non-communicable diseases. Studies have consistently shown that spousal and family support plays a key role in overcoming negative behaviours and optimising behaviours in diabetes control. Partner support has major role in prevention and control of diabetes distress, associated depression, and medication non-compliance which have an adverse impact in glycaemic outcomes. These data are predominantly available from observational studies. There is paucity of data from interventional trials evaluating effects of family and spousal participation on health, glycaemic control and quality of life. Conclusion: The support of family and spouse/partner is beneficial to improve adherence to the lifestyle interventions and pharmacotherapy required to achieve optimum glycaemic control and avoid associated complications.