• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Endocrinology, Diabetes & Metabolism >Diabetes prevention interventions for women after gestational diabetes mellitus: an overview of reviews
【24h】

Diabetes prevention interventions for women after gestational diabetes mellitus: an overview of reviews

机译：妊娠期糖尿病后妇女糖尿病预防干预措施Mellitus：概述评论

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Aims To present an overview of reviews of interventions for the prevention of diabetes in women after gestational diabetes mellitus (GDM) with the overall aim of gaining information in order to establish local interventions. Methods Six databases were searched for quantitative, qualitative or mixed-methods systematic reviews. All types of interventions or screening programmes were eligible. The outcomes were effectiveness of reducing diabetes incidence, encouraging healthy behavioural changes and enhancing women's perceptions of their increased risks of developing type 2 diabetes following GDM. Results Eighteen reviews were included: three on screening programmes and seven on participation and risk perceptions. Interventions promoting physical activity, healthy diet, breastfeeding and antidiabetic medicine reported significantly decreased incidence of postpartum diabetes, up to 34% reduction after any breastfeeding compared to none. Effects were larger if the intervention began early after birth and lasted longer. Participation in screening rose up to 40% with face-to-face recruitment in a GDM healthcare setting. Interventions were mainly based in healthcare settings and involved up to nine health professions, councillors and peer educators, mostly dieticians. Women reported a lack of postpartum care and demonstrated a low knowledge of risk factors for developing type 2 diabetes. Typical barriers to participation were lack of awareness of increased risk and low levels of support from family. Conclusions Lifestyle interventions or pharmacological treatment postpartum was effective in decreasing diabetes incidence following GDM. Women's knowledge of the risk of diabetes and importance of physical activity was insufficient. Early face-to-face recruitment increased participation in screening. Programmes aimed at women following a diagnosis of GDM ought to provide professional and social support, promote screening, breastfeeding, knowledge of risk factors, be long-lasting and offered early after birth, preferably by face-to-face recruitment.
机译：旨在概述妊娠期糖尿病（GDM）后预防妇女糖尿病的糖尿病（GDM）的审查综述，以便建立当地干预措施。方法搜索六个数据库进行定量，定性或混合方法系统评价。所有类型的干预措施或筛选计划都有资格。结果是减少糖尿病发病率的有效性，令人振奋的健康行为变化，提高妇女对GDM后2型糖尿病的增加的感知。结果8名评论包括：三个关于筛选计划和参与和风险感知的七个。促进体育活动，健康饮食，母乳喂养和抗糖尿病医学的干预率报告的产后糖尿病的发病率显着下降，与无比的母乳喂养后高达34％降低。如果干预在出生后早期开始并持续更长时间，效果会更大。在GDM医疗保健环境中面对面招聘，参加筛选升级增长了40％。干预主要基于医疗保健环境，涉及九个卫生专业，议员和同伴教育者，主要是营养师。妇女报告缺乏产后护理，并表现出对开发2型糖尿病的风险因素的低知识。参与的典型障碍缺乏对来自家庭的风险增加和低级的巨额障碍。结论产后的生活方式干预或药理治疗在GDM后的糖尿病发病率下降是有效的。妇女对糖尿病风险和身体活动的重要性的了解是不够的。早期面对面的招聘增加了参与筛选。旨在诊断GDM后妇女的计划应该提供专业和社会支持，促进筛查，母乳喂养，风险因素的知识，持久和出生时早期提供，最好是面对面的招聘。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号