2019年 · 第58卷第08期

June 2019The Lancet Diabetes EndocrinologyPublished a study "Lifestyle intervention reduces morbidity and mortality in people with impaired glucose tolerance: 30-year follow-up results of the Daqing Diabetes Prevention Study" by the team of Professor Li Guangwei, Fuwai Hospital, Chinese Academy of Medical Sciences [Gong Q, Zhang P, Wang J, et al. Morbidity and mortality after lifestyle intervention for people with impaired glucose tolerance: 30-year results of the Da Qing Diabetes Prevention Outcome Study. Lancet Diabetes Endocrinol, 2019, 7 (6): 452-461.]. This article is the first worldwide report that lifestyle interventions can reduce the risk of cardiovascular events in people with impaired glucose tolerance (IGT). This study included 577 adults with IGT diagnosed by oral glucose tolerance test from 33 clinics. They were randomly assigned to a control group or one of three lifestyle intervention groups (diet, exercise, diet plus exercise) in a small group. The intensive lifestyle intervention lasted from 1986 to 1992. After the study, the subjects returned to the conventional medical system. In 2016, researchers conducted a 30-year follow-up survey of subjects to assess the impact of lifestyle interventions on the incidence of diabetes, cardiovascular events, microvascular events, cardiovascular death, all-cause death, and life expectancy in people at high risk of diabetes. During the 30-year follow-up, compared with the control group, the intervention group delayed the onset of diabetes by 3.96 years (median), decreased cardiovascular events by 26%, compound microvascular events by 35%, cardiovascular deaths by 33%, and all-cause deaths by 26%. Compared with the control group, the intervention group increased the median survival by 4.82 years and the average life expectancy by 1.44 years. The incidence of stroke and retinopathy in the intervention group decreased by 25% and 40%, respectively, compared with the control group, and the incidence of coronary heart disease and hospitalization due to heart failure, as well as renal disease and neuropathy were also lower than the control group, but there was no statistical difference. Studies have demonstrated that lifestyle interventions in people with IGT can reduce severe diabetic large and small vascular complications and diabetes-related deaths.

On June 7-9, 2019, the 20th National Internal Medicine Academic Conference of Chinese Medical Association, sponsored by Chinese Medical Association and Internal Medicine Branch of Chinese Medical Association, and hosted by Internal Medicine Branch of Shanghai Medical Association, was grandly held in Shanghai. Nearly 1,000 delegates from all over the country attended the meeting. At the opening ceremony of the conference held on June 8th, all participants sang the national anthem together. Professor Han Ying, chairman of Internal Medicine Branch and chairman of the conference, announced the opening of the conference and delivered a welcome speech. Academician Wang Chen, vice president of Chinese Academy of Engineering, and Professor Xu Jianguang, president of Shanghai Medical Association and president of Shanghai Medical Doctors Association, attended the conference to congratulate and deliver a speech. Professor Rao Keqin, vice president and secretary general of Chinese Medical Association, delivered an opening speech.