Faculty of Health Sciences, Department of Nutrition and Dietetics, Ondokuz Mayıs University, Samsun, Turkey.
Faculty of Health Sciences, Department of Nutrition and Dietetics, Gazi University, Ankara, Turkey.
Can J Diabetes. 2020 Mar;44(2):156-161. doi: 10.1016/j.jcjd.2019.05.011. Epub 2019 May 28.
Diabetes is a chronic disease, affected by nutritional status, and characterized by dysregulations in several systems. Allostatic load is an index that evaluates the dysregulation of all physiological and metabolic systems. This study was conducted to determine the relationship between nutritional status and allostatic load in patients with type 2 diabetes mellitus (T2DM).
The study sample consisted of 30 males and 73 females between 20 and 55 years of age. Individuals had T2DM for 7.9±6.17 (mean ± standard deviation) years. World Health Organization criteria cutoffs were used to calculate allostatic load scores. Twelve parameters were questioned and an allostatic load score between 0 and 12 was obtained; values above the cutoff levels were assigned a value of 1, and values in the normal range were assigned a value of 0.
Individuals with high allostatic load comprised a significant portion of the sample (79.6%) for both males and females (73.3% and 82.2%, respectively). Longer diabetes duration was associated with high allostatic load score (p<0.05). There was lower vegetable consumption and higher fruit consumption in the high-allostatic-load group compared with the low-allostatic-load group (p<0.05). However, fruit consumption was still lower than recommended levels in both groups.
A significant number of individuals had high allostatic load scores in our study. A healthy diet plan in line with the recommendations may help to decrease the allostatic load scores by reducing body weight, waist/hip ratio, blood pressure and fasting blood glucose, and may prevent the negative effects of stress on metabolic processes in the long-term malnutrition in T2DM.
糖尿病是一种慢性病，受营养状况影响，其特征是多个系统失调。身体压力是评估所有生理和代谢系统失调的指标。本研究旨在确定 2 型糖尿病（T2DM）患者的营养状况与身体压力之间的关系。
研究样本包括 30 名男性和 73 名 20 至 55 岁的女性。个体患有 T2DM 的时间为 7.9±6.17 年（平均值±标准差）。使用世界卫生组织标准截止值计算身体压力评分。询问了 12 个参数，并获得了 0 至 12 的身体压力评分；高于截止值的分数赋值为 1，正常范围内的分数赋值为 0。
男性和女性中，高身体压力负荷的个体均占样本的很大比例（分别为 73.3%和 82.2%）。糖尿病病程较长与高身体压力评分相关（p<0.05）。与低身体压力负荷组相比，高身体压力负荷组的蔬菜摄入量较低，水果摄入量较高（p<0.05）。然而，两组的水果摄入量仍低于推荐水平。
在我们的研究中，相当一部分人具有高身体压力评分。遵循推荐的健康饮食计划可能有助于通过减轻体重、腰臀比、血压和空腹血糖来降低身体压力评分，并可能防止长期营养不良对 T2DM 代谢过程的负面影响。
