A systematic review of prevention strategies for type 2 diabetes in First Nations children and young people

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2025-03-10 DOI:10.1111/ijpo.70009

Marylin Carino, Jonathan Nguyen, Ru Hui New, Renae Kirkham, Louise Maple-Brown, Shiree Mack, Diana MacKay, Angela Titmuss

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Abstract

Introduction

There is a high prevalence of type 2 diabetes (T2D) in First Nations populations worldwide, increasingly at younger ages. This review aims to identify interventions for the prevention of T2D in First Nations children and young people aged 4–25 years.

Methods

A systematic search of both published and unpublished literature until March 2024 was performed using 15 electronic databases, including MEDLINE, CINAHL, EMBASE, Scopus, Cochrane Library, ATSIHealth, OpenGrey and specific First Nations databases. Eligible studies included First Nations participants aged 4–25 years without T2D, exploring interventions to prevent T2D. Outcomes included knowledge of diabetes, anthropometry and physiology, diet and nutrition, physical activity, glycemic indicators and psychosocial indicators.

Results

Fourteen pre–post exposure non-controlled studies were included, evaluating nine programs. Programs were culturally adapted and primarily school-based, focusing on individual-level behaviour modification in nutrition and physical activity. Most studies assessing knowledge outcomes reported improvement. There were inconsistent findings regarding impacts on dietary intake and glycemia. One home-based program achieved improvements across a range of outcomes, including body mass index, physical activity and psychosocial scores.

Conclusion

Despite the increasing prevalence of T2D in First Nations children and young people, evidence of effective preventive strategies within these populations remains limited.

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第一民族儿童和青少年2型糖尿病预防策略的系统综述。

导读：2型糖尿病（T2D）在世界范围内的原住民人群中有很高的患病率，并且越来越多地发生在年轻人群中。本综述旨在确定预防原住民儿童和4-25岁年轻人T2D的干预措施。方法：使用MEDLINE、CINAHL、EMBASE、Scopus、Cochrane Library、ATSIHealth、OpenGrey和特定的First Nations数据库等15个电子数据库，系统检索截至2024年3月的已发表和未发表文献。符合条件的研究包括4-25岁无T2D的第一民族参与者，探索预防T2D的干预措施。结果包括糖尿病知识、人体测量学和生理学、饮食和营养、身体活动、血糖指标和社会心理指标。结果：纳入14项暴露前后非对照研究，评估了9个方案。这些项目与文化相适应，主要以学校为基础，侧重于营养和体育活动方面的个人行为改变。大多数评估知识成果的研究都报告了改善。关于饮食摄入和血糖的影响有不一致的发现。一个以家庭为基础的项目在一系列结果上取得了改善，包括身体质量指数、身体活动和心理社会得分。结论：尽管原住民儿童和年轻人中T2D患病率不断上升，但在这些人群中有效预防策略的证据仍然有限。

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

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.