Eating behavior in obese patients with and without type 2 diabetes mellitus

Mannucci, Edoardo; Tesi, F.; Ricca, Valdo; Pierazzuoli, E.; Barciulli, E.; Moretti, Silvia; Bernardo, M. Di; Travaglini, Rossana; Carrara, S; Zucchi, T.; Placidi, Gian Franco; Rotella, C. M.

doi:10.1038/sj.ijo.0801976

Cited by 75 publications

(70 citation statements)

References 17 publications

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“…Our results also show a relative increase of the contribution of lipids (total, mono-and polyunsaturated fats) and proteins to total energy intake in diabetic patients. With regard to modification of eating habits related to the diagnosis of diabetes, we have previously shown that overweight type 2 diabetic patients, after adjustment for age, show a higher level of cognitive dietary restriction when compared to non-diabetic subjects with similar body mass indexes and that patients with known diabetes seem to be aware of the need to modify their eating habits [8]. Our study confirms the notion that diabetic patients report dietary intakes somewhat differently when compared to non-diabetic subjects.…”

Section: Discussionmentioning

confidence: 99%

Eating habits in elderly diabetic subjects: Assessment in the InCHIANTI Study

Mannucci

Bartali

Lova

et al. 2008

Nutrition, Metabolism and Cardiovascular Diseases

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Background and aims: Nutritional therapy is a cornerstone of the treatment of type 2 diabetes. The aim of this study was to assess differences in dietary habits between subjects with and without known type 2 diabetes. Methods and Results: In a sample of 1242 predominantly elderly subjects enrolled in the InCHIANTI study, total energy and macronutrient intake was assessed crosssectionally using the EPIC self-reported questionnaire. Results were compared in subjects with (N ¼ 109) and without known diabetes, and differences were adjusted for age, sex, and reported comorbidities. Subjects with known diabetes reported a significantly lower (p < 0.001) total energy and soluble carbohydrate intake in comparison with the rest of the sample (1793 AE 481 vs 2040 AE 624 kCal/day, and 66.9 AE 22.3 vs. 93.5 AE 34.9 g/day, respectively). Conversely, consumption of total and saturated fats, dietary fibres and proteins was not significantly different. Conclusion: Known diabetes is associated with a reduction of soluble carbohydrate consumption and total energy intake without any further modification of dietary habits. These data suggest that the diagnosis of diabetes could induce some changes in nutritional style. However, corrections in dietary habits do not appear to be consistent with current guidelines and recommendations. ª

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Section: Discussionmentioning

confidence: 99%

Eating habits in elderly diabetic subjects: Assessment in the InCHIANTI Study

Mannucci

Bartali

Lova

et al. 2008

Nutrition, Metabolism and Cardiovascular Diseases

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“…These results of diabetic patients were in accordance with the literature. [10][11][12] Eating disorders did not show differences with respect to sex.…”

Section: Discussionmentioning

confidence: 78%

“…Turkiye Klinikleri J Health Sci 2017;2(1): [7][8][9][10][11][12] which were evaluated with a six-point Likert scale Items 1, 18, 19, 23, 27, 39, were scored in the following way: "sometimes" 1 point, "rarely" 2 points, and "never" 3 points; the other options were regarded as 0. For the rest of the items in the scale, "always" was graded as 3 points, "very often" as 1 point, and the other options were regarded as 0.…”

Section: Eating Attitudes Test (Eat): Developed Bymentioning

confidence: 99%

“…The maximum possible score is 30 for Symptom Scale. A symptom score of 20 or more indicates the presence of binge eating; the medium range (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) suggests an unusual eating pattern; the low range (0-10) falls within normal limits. The BITE is a well-validated and reliable instrument: the inter-item reliability coefficient was 0.96 for the symptom subscale and the test-retest reliability was 0.86 and 0.68 for non-clinical and clinical groups, respectively.…”

Section: Eating Attitudes Test (Eat): Developed Bymentioning

confidence: 99%

“…10 Eating disorders, especially bulimia nervosa (BN) and disordered eating behaviors (DEB) have increased in the context of diabetes, although studies with conflicting results have been conducted. [10][11][12][13][14] Moreover, it has been shown that eating disorders and pathologic eating behaviors are related to elevated levels of HbA1c. 15 The diet in all chronic diseases is a matter of great importance.…”

mentioning

confidence: 99%

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Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Durat¹,

