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2型糖尿病患者饮食失调与血糖控制及胰岛素抵抗的关联

Association of eating disorders with glycaemic control and insulin resistance in patients of type 2 diabetes mellitus.

作者信息

Kumar Akshay, Alam Sana, Bano Shazia, Prakash Rashmi, Jain Vineet

机构信息

Department of Biochemistry, Hamdard Institute of Medical Sciences and Research Jamia Hamdard, New Delhi, India.

Department of Psychiatry, Hamdard Institute of Medical Sciences and Research Jamia Hamdard, New Delhi, India.

出版信息

Int J Biochem Mol Biol. 2023 Aug 15;14(4):40-50. eCollection 2023.

Abstract

BACKGROUND

There is insufficient data on the prevalence and consequences of eating disorders in Type 2 diabetic patients.

OBJECTIVE

To evaluate the presence of eating disorders (ED) and their association with glycaemic control and metabolic parameters in adult patients with type 2 diabetes mellitus (T2DM).

MATERIALS AND METHODS

A cross-sectional study on 145 patients was conducted in the medicine outpatient unit of HAHC Hospital, Jamia Hamdard tertiary care center. The Eating Attitudes Test (EAT-26) was used to screen for ED in adults with T2DM. The Score of less than 20 and more than 30 on EAT-26 questionnaire was defined as control for participants and relevant medical details like duration of treatment, glycaemic control, complications were recorded.

RESULTS

A total of 145 diabetic individuals participated in this study. Out of these, 17.3% of individuals with T2DM screened positive for ED on EAT-26 scale and had a significant positive correlation in <20 groups and a significant negative correlation in >30 groups.

CONCLUSION

Our study reveals that eating disorders are not very common in our clinical population of T2DM, the prevalence rates of eating disorders are lower in patients with T2DM than those reported from developed western countries.

摘要

背景

关于2型糖尿病患者饮食失调的患病率及后果的数据不足。

目的

评估成年2型糖尿病(T2DM)患者中饮食失调(ED)的存在情况及其与血糖控制和代谢参数的关联。

材料与方法

在三级医疗中心哈米德大学医院的内科门诊对145例患者进行了一项横断面研究。采用饮食态度测试(EAT-26)对成年T2DM患者进行ED筛查。EAT-26问卷得分低于20分和高于30分的参与者被定义为对照组,并记录治疗时长、血糖控制、并发症等相关医疗细节。

结果

共有145名糖尿病个体参与了本研究。其中,17.3%的T2DM个体在EAT-26量表上筛查出ED呈阳性,且在<20分组中呈显著正相关,在>30分组中呈显著负相关。

结论

我们的研究表明,饮食失调在我们的T2DM临床人群中并不常见,T2DM患者的饮食失调患病率低于西方发达国家报告的患病率。

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