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糖尿病前期患者食物成瘾的发生现状及其与膳食模式的相关性

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目的 分析糖尿病前期患者食物成瘾的发生现状及其与膳食模式的相关性.方法 选取2021年1月至2022年6月在内分泌科及糖尿病专科护理门诊就诊的488例糖尿病前期患者作为研究对象.收集所有研究对象的一般资料,采用耶鲁食物成瘾量表(YFAS)和简化版食物摄入频率问卷调查评定食物成瘾发生情况和膳食模式的合理状况.食物成瘾与一般资料及膳食模式的相关性采用Spearman单因素相关性分析和logistic多因素回归分析.结果 符合食物成瘾判定者共58例,发生率为11.89%(58/488).食物成瘾患者的体重指数(BMI)、腰围(WC)、口服葡萄糖耐量试验空腹血糖(OGTTFPG)高于非食物成瘾患者,而年龄低于非食物成瘾患者(P<0.05).膳食模式、碳水化合物、蛋白质及脂肪摄入合理率分别为24.80%(121/488)、35.86%(175/488)、26.43%(129/488)及30.74%(150/488).非食物成瘾患者蛋白质、脂肪摄入合理比例以及总体膳食模式合理比例均高于食物成瘾患者(P<0.05).Spearman相关性分析显示,糖尿病前期患者的食物成瘾与BMI、WC、OGTT FPG、膳食模式是否合理呈正相关,与年龄呈负相关(P<0.05).Logistic回归分析发现,年龄和膳食模式是糖尿病前期患者食物成瘾发生的影响因素(P<0.05).结论 糖尿病前期患者普遍存在食物成瘾和膳食模式不合理的情况;膳食模式不合理可能是导致食物成瘾的危险因素之一.
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.

food addictiondietary patternprediabetescorrelation

闫朝霞、闫丽红、郑盼云、程团结、余亚英

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河南大学第一附属医院内分泌科,河南开封 475000

河南大学第一附属医院营养科,河南开封 475000

食物成瘾 膳食模式 糖尿病前期 相关性

2021年开封市科技发展计划项目

2103021

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(6)