1型糖尿病青年成年人对体重、体型和饮食模式的感知舒适度及其与临床环境中临床和心理参数的关联。
Perceived comfort with weight, body shape and eating pattern of young adults with type 1 diabetes and associations with clinical and psychological parameters in a clinical setting.
作者信息
Vidyasagar Sneha, Griffin Alison, d'Emden Helen, Hendrieckx Christel, D'Silva Neisha
机构信息
Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane, Cnr Raymond Terrace, South Brisbane, QLD, 4101, Australia.
QIMR Berghofer Medical Research Institute, Brisbane, Australia.
出版信息
J Eat Disord. 2024 Jul 30;12(1):106. doi: 10.1186/s40337-024-01059-z.
BACKGROUND
Higher prevalence of disordered eating in young adults with type 1 diabetes (T1D) culminates in higher levels of morbidity and mortality. In addition to validated questionnaires for diabetes distress, depression/anxiety symptoms and emotional well-being, the Diabetes Psychosocial Assessment Tool (DPAT) includes three questions about comfort with weight, body shape and eating pattern (WSE), which were derived from literature and multidisciplinary team consensus. Recognising individuals with low comfort with WSE, is the first step towards identifying those who may be at risk of developing eating disorders.
AIMS
Observe comfort with WSE, in young adults with T1D, and its associations with demographic/clinical characteristics and psychological parameters.
METHODS
276 young adults, aged 15-26, who attended routine clinical care at a Young Adult Diabetes Clinic, completed the DPAT. The WSE questions were scored on a 5-point Likert scale (1 indicating lowest comfort). Linear regression analysed differences in comfort with weight and eating pattern by demographic and psychological parameters.
RESULTS
1 in 3 young adults (29%) reported low comfort with WSE (scores 1 or 2). In females, 40%, 41% and 35% had low comfort with weight, shape and eating patterns respectively, in comparison to males in whom it was 18.5%, 16% and 21.5%. Females reported lower comfort with weight and eating pattern (mean 2.9 and 3.0 respectively) than Males (mean 3.7 and 3.6 respectively), each p < 0.001. Lower comfort with weight (p < 0.001) and eating pattern (p = 0.001) was associated with higher body mass index (BMI). Young adults with low comfort with weight and eating pattern experienced elevated diabetes distress and depressive/anxiety symptoms (each p < 0.001), also when adjusted for sex and BMI.
CONCLUSIONS
The study has shown that low comfort with WSE is common among young adults with T1D. Adding these questions into routine care, can allow for easy and early identification of low comfort, initiation of a therapeutic dialogue and implementation of focused management strategies.
背景
1型糖尿病（T1D）青年成人中饮食失调的患病率较高，最终导致更高的发病率和死亡率。除了用于评估糖尿病困扰、抑郁/焦虑症状和情绪健康的经过验证的问卷外，糖尿病心理社会评估工具（DPAT）还包括三个关于对体重、体型和饮食模式（WSE）的舒适度的问题，这些问题源自文献和多学科团队共识。识别出对WSE舒适度低的个体，是识别那些可能有发展为饮食失调风险的人的第一步。
目的
观察T1D青年成人对WSE的舒适度，及其与人口统计学/临床特征和心理参数的关联。
方法
276名年龄在15 - 26岁之间、在青年成人糖尿病诊所接受常规临床护理的青年成人完成了DPAT。WSE问题采用5点李克特量表评分（1表示最低舒适度）。线性回归分析了人口统计学和心理参数在体重和饮食模式舒适度方面的差异。
结果
三分之一的青年成人（29%）报告对WSE的舒适度低（得分1或2）。在女性中，分别有40%、41%和35%对体重、体型和饮食模式的舒适度低，而男性中这一比例分别为18.5%、16%和21.5%。女性报告的体重和饮食模式舒适度低于男性（平均分别为2.9和3.0）（男性平均分别为3.7和3.6），p均<0.001。体重（p<0.001）和饮食模式（p = 0.001）舒适度较低与较高的体重指数（BMI）相关。对体重和饮食模式舒适度低的青年成人，即使在调整了性别和BMI后，也经历了更高的糖尿病困扰和抑郁/焦虑症状（p均<0.001）。
结论
该研究表明，T1D青年成人中对WSE舒适度低的情况很常见。将这些问题纳入常规护理中，可以方便且早期地识别出低舒适度情况，开启治疗性对话并实施有针对性的管理策略。
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