Delay Discounting, Glycemic Regulation and Health Behaviors in Adults with Prediabetes.

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Behavioral Medicine Pub Date : 2021-07-01 Epub Date: 2020-04-10 DOI:10.1080/08964289.2020.1712581
Leonard H Epstein, Rocco A Paluch, Jeffrey S Stein, Teresa Quattrin, Lucy D Mastrandrea, Kyle A Bree, Yan Yan Sze, Mark H Greenawald, Mathew J Biondolillo, Warren K Bickel
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引用次数: 17

Abstract

The majority of people with prediabetes transition to type 2 diabetes. Research has suggested that persons with type 2 diabetes are likely to discount the future and focus on immediate rewards. This study was designed to assess whether this process of delay discounting (DD) is associated with glycemic regulation, medication adherence and eating and exercise behaviors in adults with prediabetes. Participants included 81 adults with prediabetes who were also prescribed hypertension or dyslipidemia drugs, which is common for people with prediabetes. Participants completed adjusting amount DD $100 and $1000 tasks, as well assessments of glycemic control (Hemoglobin (Hb) A1c), medication adherence, diet quality, and objectively measured physical activity. Relationships between DD and these variables were assessed. Results showed higher rates of DD were related to higher HbA1c; as well as poorer medication adherence, lower diet quality and lower physical activity. Hierarchical regression showed that the association between minority status, a known risk factor for type 2 diabetes, was moderated by DD, as minorities with higher DD had greater HbA1c values. Delay discounting may represent a novel target to prevent progression from prediabetes to type 2 diabetes.

Abstract Image

糖尿病前期成人延迟折扣、血糖调节与健康行为。
大多数患有前驱糖尿病的人会转变为2型糖尿病。研究表明,2型糖尿病患者可能会低估未来,只关注眼前的回报。本研究旨在评估延迟折扣(DD)过程是否与糖尿病前期成人的血糖调节、药物依从性、饮食和运动行为有关。参与者包括81名患有前驱糖尿病的成年人,他们也服用高血压或血脂异常药物,这在前驱糖尿病患者中很常见。参与者完成了调整DD $100和$1000的任务,以及血糖控制(血红蛋白(Hb) A1c)、药物依从性、饮食质量和客观测量的身体活动的评估。评估DD与这些变量之间的关系。结果显示,DD发生率越高,HbA1c越高;还有更差的药物依从性,更低的饮食质量和更少的体育锻炼。分层回归显示,作为2型糖尿病的已知危险因素,少数民族身份之间的关联被DD所缓和,因为DD较高的少数民族有更高的HbA1c值。延迟折扣可能是防止糖尿病前期发展为2型糖尿病的新目标。
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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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