Diabete e stili di vita. Risultati di una revisione sistematica

Translated title of the contribution: [Autom. eng. transl.] Diabetes and lifestyles. Results of a systematic review

Gualtiero Ricciardi, Pierangela Nardella, Maria Giovanna Ficarra, D Nardella

Research output: Contribution to journalConference article

Abstract

[Autom. eng. transl.] INTRODUCTION: The correct management of the patient suffering from diabetes mellitus represents a more and more current objective given the high prevalence of the disease, in constant increase and the relevant morbidity and mortality to which it is associated, mainly correlated to the chronic complications of an evolutionary nature of the disease. Diabetes therefore represents an “index” pathology of the quality of care which, through the provision of continuous care and the empowerment of the patient, enables prevention and early diagnosis of complications. The aim of the study is to evaluate the relationship between correct management of the patient suffering from diabetes mellitus in terms of reduced therapeutic compliance and inadequate lifestyles for health such as smoking habits, obesity and a low level of education. METHODS: A systematic review of the literature was conducted by consulting the main electronic databases (Medline, Embase, Cochrane Library and Scopus) and by examining the bibliography in the most relevant articles. The keywords "diabetes", "instruction", "cigarette smoke", "obesity", "therapeutic compliance" were used, combined together through the use of the Boolean operators "and" and "or". The inclusion criteria considered were: the presence of at least one "unhealthy" lifestyle, the reporting of frequency compliance measures and the publication date of the article. RESULTS: The bibliographic search led to the selection of 232 articles of which 10 were included in the review based on the inclusion criteria. 90% of the articles study the association between therapeutic compliance and weight, assessed by the body mass index (BMI), highlighting how obese subjects adhere less to therapy than normal-weight subjects. Out of 6 articles that study the association between smoking and therapeutic compliance, non-smokers are more likely to join the therapy in 83% of the studies; moreover, out of 4 articles that study the association between educational level and therapeutic compliance, we observe a greater probability of joining the therapy by subjects with a medium-high level of education in 75% of the studies. CONCLUSIONS: The association between unhealthy living behaviors and poor therapeutic compliance in subjects suffering from diabetes mellitus makes it necessary to implement increasingly interdisciplinary and intersectoral preventive actions through a methodical, rational and efficient approach that persists over time.
Translated title of the contribution[Autom. eng. transl.] Diabetes and lifestyles. Results of a systematic review
Original languageItalian
Pages (from-to)475-475
Number of pages1
JournalIGIENE E SANITÀ PUBBLICA
Publication statusPublished - 2011
EventXII Conferenza Nazionale di Sanità Pubblica ROMA 12-15 ottobre 2011 LA SANITÀ PUBBLICA TRA GLOBALIZZAZIONE, NUOVE ESIGENZE DI SALUTE E SOSTENIBILITÀ ECONOMICA: LA SFIDA DELL’ INTEGRAZIONE - Roma
Duration: 12 Oct 201115 Oct 2011

Keywords

  • Diabete
  • Revisione sistematica
  • Stili di vita

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