通过主客观指标探讨2型糖尿病患者饮食依从性与抑制控制的关系。

IF 4.6 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Na Liu, Chunni Heng, Yi Cui, Di Wu, Ling Li, Mengge Bai, Yanxue Guo, Wen Wang, Yinling Zhang
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引用次数: 0

摘要

背景:饮食管理已被推荐为2型糖尿病(T2DM)管理的基石。然而,在发达国家和发展中国家,人们对饮食建议的依从性都很低。先前的研究表明,抑制控制影响饮食行为,但在T2DM患者中进行的研究很少。因此,我们旨在探讨T2DM患者的抑制控制与饮食依从性之间的关系。方法:采用方便抽样法,选取全国三所三级医院内分泌科393例T2DM患者。饮食依从性采用2型糖尿病患者饮食行为依从性量表进行测量。抑制控制主观上采用执行功能行为评定量表(BRIEF-A),客观上采用停止信号任务(SST)和Stroop任务。采用Pearson相关分析和层次回归分析,分析抑制控制与饮食依从性的关系。结果:在控制了人口统计学和临床变量后,主观测量的抑制控制对饮食依从性有显著的预测作用。在回归方程中加入抑制控制变量,得到总体模型F (19,373) = 7.096, p 2值减少0.069,F(1,373)变化量= 35.219,p 2值减少0.060,F(1,81)变化量= 8.137,p = 0.006。结论:抑制控制是T2DM患者饮食依从性的预测因子。未来的干预应研究抑制控制训练是否能改善T2DM患者的饮食依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Investigating the relationship between inhibitory control and dietary adherence among patients with type 2 diabetes mellitus based on subjective and objective measures.

Investigating the relationship between inhibitory control and dietary adherence among patients with type 2 diabetes mellitus based on subjective and objective measures.

Background: Dietary management has been recommended as the cornerstone of type 2 diabetes mellitus (T2DM) management. However, low adherence to dietary recommendations has been identified in both developed and developing countries. Previous research suggests that inhibitory control influences eating behavior, but few studies have been conducted in patients with T2DM. Thus, we aimed to explore the relationship between inhibitory control and dietary adherence among patients with T2DM.

Methods: A total of 393 patients with T2DM from the endocrinology departments of three tertiary hospitals in China were enrolled by the convenience sampling method. Dietary adherence was measured by the Dietary Behavior Adherence Scale for Patients with Type 2 Diabetes Mellitus. Additionally, inhibitory control was subjectively measured by the Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A) and objectively assessed by the stop signal task (SST) and the Stroop task. The relationship between inhibitory control and dietary adherence was analyzed using Pearson correlation analysis and hierarchical regression analysis.

Results: Subjectively measured inhibitory control had a significant predictive effect for dietary adherence after controlling for demographic and clinical variables. Adding the inhibitory control variable to the regression equation resulted in the following values: overall model F (19, 373) = 7.096, p < 0.001, increase in R2 value by 0.069, change in F (1, 373) = 35.219, p < 0.001. Similarly, the performance of the Stroop task had a significant predictive effect for dietary adherence to some foods, i.e., carbohydrate and fat. Adding the Stroop effect variable to the regression equation resulted in the following values: overall model F (19, 81) = 2.848, p = 0.005, increase in R2 value by 0.060, change in F (1, 81) = 8.137, p = 0.006.

Conclusions: Inhibitory control was a predictor of dietary adherence in patients with T2DM. Future interventions should investigate whether inhibitory control training results in the improvement of dietary adherence in patients with T2DM.

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来源期刊
Nutrition & Diabetes
Nutrition & Diabetes ENDOCRINOLOGY & METABOLISM-NUTRITION & DIETETICS
CiteScore
9.20
自引率
0.00%
发文量
50
审稿时长
>12 weeks
期刊介绍: Nutrition & Diabetes is a peer-reviewed, online, open access journal bringing to the fore outstanding research in the areas of nutrition and chronic disease, including diabetes, from the molecular to the population level.
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