Relationships between psychological, clinical aspects and eating behavior in individuals with diabetes: cross-sectional study

Autores/as

  • Mihrican Kacar -
  • Filiz Yangilar
  • Sevil Karahan Yilmaz
  • Nazife Yilmaz

DOI:

https://doi.org/10.12873/451kacar

Palabras clave:

Depression, Diabetes Mellitus, Feeding and Eating Disorders, Night Eating Syndrome

Resumen

Introduction: Eating disorders are closely related to mental status, and individuals with diabetes have a significantly increased risk of developing an eating disorder.

Objective: This study aims to evaluate the possible association of cognitive restriction, uncontrolled eating, emotional eating factors, and eating disorders with depression in individuals with diabetes.

Methods: A cross-sectional study was carried out on 132 patients who were diagnosed with diabetes. The Beck Depression Inventory (BDI) was used to assess the depression status of individuals, the Three-Factor Eating Questionnaire (TFEQ-R18) to measure eating habits, and the Night Eating Questionnaire (NEQ) to obtain information about night eating behavior. All anthropometric measurements were taken by the researcher.

Results: It was determined that there was a 'mild depression' state in both the Type 1 diabetes patient group (14.10±8.26) and the Type 2 diabetes patient group (14.74±7.64). A linear, moderate, and significant correlation was found between BDI scores and NEQ scores in individuals with type 1 diabetes (r=0.547, p<0.001). In individuals with type 2 diabetes, an inverse, moderate, and significant correlation was found between BDI scores and cognitive restriction scores (r=-0.406, p=0.029). For the individuals in the two groups, statistically significant differences were found in the scores obtained from the BDI, NEQ, and TFEQ-R18 in terms of the history of mental illness and obesity, diabetic diet, and hypoglycemia (p<0.05).

Conclusions: In this study, it has been shown that the effect of mental illness and obesity history on current eating behavior may be on night eating behavior, cognitive restriction, and uncontrolled eating. It is likely that compliance with the diabetic diet and prevention of hypoglycemia will be reflected in eating behavior and anthropometric measurements.

Citas

Haddad C, Khoury C, Salameh P, Sacre H, Hallit R, Kheir N, et al. Validation of the Arabic version of the Eating Attitude Test in Lebanon: a population study. Public Health Nutr. 2021;24(13):4132–4143.

Quick VM, Byrd-Bredbenner C, Neumark-Sztainer D. Chronic illness and disordered eating: a discussion of the literature. Adv Nutr. 2013 May;4(3):277–86.

Priesterroth L, Grammes J, Strohm EA, Kubiak T. Disordered eating behaviours and eating disorders in adults with type 1 diabetes (DEBBI): rational and design of an observational longitudinal online study. BMJ Open. 2022;12(9). Available from: https://bmjopen.bmj.com/content/12/9/e064863

Young-Hyman D, De Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(12):2126–40.

Hood MM, Reutrakul S, Crowley SJ. Night eating in patients with type 2 diabetes. Associations with glycemic control, eating patterns, sleep, and mood. Appetite. 2014 Aug;79:91–6.

Bermúdez-Millán A, Pérez-Escamilla R, Lampert R, Feinn R, Damio G, Segura Pérez S, et al. Night Eating Among Latinos With Diabetes: Exploring Associations With Heart Rate Variability, Eating Patterns, and Sleep. J Nutr Educ Behav. 2022;54(5):449–54.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Arch Gen Psychiatry. 1961;4(6):561-571. DOI: 10.1001/archpsyc.1961.01710120031004

Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerlilik ve güvenilirliği. Türk Psikol Derg. 1989;7(23):3–13.

Karlsson, J., Persson, L. O., Sjöström, L., Sullivan, M. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes. 2000;24(12):1715-25.

Kirac D, Altunok E, Avcılar T, Cakir O, Ulucan K, Kurtel H, et al. A New Method For Investigating Eating Behaviours Related With Obesity ''Three-Factor Eating Questionnaire ". J Marmara Univ Inst Heal Sci. 2015;1.

Allison KC, Lundgren JD, O'Reardon JP, Martino NS, Sarwer DB, Wadden TA, et al. The Night Eating Questionnaire (NEQ): Psychometric properties of a measure of severiy of the Night Eating Syndrome. Eat Behav. 2008;9:62-72.

