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首页> 外文期刊>Journal of public health management and practice: JPHMP >Youth-onset type 2 diabetes among american indians and alaska natives.
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Youth-onset type 2 diabetes among american indians and alaska natives.

机译：美洲印第安人和阿拉斯加人中的青年型2型糖尿病。

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Youth-onset type 2 diabetes has emerged as a significant public health concern for American Indians and Alaska Natives. Data from the National Institutes of Health longitudinal epidemiological study among the Pima Indians of southern Arizona and the Indian Health Service continue to document a rising incidence and prevalence of type 2 diabetes among American Indian and Alaska Native youth. Although national trends related to lack of physical activity and to unhealthy nutrition behaviors have contributed to the epidemic, the adverse conditions created by poverty, social injustice, trauma, and cultural disruption are also important in understanding the underlying causes for this public health crisis. This adverse environment is likely to provide little support for healthy nutrition and physical activity behaviors as well as other diabetes self-care behaviors. Known risk factors from the Pima Indian studies, such as intrauterine exposure to diabetes, bottle-feeding, and obesity, provide a basis for worthwhile intervention strategies. In this article, the author will review the current literature on the epidemiology of youth-onset type 2 diabetes among American Indians and Alaska Natives, discuss causes for the diabetes epidemic among American Indians and Alaska Natives, review risk factors for youth-onset type 2 diabetes in this population, and share promising youth physical activity promotion programs created and implemented specifically for American Indian and Alaska Native youth. However, more research on interventions to address the Native communities' psychosocial issues and concerns around youth-onset type 2 diabetes is urgently needed.
机译：青年发病的2型糖尿病已成为美洲印第安人和阿拉斯加土著人的重要公共卫生问题。美国国家卫生研究院纵向流行病学研究在亚利桑那州南部的比马印第安人和印度卫生局的数据继续表明，在美洲印第安人和阿拉斯加土著青年中2型糖尿病的发病率和患病率呈上升趋势。尽管与缺乏体育活动和营养不良行为有关的国家趋势助长了这一流行病，但贫困，社会不公，创伤和文化破坏所造成的不利条件对于理解这一公共卫生危机的根本原因也很重要。这种不利的环境可能无法为健康的营养和体育锻炼行为以及其他糖尿病自我保健行为提供任何支持。来自Pima Indian研究的已知危险因素，例如宫内暴露于糖尿病，奶瓶喂养和肥胖症，为值得采取的干预策略提供了依据。在本文中，作者将回顾有关美洲印第安人和阿拉斯加土著人中青年发病的2型糖尿病流行病学的最新文献，讨论美洲印第安人和阿拉斯加土著人中糖尿病流行的原因，并回顾青年发病于2型的危险因素糖尿病，并分享有前途的青年体育锻炼促进计划，这些计划是专门为美洲印第安人和阿拉斯加土著青年制定和实施的。但是，迫切需要对干预措施进行更多研究，以解决土著社区的心理社会问题以及有关青年发病的2型糖尿病的担忧。

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