摘要
目的了解2型糖尿病(T2DM)患者食物成瘾(FA)率的现状,分析其影响因素。方法采用一般资料问卷和耶律食物成瘾量表(YFAS)于2019年7月—2020年10月对上海闵行地区的1719例T2MD患者进行横断面FA现状及影响因素方便抽样问卷调查,并比较FA与非食物成瘾(NFA)患者疾病相关资料,分析影响因素。结果1719位受试者总得分为5245分,人均(3.05±0.04)分,存在不同程度的食物成瘾倾向,T2DM患者FA率为20.54%(353/1719)。其中女性FA患病率为25.17%(181/719),男性FA患病率为17.2%(172/1000),FA在女性T2DM患者中更易发生(P<0.05)。多因素Logistic回归分析示:FA与性别、年龄、腰围、BMI、婚姻状况、饮酒史、每日就餐次数、是否喜欢吃零食及等多个空腹血糖(FBG)因素相关,在30~49岁更易发生。结论上海闵行地区T2DM患者FA率为20.54%,受性别、年龄、腰围、BMI、婚姻状况、饮酒史、每日就餐次数、是否喜欢吃零食及空腹血糖等因素影响,并有年龄分布特点,建议协助具有FA倾向的T2DM患者制定干预措施,定期筛查食物成瘾症状,并做好风险管控。
Objective To understand the current status of food addiction(FA)rate in patients with type 2 diabetes(T2DM),and to analyze its influencing factors.Methods The general information questionnaire and the yelling food addiction Scale(YFAS)were used to conduct a cross-sectional survey of FA status and influencing factors in patients with T2MD in Minhang,Shanghai from July 2019 to October 2020,and compare FA and non-food costs.Disease-related data of patients with addiction(NFA),and analysis of influencing factors.Results The 1719 subjects had a total score of 5245 points,with an average of 3.05±0.04 points per capital.They had varying degrees of food addiction.The FA rate of T2DM patients was 20.54%(353/1719).The prevalence of FA in females was 25.17%(181/719),and the prevalence of FA in males was 17.2%(172/1000),which was prone to occur in female T2DM patients(P<0.05).Multivariate logistic regression analysis showed that FA was related to gender,age,waist circumference,BMI,marital status,drinking history,number of meals per day,whether to eat snacks,and FBG factors and it was more likely to occur between the ages of 30 and 49.Conclusion The FA rate of T2DM patients in the Minhang area of Shanghai is 20.54%,which is affected by factors such as gender,age,waist circumference,BMI,marital status,drinking history,number of meals per day,whether they like snacks,FBG and other factors,and has age distribution characteristics.It is recommended to assist with patients with T2DM who tend to develop intervention measures,regularly screen for symptoms of food addiction,and do a good job of risk management.
作者
刘亚
严翠丽
汤春燕
杜新雨
顾艳荭
Liu Ya;Yan Cuili;Tang Chunyan;Du Xinyu;Gu Yanhong(Shanghai fifth people's hospital affiliated to Fudan University,Community Health Research Center of Fudan University,Shanghai 200240)
出处
《护士进修杂志》
2021年第22期2023-2028,共6页
Journal of Nurses Training
基金
上海市医学重点专科建设计划项目(编号:ZK2019B15)
上海市第五人民医院院内科研课题护理项目(编号:2019WYHLYB02)。
关键词
糖尿病
饮食管理
食物成瘾
耶鲁食物成瘾量表
Diabetes mellitus
Diet management
Food addiction
Yale food addiction scale