Atasoy N, Saraçli Ö, Konuk N, Ankarali H, Güriz SO, Akdemir A, et al. Gece yeme anketi-Türkçe formunun psikiyatrik ayaktan hasta popülasyonunda geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi. 2014;15:238-247

Eker S. Prevalence of Depression Symptoms in Diabetes Mellitus. Open access Maced J Med Sci. 2018 Feb;6(2):340–3.

Rawlinson S, Andrews ZB. Hypothalamic insulin signalling as a nexus regulating mood and metabolism. J Neuroendocrinol. 2021;33(4):e12939. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jne.12939

Morse SA, Ciechanowski PS, Katon WJ, Hirsch IB. Isn’t this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes. Diabetes Care. 2006 Aug;29(8):1800–4.

McCuen-Wurst C, Ruggieri M, Allison KC. Disordered eating and obesity: associations between binge-eating disorder, night-eating syndrome, and weight-related comorbidities. Ann N Y Acad Sci. 2018 Jan;1411(1):96–105.

Meule A, Allison KC, Brähler E, de Zwaan M. The association between night eating and body mass depends on age. Eat Behav. 2014 Dec;15(4):683–5.

PE K. Good Mood Foods. J Nutr Heal Food Eng. 2017;7.

Malkki-Keinänen K, Lankinen M, Karhunen L, Schwab U. Psychometric evaluation of three-factor eating questionnaire -R18 in aging Finnish men with increased risk for type 2 diabetes. Nutr Health. 2022 Jul;2601060221112178.

Konttinen H, van Strien T, Männistö S, Jousilahti P, Haukkala A. Depression, emotional eating and long-term weight changes: a population-based prospective study. Int J Behav Nutr Phys Act. 2019;16(1):28. Available from: https://doi.org/10.1186/s12966-019-0791-8

de Lauzon B, Romon M, Deschamps V, Lafay L, Borys J-M, Karlsson J, et al. The Three-Factor Eating Questionnaire-R18 is able to distinguish among different eating patterns in a general population. J Nutr. 2004 Sep;134(9):2372–80.

Ryan M, Gallanagh J, Livingstone MB, Gaillard C, Ritz P. The prevalence of abnormal eating behaviour in a representative sample of the French diabetic population. Diabetes Metab. 2008;34(6):581–6. Available from: https://www.sciencedirect.com/science/article/pii/S1262363608001687

Paoli T De, Rogers PJ. Disordered eating and insulin restriction in type 1 diabetes: A systematic review and testable model. Eat Disord. 2018;26(4):343–60. Available from: https://doi.org/10.1080/10640266.2017.1405651

González-Cantú A, Mireles-Zavala L, Rodríguez-Romo A, Olavide-Aguilar E, De la Garza-Hernández NE, Romero-Ibarguengoitia ME. Eating behaviors and emotional distress are predicted by treatment and adverse outcome in patients with type 2 diabetes. Psychol Health Med. 2018 Mar;23(3):325–36.

Aoun C, Nassar L, Soumi S, El Osta N, Papazian T, Rabbaa Khabbaz L. The Cognitive, Behavioral, and Emotional Aspects of Eating Habits and Association With Impulsivity, Chronotype, Anxiety, and Depression: A Cross-Sectional Study. Front Behav Neurosci. 2019;13:204.

Kowalkowska J, Poínhos R. Eating Behaviour among University Students: Relationships with Age, Socioeconomic Status, Physical Activity, Body Mass Index, Waist-to-Height Ratio and Social Desirability. Nutrients. 2021 Oct;13(10).

Malone JI, Hansen BC. Does obesity cause type 2 diabetes mellitus (T2DM)? Or is it the opposite? Pediatr Diabetes. 2019 Feb;20(1):5–9.

De Lorenzo A, Romano L, Di Renzo L, Di Lorenzo N, Cenname G, Gualtieri P. Obesity: A preventable, treatable, but relapsing disease. Nutrition. 2020 Mar;71:110615.

Descargas

Publicado

03-02-2025

Cómo citar

Kacar, M., Yangilar, F., Karahan Yilmaz, S., & Yilmaz, N. (2025). Relationships between psychological, clinical aspects and eating behavior in individuals with diabetes: cross-sectional study. Nutrición Clínica Y Dietética Hospitalaria, 45(1). https://doi.org/10.12873/451kacar