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논문분류	춘계학술대회 초록집
제목	Community-Based Approaches to Preventing Diabetic Kidney Disease: A Systematic Review on the Integration of Lifestyle Modification and Early Screening
저자	Muh Syaiful Akbar
출판정보	2025; 2025(1):
키워드	Diabetic Kidney Disease, Chronic Kidney Disease, Community-Based Prevention
초록	Diabetic Kidney Disease (DKD) is a leading cause of Chronic Kidney Disease (CKD) and End-stage Renal Disease (ESRD) worldwide. Community-based preventive strategies, including lifestyle modifications and early screening, are crucial in reducing the progression of DKD. However, there is limited evidence synthesizing the effectiveness of such approaches in a comprehensive way. Hence, this systematic review aimed to assess the effectiveness of community-based interventions, including lifestyle modifications (diet, physical activity, smoking cessation) and early screening, in preventing or delaying the progression of DKD. A systematic search carried out in PubMed, Scopus, Web of Science, and Embase until July 2023. Studies included were randomized controlled trials (RCTs), cohort studies, and meta-analyses assessing the effect of community-based interventions on DKD prevention. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess the quality of included studies. Sixteen studies met the inclusion criteria, including nine RCTs, five cohort studies, and two meta-analyses. Lifestyle modifications, particularly dietary interventions and increased physical activity, significantly reduced the incidence of DKD and slowed its progression. Early screening programs enhanced awareness and improved adherence to preventive measures. The JBI quality assessment indicated that most RCTs had a strong methodological approach, with scores ranging from 6-8 out of 8, while cohort studies scored between 4-6 out of 6. Furthermore, the high quality of all the studies that were included makes these interventions as effective approaches to control and mitigate the symptoms of diabetic kidney disease. Community-based interventions, particularly structured lifestyle modification programs and early screening initiatives, play a significant role in preventing DKD. Future research should focus on integrating these strategies into public health policies to enhance their long-term impact.
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