Yıldız²,

Erol³

2017

Turkiye Klinikleri J Health Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Patients with diabetes and hypertension must organize to follow a consistent diet and regulate their eating habits. Their minds busy with the diet lists, the foods that are forbidden, limited eating and weight control. The aim of this study is to compare and eating behaviors and psychological conditions of these patients. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 137 diabetic and 86 hypertensive patients presenting to Health Care Centers were included in the study. Eating Attitudes Test (EAT-40), Bulimic Investigatory Test, Edinburgh (BITE) and General Health Questionnaire (GHQ-12) were used in the study. R Re es su ul lt ts s: : Mean age of the diabetic and hypertensive patients were 56.1±11.5 years and 53.8±13.1 years respectively. There were no statistically differences between two groups with respect to age, height, weight, highest weight and body mass index (BMI). There were no statistical differences between diabetic and hypertensive groups in terms of average BITE, EAT and GHQ score. According to Garner's cut-off value, we demonstrated that 19.7% of diabetic patients and 24.4% of hypertensive patients had disordered eating behavior. There were no statistical differences between two groups in terms of disordered eating behavior (P=0.64). When two groups were compared according to sex, there were no significant differences between average BITE, EAT and GHQ scores, between diabetic and hypertensive men, and between diabetic and hypertensive women. C Co on nl lu us si io on n: : In our study, approximately one-fifth of the patients had disordered eating behaviour. The frequency of disordered eating behaviour were similar between two groups of patients. Patients with eating disorders should be guided towards nutritional health. Clinician should be careful about the eating disorders that may arise in these patients K Ke ey yw wo or rd ds s: : Eating disorders; diabetes complications; hypertension Ö ÖZ ZE ET T A Am ma aç ç: : Diyabetik ve hipertansif hastalar belirli bir diyeti takip etmek ve yeme alışkanlıklarını dü-zenlemek zorundadırlar. Zihinleri genel olarak diyet listeleri, yasaklanmış yiyecekler, kilo kontrolü ile meşguldür. Çalışmamızın amacı bu hastaların yeme alışkanlıklarını ve psikolojik durumlarını karşılaştır-maktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya Sağlık Ocaklarına başvuran 137 diyabetik ve 86 hipertansif hasta alınmıştır. Araştırma verileri Yeme Tutum Testi (YTT-40), Edinburg Bulimik Araştırma Testi (EBAT) ve Genel Sağlık Anketi (GSA-12) kullanılarak toplanmıştır. B Bu ul lg gu ul la ar r: : Diyabetik hasta grubunun yaş ortalaması 56,1±11,5 yıl iken, hipertansif hasta grubunun yaş ortalaması 53,8±13,1 yıl idi. Yaş, boy, kilo, en yük-sek kilo ve beden kitle indeksi (BKİ) açısından gruplar arasında anlamlı bir fark bulunmamıştır. EBAT, YTT ve GSA-12 puan ortalaması açısından iki grup arasında anlamlı fark tespit edilmemiştir. Garner kesme değerine göre diyabetik hastaların %19,7'sinde ve hiper...

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Binge Eating and Weight Loss Outcomes in Overweight and Obese Individuals With Type 2 Diabetes

Gorin

Niemeier

Hogan

et al. 2008

Arch Gen Psychiatry

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Context Binge eating (BE) is common in overweight and obese individuals with type 2 diabetes yet little is known about how BE affects weight loss in this population. Objective To determine whether BE was related to 1-year weight losses in overweight and obese individuals with type 2 diabetes participating in an ongoing clinical trial. Design and Setting Look AHEAD is a randomized controlled trial examining the long-term effect of intentional weight loss on CVD in overweight and obese adults with type 2 diabetes. Participants Overweight and obese individuals, 45–76 years old, with type 2 diabetes (n=5145). Interventions Participants were randomly assigned to an intensive lifestyle intervention (ILI) or to enhanced usual care (DSE). Main outcome measures At baseline and 1-year, participants had their weight measured and completed a fitness test and self-report measures of BE and dietary intake. Four groups were created based on BE status at baseline and 1-year (Yes/Yes, No/No, Yes/No, No/Yes). Analyses controlled for baseline differences between binge eaters and non-binge eaters. Results Most individuals (85.4%) did not report BE at baseline or 1-year, 7.5% reported BE only at baseline, 3.7% reported BE at both times, and 3.4% reported BE only at 1-year, with no differences between ILI and DSE conditions (p=.14). Across ILI and DSE, greater weight losses were observed in participants who stopped BE at 1-year (5.3±.4 kg) and in those who reported no BE at either time point (4.8±.1 kg) than in those who continued to BE (3.1±.6 kg) and those who began BE at 1-year (3.0±.6 kg) (p=.0003). Post hoc analyses suggested these differences were due to changes in caloric intake. Conclusions Overweight and obese individuals with type 2 diabetes who stop binge eating appear just as successful at weight loss as non-binge eaters after one year of treatment.

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Eating behavior in obese patients with and without type 2 diabetes mellitus

Abstract: Type 2 diabetes is unlikely to induce relevant eating disturbances in obese patients, apart from an increase in restraint. Abnormalities of eating attitudes and behavior are associated with an impairment of metabolic control.

Cited by 75 publications

References 17 publications

Eating habits in elderly diabetic subjects: Assessment in the InCHIANTI Study

Eating habits in elderly diabetic subjects: Assessment in the InCHIANTI Study

Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Binge Eating and Weight Loss Outcomes in Overweight and Obese Individuals With Type 2 Diabetes

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