2型糖尿病患者先前的心理因素与卡路里摄入量：通过生态瞬时评估进行调查
Preceding psychological factors and calorie intake in patients with type 2 diabetes: investigation by ecological momentary assessment.
作者信息
Inada Shuji, Iizuka Yoko, Ohashi Ken, Kikuchi Hiroe, Yamamoto Yoshiharu, Kadowaki Takashi, Yoshiuchi Kazuhiro
机构信息
1Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
2Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
出版信息
Biopsychosoc Med. 2019 Sep 4;13:20. doi: 10.1186/s13030-019-0161-4. eCollection 2019.
BACKGROUND
Psychological factors have been reported to have influence on the eating habits of patients with diabetes. However, previous studies have used questionnaires to investigate the association, and thus include recall bias. To overcome this disadvantage, ecological momentary assessment (EMA) can be used to record subjective symptoms and behavior in subjects' daily lives. Therefore, the aim of the present study was to investigate the influence of preceding psychological factors on calorie intake using computerized EMA for 6 months.
METHODS
The participants were nine outpatients with type 2 diabetes, aged 34-72. They were instructed to use a personal digital assistant as an electronic diary for 6 months to record subjective symptoms, such as psychological stress, anxiety, and depressive mood, and the food and drink that they consumed. The association between a preceding psychological factor and calorie intake within 5 hours was investigated using multilevel modeling.
RESULTS
Preceding psychological stress was positively associated with calorie intake from snacks. Preceding psychological stress, anxiety, and depressive mood were negatively associated with calorie intake from regular meals.
CONCLUSIONS
Preceding psychological factors influence the calorie intake of patients with type 2 diabetes. Understanding the role of these factors will be useful for developing psychological interventions to prevent overeating.
TRIAL REGISTRATION
The trial registration number: UMIN000002992. Date of registration: 2010/01/07.
背景
据报道，心理因素会影响糖尿病患者的饮食习惯。然而，以往的研究使用问卷调查来调查这种关联，因此存在回忆偏差。为克服这一缺点，可采用生态瞬时评估（EMA）来记录受试者日常生活中的主观症状和行为。因此，本研究的目的是使用计算机化的EMA进行为期6个月的调查，以探究先前心理因素对热量摄入的影响。
方法
参与者为9名年龄在34至72岁之间的2型糖尿病门诊患者。他们被要求使用个人数字助理作为电子日记，记录6个月内的主观症状，如心理压力、焦虑和抑郁情绪，以及他们所摄入的食物和饮料。使用多层次模型研究先前心理因素与5小时内热量摄入之间的关联。
结果
先前的心理压力与零食热量摄入呈正相关。先前的心理压力、焦虑和抑郁情绪与正餐热量摄入呈负相关。
结论
先前的心理因素会影响2型糖尿病患者的热量摄入。了解这些因素的作用将有助于制定预防暴饮暴食的心理干预措施。
试验注册
试验注册号：UMIN000002992。注册日期：2010年1月7日。
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