Dietary Adherence, Glycemic Control, and Psychological Factors Associated with Binge Eating Among Indigenous and Non-Indigenous Chileans with Type 2 Diabetes
- 438 Downloads
Despite the strong association between obesity and binge eating, limited research has examined the implications of binge eating on dietary adherence and psychological factors in ethnically diverse type 2 diabetes patients.
This study investigated the prevalence of binge eating and its association with dietary adherence, glycemic control, and psychological factors among indigenous and non-indigenous type 2 diabetes patients in Chile.
Participants were 387 indigenous (Mapuche) and non-indigenous (non-Mapuche) adults with type 2 diabetes. Self-report measures of binge eating, dietary adherence, diet self-efficacy, body image dissatisfaction, and psychological well-being were administered. Participants’ weight, height, and glycemic control (HbA1c) were also obtained.
Approximately 8 % of the type 2 diabetes patients reported binge eating. The prevalence among Mapuche patients was 4.9 %, and among non-Mapuche patients, it was 9.9 %. Compared to non-binge eaters, binge eating diabetes patients had greater body mass index values, consumed more high-fat foods, were less likely to adhere to their eating plan, and reported poorer body image and emotional well-being.
Results of this study extend previous research by examining the co-occurrence of binge eating and type 2 diabetes as well as the associated dietary behaviors, glycemic control, and psychological factors among indigenous and non-indigenous patients in Chile. These findings may increase our understanding of the health challenges faced by indigenous populations from other countries and highlight the need for additional research that may inform interventions addressing binge eating in diverse patients with type 2 diabetes.
KeywordBinge eating Type 2 diabetes Dietary adherence Glycemic control
This study was part of a larger research project supported by funding from the Government of Chile, through its National Council for Scientific and Technological Research (CONICYT), FONDECYT project 1090660 to the last author. The authors thank the FONDECYT project research team, particularly Tamara Hernandez Otzen, Gloria Muñoz, and Ligia Orellana, whose contribution made the data collection for this study possible.
Conflict of Interest
Sylvia Herbozo, Patricia M. Flynn, Serena D. Stevens, and Hector Betancourt declare that they have no conflict of interest.
- 19.World Health Organization. Overweight/obesity [online graph]. 2011. http://gamapserver.who.int/gho/interactive_charts/ncd/risk_factors/overweight_obesity/atlas.html. Accessed 15 Sept 2014.
- 24.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.Google Scholar
- 26.Del Castillo Arreola A. Apoyo social, síntomas depresivos, autoeficacia, y beinstar psichologico en pacientes con diabetes tipe 2 [dissertation]. Universidad Nacional Autonoma de Mexico, 2010.Google Scholar
- 27.Bandura A. Self-efficacy. New York: W. H. Freeman and Company; 1997.Google Scholar
- 30.Awata S, Bech P, Yoshida S, Hirai M, Suzuki S, Yamashita M, et al. Reliability and validity of the Japanese version of the world health organization‐five well‐being index in the context of detecting depression in diabetic patients. Psychiatry Clin Neurosci. 2007;61:112–9.CrossRefPubMedGoogle Scholar
- 31.Abdi H. Holm’s sequential Bonferroni procedure. In: Salkind N, editor. Encyclopedia of research design. Thousand Oaks: Sage; 2010. p. 1–8.Google Scholar
- 43.Anderson-Fye EP, Becker AE. Sociocultural aspects of eating disorders. In: Thompson JK, editor. Handbook of eating disorders and obesity. Hoboken: Wiley; 2004. p. 565–89.Google Scholar
- 45.Sepúlveda A, Alfonso J. Principios de alimentación Mapuche como un aporte a la soberanía alimentaria. 2005. http://hdl.handle.net/10625/35757. Accessed 12 March 2014
- 50.Barnes P, Adams P, Powell-Griner E. Health characteristics of the American Indian and Alaska native adult population: United States 2004–2008. Centers for Disease Control and Prevention. 2010. http://www.cdc.gov/nchs/data/nhsr/nhsr020.pdf. Accessed 12 March 2014.