2型糖尿病患者饮食失调的特点

T. P. Demicheva, E. Smirnova
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摘要

目的:了解2型糖尿病患者饮食失调的特点。材料和方法。在彼尔姆国家预算保健机构“PKKB”内分泌科的基础上,对536名50-80岁的合并T2DM的女性进行了检查,使用DEBQ问卷来识别饮食失调。结果。情绪型饮食行为在2.4%的DM2患者中被观察到,外向型饮食占13%,限制性饮食占21%。所有三种饮食失调在7.1%的患者中都存在,情绪性与外源性结合的患者占14.3%,限制性与情绪性结合的患者占6.2%,限制性与外源性结合的患者占14.6%。饮食行为的情绪性类型与年龄相关(r = -0.598;P = 0.006)、糖尿病病程(r = -0.536;P = 0.0148),体重指数(r = 0.363;P = 0.008)、腰围(r = 0.384;P = 0.0361),总胆固醇(r = 0.741;P = 0.0079)。外部类型的饮食行为与体重指数之间存在联系(r = 0.567;P = 0.009),高密度脂蛋白胆固醇(r = -0.7;P = 0.0014),糖化血红蛋白水平(r = 0.780;P = 0.022),甘油三酯(r = 0.348;P = 0.0164)。限制性饮食行为类型与年龄的相关性(r = 0.879;P = 0.048),体重指数(r = 0.321;P = 0.021),血糖水平(r = -0.6;P = 0.01)和脂蛋白胆固醇。低密度(r = -0.663;P = 0.013)。结论。既定的饮食失调对2型糖尿病女性的代谢控制有影响。在这类患者的药房观察中,应优先考虑对其进行检测和预防。关键词:饮食失调,2型糖尿病,女性,代谢控制
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Features of Eating Disorders in Patients with Type 2 Diabetes Mellitus
Aim: to establish the features of eating disorders in patients with type 2 diabetes mellitus. Material and methods. Examination of 536 women with complicated T2DM aged 50–80 years was carried out on the basis of the endocrinology department of the State Budgetary Healthcare Institution “PKKB”, Perm. The DEBQ questionnaire was used to identify eating disorders. Results. Emotional type of eating behavior was observed in 2.4% of DM2 patients, external — in 13%, restrictive — in 21%. All three eating disorders were present in 7.1% of patients, emotiogenic in combination with external — in 14.3%, restrictive in combination with emotiogenic — in 6.2%, restrictive in combination with external — in 14.6%. The emotiogenic type of eating behavior correlated with age (r = –0.598; p = 0.006), duration of diabetes (r = –0.536; p = 0.0148), body mass index (r = 0.363; p = 0.008), waist size (r = 0.384; p = 0.0361), total cholesterol (r = 0.741; p = 0.0079). A connection has been established between xternal type of eating behavior and body mass index (r = 0.567; p = 0.009), high-density lipoprotein cholesterol (r = –0.7; p = 0.0014), glycated hemoglobin level (r = 0.780; p = 0.022), triglycerides (r = 0.348; p = 0.0164). The dependence of the restrictive type of eating behavior on age (r = 0.879; p = 0.048), body mass index (r = 0.321; p = 0.021), glycemia level (r = –0.6; p = 0.01) and lipoprotein cholesterol was revealed. low density (r = –0.663; p = 0.013). Conclusion. Established eating disorders have shown an impact on metabolic control in women with type 2 diabetes. Their detection and prevention should be considered as a priority in the dispensary observation of this category of patients. Keywords: eating disorders, type 2 diabetes mellitus, women, metabolic control.
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