Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus
Abstract Objective: This study aimed to assess the association between emotional attitudes towards diabetes, eating behaviour styles and glycaemic control in outpatients with type 2 diabetes. Design: Observational study. Setting: Endocrinology Division of Hospital de Clínicas de Porto Alegre,...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024002179/type/journal_article |
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| author | Olívia Garbin Koller Tamires Freire de Carvalho Santana Andrade Antônio Bonfada Collares Machado Jessica Pinto Polet Bárbara Pelicioli Riboldi Cíntia Corte Real Rodrigues Jussara Carnevale de Almeida |
| author_facet | Olívia Garbin Koller Tamires Freire de Carvalho Santana Andrade Antônio Bonfada Collares Machado Jessica Pinto Polet Bárbara Pelicioli Riboldi Cíntia Corte Real Rodrigues Jussara Carnevale de Almeida |
| author_sort | Olívia Garbin Koller |
| collection | DOAJ |
| description |
Abstract
Objective:
This study aimed to assess the association between emotional attitudes towards diabetes, eating behaviour styles and glycaemic control in outpatients with type 2 diabetes.
Design:
Observational study.
Setting:
Endocrinology Division of Hospital de Clínicas de Porto Alegre, Brazil.
Participants:
Ninety-one outpatients diagnosed with type 2 diabetes. Baseline assessments included data on clinical parameters, lifestyle factors, laboratory results, eating behaviour styles and emotional attitudes. All patients received nutritional counseling following diabetes recommendations. A follow-up visit was scheduled approximately 90 days later to evaluate changes in weight, medication dosages and glycated Hb (HbA1c) values. Patients were categorised based on their emotional attitude scores towards diabetes (positive or negative), and their characteristics were compared using appropriate statistical tests.
Results:
At baseline, no differences were observed in the proportion of patients with good glycaemic control, eating behaviour styles and emotional attitudes. However, patients with a positive attitude towards the disease exhibited a significantly better response in glycaemic control compared with the reference group (OR = 3·47; 95 % CI = 1·12, 10·75), after adjusting for diabetes duration, sex and medication effect score. However, when BMI was included in the model, the association did not reach statistical significance. Therefore, these results should be interpreted with caution.
Conclusions:
Patients with a positive attitude towards diabetes showed a greater reduction in HbA1c levels following nutritional counseling. However, baseline BMI could be a potential confounding factor.
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| format | Article |
| id | doaj-art-10b5263254554f8db5115b8081a6f17c |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-10b5263254554f8db5115b8081a6f17c2024-11-22T10:06:46ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024002179Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitusOlívia Garbin Koller0Tamires Freire de Carvalho Santana Andrade1Antônio Bonfada Collares Machado2Jessica Pinto Polet3Bárbara Pelicioli Riboldi4Cíntia Corte Real Rodrigues5Jussara Carnevale de Almeida6Post-graduate Program in Nutrition, Food and Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilPost-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilPost-graduate Program in Psychology, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilPost-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Nutrition Division, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilPost-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilPost-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilPost-graduate Program in Nutrition, Food and Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Post-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Nutrition and Dietetics Division, Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos 2350, 1o andar do bloco A, Porto Alegre PO 90035-003, Brazil Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Abstract Objective: This study aimed to assess the association between emotional attitudes towards diabetes, eating behaviour styles and glycaemic control in outpatients with type 2 diabetes. Design: Observational study. Setting: Endocrinology Division of Hospital de Clínicas de Porto Alegre, Brazil. Participants: Ninety-one outpatients diagnosed with type 2 diabetes. Baseline assessments included data on clinical parameters, lifestyle factors, laboratory results, eating behaviour styles and emotional attitudes. All patients received nutritional counseling following diabetes recommendations. A follow-up visit was scheduled approximately 90 days later to evaluate changes in weight, medication dosages and glycated Hb (HbA1c) values. Patients were categorised based on their emotional attitude scores towards diabetes (positive or negative), and their characteristics were compared using appropriate statistical tests. Results: At baseline, no differences were observed in the proportion of patients with good glycaemic control, eating behaviour styles and emotional attitudes. However, patients with a positive attitude towards the disease exhibited a significantly better response in glycaemic control compared with the reference group (OR = 3·47; 95 % CI = 1·12, 10·75), after adjusting for diabetes duration, sex and medication effect score. However, when BMI was included in the model, the association did not reach statistical significance. Therefore, these results should be interpreted with caution. Conclusions: Patients with a positive attitude towards diabetes showed a greater reduction in HbA1c levels following nutritional counseling. However, baseline BMI could be a potential confounding factor. https://www.cambridge.org/core/product/identifier/S1368980024002179/type/journal_articleDiabetes mellitusType 2AttitudeEating behaviourNutrition education |
| spellingShingle | Olívia Garbin Koller Tamires Freire de Carvalho Santana Andrade Antônio Bonfada Collares Machado Jessica Pinto Polet Bárbara Pelicioli Riboldi Cíntia Corte Real Rodrigues Jussara Carnevale de Almeida Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus Public Health Nutrition Diabetes mellitus Type 2 Attitude Eating behaviour Nutrition education |
| title | Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus |
| title_full | Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus |
| title_fullStr | Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus |
| title_full_unstemmed | Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus |
| title_short | Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus |
| title_sort | exploring the interplay between emotional attitudes towards diabetes eating behaviour and glycaemic control in patients with type 2 diabetes mellitus |
| topic | Diabetes mellitus Type 2 Attitude Eating behaviour Nutrition education |
| url | https://www.cambridge.org/core/product/identifier/S1368980024002179/type/journal_article |
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