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Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life

机译:自我报告的糖尿病,饮食行为,重量/形状高估和与健康有关的生活质量之间的关联

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Background:Eating disorders (ED) and disordered eating behaviours (DEB) have been found to be common in people with diabetes mellitus (DM). However, findings have been inconsistent.Objective:This study investigated the association between self-reported diabetes (Type 1 or 2) with ED/DEB (binge eating, subjective binge eating or loss of control overeating, severe dieting and purging) weight/shape overvaluation, and health-related quality of life (HRQoL) in a household survey in South Australia.Method:In 2017 2977 people aged ≥15?years, who were representative of the general population, were interviewed. Participants reported their gender, age, household income, highest educational attainment, area of residence, presence of DM, ED/DEB, level of overvaluation, current HRQoL and height and weight. For the analyses between ED/DEB, self-reported DM and HRQoL, a grouping variable was created: 1) people without ED/DEB or self-reported DM; 2) people without ED/DEB and with self-reported DM; 3) people with ED/DEB and without self-reported DM; and 4) people with ED/DEB and self-reported DM. Analyses were stratified by sex and age group.Results:Subjective binge eating prevalence was higher in people with self-reported DM (6.6% vs 2.8%, p?=?0.016), and overvaluation was lower in those with DM (36% vs 43.8%, p?=?0.007). In analyses stratified by sex and age group, subjective binge eating was higher in women and in people over 45?years with self-reported DM and overvaluation was lower in men and in people over 45?years with self-reported DM. However, these differences were not significant on tests of gender and age interaction. People in both DM groups scored significantly lower than people without DM groups on physical HRQoL. In contrast, people in both ED/DEB groups scored lower than people without ED/BEB on mental HRQoL.Conclusion:People with self-reported DM had a higher prevalence of subjective binge eating, a lower prevalence of overvaluation and there were no significant effects of age or gender. Furthermore, participants with self-reported DM and comorbid ED or DEB had impairments of both mental and physical HRQoL. Assessing an individual's sense of control over eating along with other DEB is likely important for identification of these mental health problems.? The Author(s). 2019.
机译:背景:已发现饮食障碍(ED)和无序的饮食行为(Deb)在糖尿病(DM)的人们中是常见的。然而,结果一直是不一致的。目的:本研究调查了在ED / DED(狂欢进食,主观狂欢进食或控制暴饮暴食,严重节食和吹扫)重量/形状之间的自我报告糖尿病(类型1或2)之间的关联南澳大利亚家庭调查中的高估和与健康有关的生活质量(HRQOL)。方法:2017年2977人≥15岁的人,被采访了一般人口代表的年份。参与者报告了他们的性别,年龄,家庭收入,最高教育程度,居住地区,DM的存在,ED / DEB,高估,当前的HRQOL和身高和体重。对于ED / DEB,自我报告的DM和HRQOL之间的分析,创建了分组变量:1)没有ED / DEC或自我报告的DM; 2)没有ED / DEB的人和自我报告的DM; 3)ed / deb的人,没有自我报告的dm; 4)ed / deb和自我报告的dm的人。通过性和年龄组分类分析。结果:自我报告的DM人们的主观狂暴患病率较高(6.6%Vs 2.8%,p?= 0.016),含有DM的高估(36%Vs 43.8%,p?= 0.007)。在性别和年龄组分层的分析中,女性的主观狂犬病患者和45岁以上人的人群,在自我报告的DM和高估中,男性和超过45岁的人和自我报告的DM年龄较低。然而,这些差异对于性别和年龄互动的测试并不重要。两个DM组中的人比物理HRQOL在没有DM组的情况下得分明显低于人民。相比之下,ed / deb团体中的人们比没有ED / BEB的人均得分低于Mental HRQOL.Conclusive:具有自我报告的DM的人对主观狂暴的普遍性较高,高估的普遍性较低,并且没有显着影响年龄或性别。此外,有自我报告的DM和COMORBID ED或DEB的参与者对心理和物理HRQOL的损害。评估个人对饮食的控制感,与其他DEB可能很重要,对于鉴定这些心理健康问题很重要。作者。 2019年。

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