Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes†.

IF 2.1 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Laura B Smith, Erica Ahlich, Brittany Lang, Sureka Bollepalli, Temiloluwa Prioleau, Abigail Bartolome, Amy Hughes Lansing, Diana Rancourt
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引用次数: 0

Abstract

Objective: Type 1 diabetes (T1D) disease management and associated glycemic fluctuations can disrupt experiences of hunger and satiety, which may increase risk for disordered eating behaviors. Glycemic variability may be a useful trigger for just-in-time interventions for disordered eating behaviors. In this exploratory study, we hypothesized that two metrics of glycemic variability would be associated with greater hunger and predict eating behaviors for weight loss or maintenance in adolescents and young adults with T1D.

Methods: Individuals with T1D were recruited from a university diabetes clinic (N = 34; 50% female, Mage = 19.53 years, MHbA1c = 7.98%; 29% Hispanic/Latinx; 79% White). Participants wore a blinded continuous glucose monitor for 5 days, and completed ecological momentary assessments (four prompts per day) that included measures of hunger and eating behaviors for weight loss or maintenance purposes. Generalized and linear mixed models were used to test hypotheses.

Results: Approximately 30% of participants were at risk for an eating disorder based on Diabetes Eating Problem Survey-Revised scores. Greater glycemic variability did not predict hunger, but was associated with increased odds of endorsing any eating behavior for weight loss or maintenance purposes within-person (ps<.05). Greater hunger was associated with increased odds of endorsing disordered eating behavior within-person (p<.05).

Conclusions: This exploratory study provides some preliminary evidence that times of greater hunger and glycemic variability may be when individuals with T1D may be at higher risk of engaging in behaviors to lose or maintain weight.

青少年和年轻1型糖尿病患者的血糖变异性和以体重为中心的饮食行为
目的:1型糖尿病(T1D)的疾病管理和相关的血糖波动会破坏饥饿感和饱腹感,这可能会增加饮食行为失调的风险。血糖变异性可能是对饮食紊乱行为进行及时干预的有用触发因素。在这项探索性研究中,我们假设血糖变异性的两个指标与更大的饥饿感有关,并预测青少年和年轻T1D患者减肥或维持体重的饮食行为。方法:从大学糖尿病诊所招募T1D患者(N = 34;女性占50%,Mage = 19.53岁,MHbA1c = 7.98%;29%的西班牙裔/ Latinx;79%的白人)。参与者佩戴盲法连续血糖监测仪5天,并完成生态瞬间评估(每天4次提示),包括衡量饥饿和饮食行为,以减轻体重或维持体重。使用广义和线性混合模型来检验假设。结果:根据糖尿病饮食问题调查-修订分数,大约30%的参与者有饮食失调的风险。更大的血糖变异性并不能预测饥饿,但与支持任何以减肥或维持体重为目的的饮食行为的几率增加有关(结论:这项探索性研究提供了一些初步证据,表明T1D患者在更大的饥饿感和血糖变异性时,可能更容易采取减肥或维持体重的行为。
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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