成人2型糖尿病患者饮食失调的患病率及相关因素:一项系统综述

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Aycan Celik Esmer, Zahraa Jalal, Ping Guo, Muzeyyen Seckin
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引用次数: 0

摘要

背景:2型糖尿病(T2DM)患者有较高的饮食失调风险,特别是暴食症(BED)和夜食综合征(NES),这可能会影响糖尿病的管理和T2DM的长期预后。确定这种情况的患病率和相关因素以进行有针对性干预的证据有限。我们的研究旨在系统地综合现有证据,探讨成人2型糖尿病患者饮食失调的患病率及其相关因素。方法:本综述在PROSPERO (CRD42024587276)进行预注册。检索Embase、Medline、PsycINFO、Cochrane Central数据库进行系统评价。使用美国国立卫生研究院观察性队列和横断面研究质量评估工具来评估符合条件的研究的质量。鉴于评估目标结果的研究数量不足,没有尝试进行荟萃分析。进行了叙事综合。结果:12项研究被纳入横断面研究。BED和NES是2型糖尿病患者中最常见的两种饮食失调。BED的点患病率为2.5-29.6%,NES的点患病率为1.6-8.4%。没有关于暴食症和神经性厌食症患病率的数据。2型糖尿病患者饮食失调与低水平的心理健康、更严重的抑郁、焦虑症状、高水平的BMI和HbA1c相关。结论:T2DM患者饮食失调的高发与心理、生理和社会因素有关。目前关于2型糖尿病饮食失调的文献相对有限,很少有研究采用严格的方法。需要进一步开展大规模、高质量的研究,重点关注2型糖尿病成人饮食失调的管理、诊断、生理和心理影响以及长期结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and associated factors of eating disorders in adults with type 2 diabetes: a systematic review.

Background: People with type 2 diabetes (T2DM) have a higher risk of eating disorders, specifically binge eating disorders (BED) and night eating syndrome (NES) which may affect the diabetes management and long-term outcomes of T2DM. There is limited evidence to determine the prevalence and associated factors of this condition for targeted interventions. Our study aimed to systematically synthesise existing evidence exploring the prevalence of eating disorders and associated factors among adults with T2DM.

Methods: This review was pre-registered with PROSPERO (CRD42024587276). A systematic review was undertaken searching Embase, Medline, PsycINFO, Cochrane Central database. The National Institutes of Health Quality Assessment tool for Observational Cohort and Cross-Sectional Studies was used to evaluate the quality of eligible studies. Given the insufficient number of studies assessing the targeted outcomes, a meta-analysis was not attempted. A narrative synthesis was conducted.

Results: Twelve studies were included with cross-sectional studies. BED and NES were the two most common eating disorders in people with T2DM. Point prevalence was 2.5-29.6% for BED and 1.6-8.4% for NES. No data were available on the prevalence of bulimia and anorexia nervosa. Having eating disorders in T2DM was associated with a low level of psychological well-being, greater depression, anxiety symptoms, and high levels of BMI and HbA1c.

Conclusion: There are psychological, physical and social factors associated with to high prevalence of eating disorders in T2DM. The current literature on eating disorders in T2DM is relatively limited, with few studies applying rigorous methods. Further studies are needed for large, high-quality studies that focus on the management, diagnosis, physical and psychosocial effects, and long-term outcomes of eating disorders in adults with T2DM.

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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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