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Eating behavior affects quality of life in type 2 diabetes mellitus

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Abstract

We evaluated the prevalence of disordered eating behavior in 168 unselected outpatients with type 2 diabetes mellitus (T2DM) and the effects on the health related quality of life (HRQL). Subjects in generally good glycemic control, treated by diet or oral hypoglycemic agents (58% M; 63.8±SD 10.1 years; BMI, 29.7±5.9 kg/m2) completed self-administered questionnaires for HRQL (SF-36) and eating behavior [(Three-Factor Eating Questionnaire (TFEQ); Binge Eating Scale (BES)]. Data on HRQL were computed as effectsizes in comparison to population norm. The prevalence of altered TFEQ scales was not different between genders, and varied between 22.1% (disinhibition) and 41.4% (restriction), but only 6.7% had a positive BES score. Age (OR, 0.58 for decade; 95% CI, 0.39–0.87), duration of diabetes (OR, 1.33 for 5 years; 1.01–1.74) and BMI (OR, 1.11; 1.04–1.18) were predictive for the presence of disinhibition. BMI also predicted hunger (OR, 1.16; 1.08-1.25). SF36 domains were not different in relation to positive BES. Disinhibition at TFEQ was significantly associated with poor social functioning (p=0.018) and role-emotional (p=0.022), whereas hunger was associated with poor physical functioning (p=0.010), role-physical (p=0.0014), social functioning (p=0.015) and role-emotional (p=0.0001). Metabolic control, duration of diabetes, and the presence of complications were not associated with HRQL. A disordered eating behavior may be present in T2DM patients, and is associated with poor HRQL. This condition must be considered for an olistic approach to weight control.

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Authors and Affiliations

  1. Unit of Metabolic Diseases, Department of Internal Medicine and Gastroenterology, Policlinico S. Orsola, “Alma Mater Studiorum”, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy

    F. Cerrelli, R. Manini, G. Forlani, L. Baraldi, N. Melchionda & Giulio Marchesini M.D.

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  1. F. Cerrelli
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  2. R. Manini
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  3. G. Forlani
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Correspondence to Giulio Marchesini M.D..

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Cerrelli, F., Manini, R., Forlani, G. et al. Eating behavior affects quality of life in type 2 diabetes mellitus. Eat Weight Disord 10, 251–257 (2005). https://doi.org/10.1007/BF03327492

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