2 型糖尿病和超重/肥胖症患者的糖尿病困扰概况和健康状况:聚类分析

IF 6.1 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM
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引用次数: 0

摘要

方法这项横断面研究纳入了 330 名患有 T2DM 和超重/肥胖症的成年人。参与者填写了有关糖尿病困扰、睡眠质量、自我效能、抑郁、焦虑以及积极和消极情绪的问卷。结果30.6%的患者被确定为中度至高度糖尿病患者,其中与治疗方案相关的糖尿病患者最为突出。聚类分析显示出四个不同的聚类:(1) "全面疲惫型";(2) "紧张型";(3) "高度内疚型";(4) "平静型"。空腹血糖 (FBG)、糖化血红蛋白 (HbA1c)、低密度脂蛋白胆固醇 (LDL)、高密度脂蛋白胆固醇 (HDL)、睡眠质量、抑郁、焦虑、积极和消极情绪以及自我效能等指标在不同群组之间存在差异。结论这项研究发现了 T2DM 患者和超重/肥胖患者在糖尿病困扰模式上存在的重要差异,可以利用这种差异制定干预策略,以满足 T2DM 患者中不同亚群的特殊需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetes distress profiles and health outcomes of individuals with type 2 diabetes and overweight/obesity: A cluster analysis

Aims

To determine the prevalence and patterns of diabetes distress, and evaluate the differences in health outcomes between profiles.

Methods

This cross-sectional study included 330 adults with T2DM and overweight/obesity. The participants completed questionnaires on diabetes distress, sleep quality, self-efficacy, depression, anxiety and positive and negative affect. A cluster analysis was performed to identify different patterns of diabetes distress and one-way ANOVA was used to investigate the differences in physical and psychological outcomes between profiles.

Results

30.6% of patients were identified as moderately to highly distressed, with the regimen-related distress found to be the most prominent. The Cluster analysis revealed four distinct clusters: (1) “comprehensively exhausted profile”; (2) “strained profile”; (3) “high internal anguish profile”; (4) “unperturbed profile”. The measures of fasting blood glucose (FBG), glycated hemoglobin (HbA1c), low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, sleep quality, depression, anxiety, positive and negative affect and self-efficacy differ between clusters.

Conclusions

This study identified important differences that existed in patterns of diabetes distress among people with T2DM and overweight/obesity, and this variation can be utilized to tailor intervention strategies to the particular needs of different subgroups within individuals with T2DM.

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来源期刊
Diabetes research and clinical practice
Diabetes research and clinical practice 医学-内分泌学与代谢
CiteScore
10.30
自引率
3.90%
发文量
862
审稿时长
32 days
期刊介绍: Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.
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