Blood Sugar Regulation for Cardiovascular Health Promotion and Disease Prevention: JACC Health Promotion Series.
Blood Sugar Regulation for Cardiovascular Health Promotion and Disease Prevention: JACC Health Promotion Series.
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DOI：
10.1016/j.jacc.2018.07.081
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发表时间：
2018-10-09
影响因子：
24
通讯作者：
Morawietz H
中科院分区：
文献类型：
--
作者：
Schwarz PEH;Timpel P;Harst L;Greaves CJ;Ali MK;Lambert J;Weber MB;Almedawar MM;Morawietz H
这项研究的主要目的是通过开展一项综合性综述，分析关于血糖调节是否以及如何影响心血管健康促进和疾病预防的最新证据。三次独立的、系统的文献搜索共发现2343篇文章。总体而言，纳入了44项研究，用于数据提取和分析。在2016年1月1日至2017年12月31日期间发表的纳入的系统评价和荟萃分析的质量很好到非常好(OQAQ得分中值为17)。已确定的证据表明，心血管预防服务机构应将血糖调节作为干预的关键目标。此外，心血管疾病预防应采纳本审查中现有循证实践指南中描述的有效干预和服务发展/培训的建议。应组建多学科团队，在社区环境中提供多种干预措施。将心血管疾病预防和糖尿病预防服务结合起来可能有很大的机会。一项关于血糖调节在心血管健康促进和疾病预防中的作用的最新证据的总括综述确定了44项系统评价和荟萃分析。已确定的证据表明，心血管预防服务机构应将血糖调节作为干预的关键目标，并采纳本综述中描述的有效干预和服务开发/培训的建议。这些建议扩展了现有的循证实践指南。可能有大量机会整合心血管疾病预防和糖尿病预防服务，使用多学科团队在社区环境中提供干预。
The primary objective of this study is to analyze the most up-to-date evidence regarding whether and how blood sugar regulation impacts cardiovascular health promotion and disease prevention by carrying out an umbrella review. Three separate, systematic literature searches identified a total of 2,343 articles. Overall, 44 studies were included for data extraction and analysis. The included systematic reviews and meta-analyses published between 1 January 2016 and 31 December 2017 were of good to very good quality (median OQAQ score = 17). Identified evidence suggests that cardiovascular prevention services should consider the regulation of blood glucose as a key target for intervention. Furthermore, CV prevention should adopt the recommendations for effective intervention and service development/training described in this review in existing evidence-based practice guidelines. Multidisciplinary teams should be formed to deliver multi-component interventions in community-based settings. There may be substantial opportunities for integrating CVD prevention and diabetes prevention services. An umbrella review of up-to-date evidence regarding the role of blood sugar regulation in cardiovascular health promotion and disease prevention identified 44 systematic reviews and meta-analyses. Identified evidence suggests that cardiovascular prevention services should consider the regulation of blood glucose as a key target for intervention and adopt the recommendations for effective intervention and service development/training described in this review. These recommendations extend existing evidence-based practice guidelines. There may be substantial opportunities for integrating CVD prevention and diabetes prevention services, using multi-disciplinary teams to deliver intervention in community settings.
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影响因子：
3.2
作者：
Chen PC;Chua SK;Hung HF;Huang CY;Lin CM;Lai SM;Chen YL;Cheng JJ;Chiu CZ;Lee SH;Lo HM;Shyu KG
通讯作者：
Shyu KG
影响因子：
5.5
作者：
Ackermann, Ronald T.;Duru, O. Kenrik;Albu, Jeanine B.;Schmittdiel, Julie A.;Soumerai, Stephen B.;Wharam, James F.;Ali, Mohammed K.;Mangione, Carol M.;Gregg, Edward W.
通讯作者：
Gregg, Edward W.
DOI：
10.1016/s2213-8587(18)30027-5
发表时间：
2018-05
期刊：
The lancet. Diabetes & endocrinology
影响因子：
--
作者：
Ali MK;Bullard KM;Saydah S;Imperatore G;Gregg EW
通讯作者：
Gregg EW
DOI：
10.1111/dme.13104
发表时间：
2016-08
期刊：
Diabetic medicine : a journal of the British Diabetic Association
影响因子：
--
作者：
Cai X;Qiu SH;Yin H;Sun ZL;Ju CP;Zügel M;Steinacker JM;Schumann U
通讯作者：
Schumann U
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM