Department of Nutrition and Dietetics, Faculty of Health Sciences, Akdeniz University, Dumlupinar Boulevard, Campus, 07058, Antalya, Türkiye.
Eat Weight Disord. 2023 Feb 21;28(1):22. doi: 10.1007/s40519-023-01552-5.
This study aimed to determine the factors affecting the ORTO-R scores in individuals with T2DM and to investigate their effect on diabetes self-management.
The study included 373 individuals with type 2 diabetes between the ages of 18-65 who applied to Akdeniz University Hospital Endocrinology and Metabolic Diseases Polyclinic between January and May 2022. A questionnaire including sociodemographic data, information about diabetes, and nutritional habits, and the ORTO-R and Type 2 Diabetes Self-Management Scales were used to collect data. Linear regression analysis was performed to determine the factors affecting ORTO-R.
The linear regression analysis showed that age, gender, education level, and duration of diabetes affected ORTO-R scores in patients with type 2 diabetes. Body mass index, comorbidities (cardiovascular diseases, kidney diseases and hypertension), diabetes-related complications, diabetes treatment method and dieting had no significant contribution to the model (p > 0.05). We also found that education level, comorbidities, diabetes-related complications, diabetes treatment method, dieting, and BMI can affect diabetes self-management.
It should be kept in mind that type 2 diabetes are at risk of orthorexia nervosa (ON) in terms of various aspects such as age, gender, education level and duration of diabetes. Since the factors affecting the risk of ON and the factors affecting diabetes self-management are intertwined, orthorexic tendencies should be kept under control while trying to increase self-management in these patients. In this respect, developing individual recommendations according to the psychosocial characteristics of patients may be an effective approach.
Level V, cross-sectional study.
本研究旨在确定影响 T2DM 个体 ORTO-R 评分的因素，并探讨其对糖尿病自我管理的影响。
本研究纳入了 2022 年 1 月至 5 月期间在阿肯哲大学医院内分泌和代谢疾病综合门诊就诊的 373 名年龄在 18-65 岁之间的 2 型糖尿病患者。使用问卷调查了患者的社会人口统计学数据、糖尿病相关信息和营养习惯，以及 ORTO-R 和 2 型糖尿病自我管理量表。采用线性回归分析确定影响 ORTO-R 的因素。
线性回归分析显示，年龄、性别、教育水平和糖尿病病程影响 2 型糖尿病患者的 ORTO-R 评分。体质指数、合并症（心血管疾病、肾脏疾病和高血压）、糖尿病相关并发症、糖尿病治疗方法和节食对模型没有显著贡献（p>0.05）。我们还发现，教育水平、合并症、糖尿病相关并发症、糖尿病治疗方法、节食和 BMI 均会影响糖尿病自我管理。
应当注意到，2 型糖尿病患者在年龄、性别、教育水平和糖尿病病程等多方面存在发生饮食强迫症（ON）的风险。由于影响 ON 风险的因素和影响糖尿病自我管理的因素相互交织，在试图提高这些患者的自我管理能力的同时，应控制其饮食强迫症倾向。在这方面，根据患者的社会心理特征制定个性化建议可能是一种有效的方法。
五级，横断面研究。
