Food insecurity and diabetes management among adults of African descent: A systematic review

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Diabetic Medicine Pub Date : 2024-07-11 DOI:10.1111/dme.15398

Cherlie Magny-Normilus, Francesca Luppino, Karen Lyons, Jason Luu, Jacquelyn Y. Taylor

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Abstract

Aims

This systematic review explores the established causal link between food insecurity and cardiometabolic conditions among adults of African descent. Specifically, this study examined the relationship between food insecurity and the management of type 2 diabetes, highlighting the prevalence of food insecurity among individuals of African descent with type 2 diabetes.

Methods

Original English papers were meticulously searched in databases including PubMed, CINAHL, PsycINFO, Medline, Cochrane, Embase and Web of Science. The Cochrane Risk of Bias Tool for quantitative studies and COReQ for qualitative studies were employed to assess biases. Three independent reviewers meticulously evaluated and synthesized results, reaching a consensus.

Results

Among the 198 studies identified, 14 met the inclusion criteria for data extraction and analysis, which were conducted independently by three reviewers. The findings indicate that individuals of African descent are more likely to experience food insecurity compared to their White counterparts and are also more prone to diabetes risk factors or the presence of diabetes.

Conclusions

This study underscores a higher prevalence of food insecurity and type 2 diabetes among adults of African descent, suggesting that ethnicity and food insecurity play significant roles in diabetes management. Future research should prioritize interventions aimed at reducing these disparities.

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非洲裔成年人的粮食不安全与糖尿病管理：系统综述。

目的：这篇系统性综述探讨了非洲裔成年人中粮食不安全与心脏代谢疾病之间的既定因果关系。具体而言，本研究探讨了粮食不安全与 2 型糖尿病管理之间的关系，强调了粮食不安全在患有 2 型糖尿病的非洲裔人群中的普遍性：方法：在 PubMed、CINAHL、PsycINFO、Medline、Cochrane、Embase 和 Web of Science 等数据库中对原始英文论文进行了细致的检索。定量研究采用 Cochrane 偏倚风险工具，定性研究采用 COReQ 评估偏倚。三位独立审稿人对结果进行了细致的评估和综合，并达成了共识：在确定的 198 项研究中，有 14 项符合数据提取和分析的纳入标准，由三位审稿人独立完成。研究结果表明，与白人后裔相比，非洲人后裔更有可能面临粮食不安全问题，也更容易出现糖尿病风险因素或患上糖尿病：本研究强调了非洲裔成年人中较高的粮食不安全和 2 型糖尿病患病率，表明种族和粮食不安全在糖尿病管理中起着重要作用。未来的研究应优先考虑旨在减少这些差异的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”