老年1型糖尿病患者饮食态度和行为紊乱：一项探索性研究

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-12-22 DOI:10.1111/dme.15504

Gabriella T. Ercolino, Jessica Sprinkles, Angela Fruik, Rashmi Muthukkumar, Nikhita Gopisetty, Xiaorui Qu, Laura A. Young, Elizabeth J. Mayer-Davis, Angelica Cristello Sarteau, Anna R. Kahkoska

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引用次数: 0

摘要

目的：我们探讨了老年1型糖尿病（T1D）患者饮食失调行为（DEBs）和态度的患病率及其与人口统计学和临床变量的关系。方法：来自大学附属医院系统的年龄≥65岁的T1D成年人完成了一项电子调查（2023年9月至11月），其中包括糖尿病饮食问题调查-修订（DEPS-R）。临床资料从病历中提取。结果：77例老年人(平均[SD]年龄：71.8 [4.1]；平均[SD] HbA1c [mmol/mol]: 51 [12]；BMI [kg/m2]: 27.3 [4.7])， T1D患者完成DEPS-R。平均DEPS-R评分为11.5(6.0)，其中5.2% （n = 4）有临床显著的DEBs（评分≥20）。我们发现DEPS-R评分与BMI呈正线性相关（校正p = 0.002）。与HbA1c无显著相关性。结论：老年T1D患者有不同程度的DEBs。DEBs越大，BMI越高；需要更多的研究来描述这种关系。

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Disordered eating attitudes and behaviours among older adults with type 1 diabetes: An exploratory study

Aims

We explored the prevalence of disordered eating behaviours (DEBs) and attitudes among older adults with type 1 diabetes (T1D) and associations with demographic and clinical variables.

Methods

Adults aged ≥65 years with T1D from a university-affiliated hospital system completed an electronic survey (September to November 2023) including the Diabetes Eating Problem Survey-Revised (DEPS-R). Clinical data were extracted from medical records.

Results

Seventy-seven older adults (mean [SD] age: 71.8 [4.1]; mean [SD] HbA1c [mmol/mol]: 51 [12]; BMI [kg/m²]: 27.3 [4.7]) with T1D completed the DEPS-R. Mean DEPS-R score was 11.5 (6.0), with 5.2% (n = 4) having clinically significant DEBs (score ≥ 20). We found a positive linear association between DEPS-R score and BMI (adjusted p = 0.002). There was no significant association with HbA1c.

Conclusions

Older adults with T1D endorsed variable degrees of DEBs. Greater DEBs were associated with higher BMI; more research is needed to characterise this relationship.

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”