Features of Eating Disorders in Patients with Type 2 Diabetes Mellitus
https://doi.org/10.31550/1727-2378-2023-22-4-36-39
Abstract
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.
About the Authors
T. P. Demicheva
Perm State Medical University named after Academician E.A. Wagner
Russian Federation
Russian Federation
26 Petropavlovskaya str., Perm, 614990
E. N. Smirnova
Perm State Medical University named after Academician E.A. Wagner
Russian Federation
Russian Federation
26 Petropavlovskaya str., Perm, 614990
References
1. Lobashova V.L., Shepelkevich A.P. Eating disorders in patients with type 2 diabetes mellitus. Medical Journal. 2015;(1):30–34. (in Russian).
2. Zelenkova-Zakharchuk T.A. Eating disorders in patients with obesity and type 2 diabetes mellitus. Lecture for doctors. Consilium Medicum. 2021;23(4):326–331. (in Russian). DOI: 10.26442/20751753.2021.4.200830
3. Kemps E., Herman C.P., Hollitt S. et al. The role of expectations in the effect of food cue exposure on intake. Appetite. 2016;103:259– 264. DOI: 10.1016/j.appet.2016.04.026
4. Travagli R.A., Anselmi L. Vagal neurocircuitry and its influence ongastric motility. Nat. Rev. Gastroenterol. Hepatol. 2016;13(7):389–401. DOI: 10.1038/nrgastro.2016.76
5. Ziauddeen H., Alonso-Alonso M., Hill J.O. et al. Obesity and the neurocognitive basis of food reward and the control of intake. Adv. Nutr. 2015;6(4):474–486. DOI: 10.3945/an.115.008268
6. Malkina-Pykh I.G. Eating behavior therapy. Moscow; 2007. (in Russian)
7. Tikhonenko E.V., Tsoy U.A., Vasilyeva E.Yu., Babenko A.Yu. Eating behavior characteristics and appetite-regulating hormone levels in patients with type 2 diabetes mellitus and a body mass index greater than 35 kg/m2 . Obesity and metabolism. 2018;15(1):30–38. (in Russian). DOI: 10.14341/OMET2018130-38
8. Sapozhnikova I.E., Tarlovskaya E.I., Vedenskaya T.P. Features of the eating behavior of patients with diabetes mellitus. Therapeutic archive. 2012;84(12):71–75. (in Russian).
9. Burlachko Ya.O., Dudareva V.A., Dudareva L.A. et al. Analysis of eating behavior in patients with type 2 diabetes mellitus. Problems of nutrition. 2016;85(S2):70. (in Russian).
10. Van Strien T., Frijters J., Bergers G. P., Defares P.B. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int. J. Eating Disord. 1986;5(2):295–315. DOI: 10.1002/1098-108X(198602) 5:23.0.CO;2-T
11. Verbovoy A.F., Sharonova L.A. Analysis of eating disorders, depressive and anxiety disorders in women with diabetes mellitus. Endocrinology: news, opinions, training. 2018;7(2):60–66. DOI: 10.24411/2304-9529-2018-12006. (in Russian).
12. Mishchenkova T.V., Zvenigorodskaya L.A., Varvanina G.G. et al. The role of hormones and types of eating behavior in the development of metabolic syndrome. Experimental & clinical gastroenterology. 2010;7:12–19. (in Russian).
13. Kemps E., Herman C.P., Hollitt S. et al. The role of expectations in the effect of food cue exposure on intake. Appetite. 2016;103:259– 264. DOI: 10.1016/j.appet.2016.04.026
14. Herpertz S. Diabetes mellitus and eating disorders: a multicenter study on the comorbidity of the two diseases. Psychosom. Res. 1998;44(3–4):503–515. DOI: 10.1016/s0022-3999(97)00274-2
Review
For citations:
Demicheva T.P., Smirnova E.N. Features of Eating Disorders in Patients with Type 2 Diabetes Mellitus. Title. 2023;22(4):36-39. (In Russ.) https://doi.org/10.31550/1727-2378-2023-22-4-36-39
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