对日本糖尿病自我管理中饮食行为障碍的因素的探索性研究
Sachiko Tsukamoto-Kawashima1,2, Kaori Ikeda2,3, Masakatsu Sone4
1Preemptive Medicine and Lifestyle Related Disease Research Center, Kyoto University Hospital, Kyoto, Japan.
Journal of diabetes investigation
|March 1, 2024
概括
2型糖尿病患者的愤怒和敌意会增加皮质醇水平,可能导致强迫性饮食. 管理负面情绪对于饮食自我管理和糖尿病控制至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 精神病体医学是一种精神病体医学.
- 营养科学 营养科学
背景情况:
- 饮食显著影响葡萄糖代谢,并受到日常生活压力因素的影响.
- 2型糖尿病患者的饮食行为可能会受到精神因素的影响.
研究的目的:
- 研究2型糖尿病患者常见的精神和体力压力因素,内分泌激素和饮食行为之间的关系.
主要方法:
- 一项涉及40名2型糖尿病患者的横截面研究.
- 使用休息激素血液采样和四个自我报告问卷,包括情绪状态 (POMS) 概况.
主要成果:
- 在POMS的"愤怒/敌意" (AH) 分类中的更高得分与显著更高的血清皮质醇水平有关.
- 在饮食行为调查问卷中,血清皮质醇的增加与"饥饿/腹感"和"作为转移的饮食"相关.
- 在参与者报告高AH和特定的饥饿相关易怒和压力诱导的饮食行为中观察到上升的早晨皮质醇水平.
结论:
- 情绪状态,特别是愤怒和敌意,与2型糖尿病患者的饮食行为有显著的关联.
- 愤怒和敌意可以增加皮质醇水平,可能导致强迫性饮食并阻碍饮食自我管理.
- 评估和管理负面情绪是成功管理糖尿病的关键治疗目标.
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