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Associations of food addiction with metabolic control, medical complications and depression among patients with type 2 diabetes

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A Letter to the Editor to this article was published on 28 July 2020

Abstract

Aims

Food addiction (FA) is conceptualized as a behavioral pattern that is similar in some ways to addictions to alcohol and other substances. This disorder has not been well studied among patients with type 2 diabetes (T2DM). We aimed to analyze if there is any relationship between FA and clinical or psychological variables among patients with T2DM.

Methods

Three hundred patients with T2DM were analyzed cross-sectionally. Participants were evaluated for the presence of FA by completing the Yale Food Addiction Scale 2.0 questionnaire.

Results

29.3% of patients screened positive for FA. Patients with FA had a greater BMI (33.41 ± 7.5 vs. 31.6 ± 5.9 kg/m2; p = 0.04). HbA1c was higher among individuals with FA (7.9 ± 4.4 vs. 7.6 ± 1.4%, p = 0.008). The proportion of subjects with diabetic retinopathy, neuropathy and nephropathy was greater among patients with criteria for FA compared with patients without this condition (25% vs. 13.2%, 29.5% vs. 21.8% and 32% vs. 22.3%; p = 0.03, p = 0.05 and p = 0.05, respectively). The percentage of patients with FA with significant depressive symptoms was also greater (36.4% vs. 18.5%; p = 0.002).

Conclusions

The presence of FA among T2DM patients implied a worse glycaemic control. Microvascular complications and depressive symptoms were higher among these patients.

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Authors and Affiliations

  1. Endocrinology and Nutrition Department, Hospital Son Llàtzer, University Institute of Health Science Research (IUNICS) and Health Research Institute of Balearic Islands (IdISBA), Ctra Manacor km 4, 07198, Palma de Mallorca, Baleares, Spain

    Joana Nicolau, Juan Manuel Romerosa, Irene Rodríguez, Pilar Sanchís, Aina Bonet, Magdalena Arteaga & Lluís Masmiquel

  2. Hormonal Laboratory, Hospital Son Llàtzer, Ctra Manacor km 4, 07198, Palma de Mallorca, Baleares, Spain

    Regina Fortuny

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  1. Joana Nicolau
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Contributions

JN wrote the manuscript, researched data and gave final approval of the version. JMR, IR and RF researched data and helped writing the article. PS made the statistics and reviewed the manuscript. AB contributed to the discussion. LM contributed to the discussion, reviewed the manuscript and gave final approval of the version. All authors have approved the final article.

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Correspondence to Joana Nicolau.

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All authors have no relevant conflicts of interest to disclose.

Ethical Standard Statement

The study was approved by the Ethical Committee of the hospital.

Informed consent

Written informed consent was obtained from all patients prior to study participation. The study was approved by the Ethics Committee of the hospital.

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This article belongs to the topical collection Health Education and Psycho-Social Aspects, managed by Massimo Porta and Marina Trento.

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Nicolau, J., Romerosa, J.M., Rodríguez, I. et al. Associations of food addiction with metabolic control, medical complications and depression among patients with type 2 diabetes. Acta Diabetol 57, 1093–1100 (2020). https://doi.org/10.1007/s00592-020-01519-3

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