Diabetologia ( IF 8.4 ) Pub Date : 2021-06-29 , DOI: 10.1007/s00125-021-05496-2 Miranda T Schram 1 , Willem J J Assendelft 2 , Theo G van Tilburg 3 , Nicole H T M Dukers-Muijrers 4, 5
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It has been known for decades that social networks are causally related to disease and mortality risk. However, this field of research and its potential for implementation into diabetes care is still in its infancy. In this narrative review, we aim to address the state-of-the-art of social network research in type 2 diabetes prevention and care. Despite the diverse nature and heterogeneity of social network assessments, we can draw valuable lessons from the available studies. First, the structural network variable ‘living alone’ and the functional network variable ‘lack of social support’ have been associated with increased type 2 diabetes risk. The latter association may be modified by lifestyle risk factors, such as obesity, low level of physical activity and unhealthy diet. Second, smaller network size and less social support is associated with increased risk of diabetes complications, particularly chronic kidney disease and CHD. Third, current evidence shows a beneficial impact of social support on diabetes self-management. In addition, social support interventions were found to have a small, favourable effect on HbA1c values in the short-term. However, harmonisation and more detailed assessment of social network measurements are needed to utilise social network characteristics for more effective prevention and disease management in type 2 diabetes.
Graphical abstract
中文翻译：
社交网络和 2 型糖尿病：叙述性回顾
几十年来，众所周知，社交网络与疾病和死亡风险存在因果关系。然而，这一研究领域及其在糖尿病护理中实施的潜力仍处于起步阶段。在这篇叙述性综述中，我们旨在探讨社交网络研究在 2 型糖尿病预防和护理方面的最新技术。尽管社交网络评估具有多样性和异质性，但我们可以从现有研究中汲取宝贵的经验教训。首先，结构网络变量“独居”和功能网络变量“缺乏社会支持”与 2 型糖尿病风险增加有关。后一种关联可能会受到生活方式风险因素的影响，例如肥胖、低水平的体育活动和不健康的饮食。第二，较小的网络规模和较少的社会支持与糖尿病并发症的风险增加有关，特别是慢性肾病和冠心病。第三，目前的证据表明社会支持对糖尿病自我管理的有益影响。此外，发现社会支持干预对 HbA1 有较小的有利影响1c值在短期内。然而，需要对社交网络测量进行协调和更详细的评估，以利用社交网络特征更有效地预防和管理 2 型糖尿病。
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