Shakeri Zeinab, Mardali Farzaneh, Azizabadi Farahani Maedeh, Alemrajabi Mehdi, Mottaghi Azadeh
Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
J Eat Disord. 2022 Jul 19;10(1):107. doi: 10.1186/s40337-022-00623-9.
Eating disorders (ED) are group of psychological disorders that significantly impair physical health and psychosocial function. ED consists wide range of morbidity such as loss of eating control, binge eating disorder (BED), night eating syndrome, and bulimia nervosa. Eating behavior is a wide range term that includes food choices, eating patterns, eating problems. In this study, we compared eating disorders and eating behaviors in adults with and without type 2 diabetes prior to bariatric surgery.
284 participants with class III obesity were included in the single center study. Each case (patients with type 2 diabetes) and control (patients without type 2 diabetes) groups consists 142 patients. Loss of eating control, BED and Bulimia nervosa, Night eating syndrome and eating behaviors and psychosocial factors were screened with standard questionnaires. SPSS version 20 was used for statistical analysis. A P-value of < 0.05 was considered significant.
There was a significant difference between participants with and without type 2 diabetes in case of BED (76.3% vs. 47.3%, P = 0.001). The logistic regression model has shown that participants without type 2 diabetes had lower odds of exhibiting BED (OR = 0.28, 95% CI 0.142-0.552). Among participants without type 2 diabetes, men had 65% high odds of BED (OR = 1.65, 95% CI 1.13-2.53) in compare with women. Participants with and without type 2 diabetes with high school degree (OR = 5.54, 95% CI 2.46-9.45, P = 0.0001 and OR = 6.52, 95% CI 3.15-10.56, respectively) and moderate depression level (OR = 2.03, 95% CI 0.98-3.95 and OR = 3.12, 95% CI 2.12-4.56, P = 0.0001) had higher odds of BED.
These results probably indicate that people with Class III obesity are more cautious about their diet for blood glucose control if they have type 2 diabetes. Future studies are recommended to follow up these patients after surgery to compare weight loss and blood sugar control in patients with and without type 2 diabetes.
饮食失调是一组严重损害身体健康和社会心理功能的心理障碍。饮食失调包括广泛的发病率，如饮食控制丧失、暴饮暴食症（BED）、夜间饮食综合征和神经性贪食症。饮食行为是一个广泛的术语，包括食物选择、饮食模式、饮食问题。在本研究中，我们比较了接受减肥手术前患有和未患有2型糖尿病的成年人的饮食失调和饮食行为。
284名III级肥胖参与者纳入了这项单中心研究。每个病例组（2型糖尿病患者）和对照组（无2型糖尿病患者）各有142名患者。使用标准问卷筛查饮食控制丧失、BED和神经性贪食症、夜间饮食综合征以及饮食行为和社会心理因素。使用SPSS 20版进行统计分析。P值<0.05被认为具有统计学意义。
在BED方面，患有和未患有2型糖尿病的参与者之间存在显著差异（76.3%对47.3%，P = 0.001）。逻辑回归模型显示，未患2型糖尿病的参与者出现BED的几率较低（OR = 0.28，95%CI 0.142 - 0.552）。在未患2型糖尿病的参与者中，男性出现BED的几率比女性高65%（OR = 1.65，95%CI 1.13 - 2.53）。高中学历的患和未患2型糖尿病的参与者（分别为OR = 5.54，95%CI 2.46 - 9.45，P = 0.0001和OR = 6.52，95%CI 3.15 - 10.56）以及中度抑郁水平的参与者（分别为OR = 2.03，95%CI 0.98 - 3.95和OR = 3.12，95%CI 2.12 - 4.56，P = 0.0001）出现BED的几率更高。
这些结果可能表明，III级肥胖且患有2型糖尿病的人在饮食方面可能会更加谨慎以控制血糖。建议未来的研究在手术后对这些患者进行随访，以比较患有和未患有2型糖尿病的患者的体重减轻和血糖控制情况。
