Current status of food addiction and its correlation with dietary patterns in prediabetic patients
Objective To analyze the prevalence of food addiction and its correlation with dietary patterns in prediabetic patients.Methods A total of 488 patients with prediabetes who visited the endocrinology department and diabetes specialty nursing clinic from January 2021 to June 2022 were selected as study subjects.The general data of the study subjects were collected,and the Yale food addiction scale(YFAS)and simplified version of the food intake frequency questionnaire were used to assess the occurrence of food addiction and the reasonable status of dietary patterns.Correlation between food addic-tion and general information and dietary patterns was analyzed by Spearman univariate correlation analysis and logistic multi-variate regression analysis.Results A total of 58 cases met the criteria for food addiction,with an incidence rate of 11.89%(58/488).The body mass index(BMI),waist circumference(WC),and oral glucose tolerance test fasting plas-ma glucose(OGTT FPG)of food addicted patients were higher than those of non food addicted patients,while age was lower than that in non food addicted patients(P<0.05).The reasonable intake rates of dietary patterns,carbohydrates,proteins,and fats were 24.80%(121/488),35.86%(175/488),26.43%(129/488),and 30.74%(150/488),respectively.The reasonable proportion of protein and fat intake and overall dietary pattern in non food addicted patients were higher than those in food addicted patients(P<0.05).Spearman correlation analysis showed that the food addiction of patients with pre-diabetes was positively correlated with BMI,WC,OGTT FPG,and whether the dietary pattern was reasonable,and negative-ly correlated with age(P<0.05).Logistic regression analysis found that age and dietary pattern were the influencing factors of food addiction in prediabetic patients(P<0.05).Conclusion Food addiction and unreasonable dietary patterns are com-mon in prediabetic patients,unreasonable dietary patterns may be one of the risk factors for food addiction.