Akademik Veri Yönetim Sistemi
Journal of Clinical Medicine of Kazakhstan, cilt.19, sa.3, ss.28-34, 2022 (Scopus)
Abstract
Aim: Eating disorders (EDs), dysfunctional attitudes (DAs), and limitation
of movement due to kinesiophobia, which are more common in patients
with type 2 diabetes mellitus (T2DM), may contribute to poor metabolic
control, weight gain, disregard for treatment, and an increased prevalence of
microvascular and macrovascular complications; however, current evidence
is limited to small studies and restricted measures. In this study, these
characteristics were assessed in patients with T2DM relative to controls,
and factors independently associated with ED, DA and kinesiophobia were
examined.
Material and methods: This case-control study was conducted between
July 2018 and December 2018 at the Departments of Endocrinology and
Psychiatry of Erzurum Regional Training and Research Hospital, Erzurum,
Turkey. A total of 150 patients diagnosed with T2DM and 150 healthy controls
were included. The Eating Attitudes Test (EAT), Dysfunctional Attitude Scale
(DAS), and Tampa Scale for Kinesiophobia (TSK) were applied.
Results: Median age in the control group was 38 (IQR: 27 - 47) years, and
56 (IQR: 46 - 61) years in the patient group. Women comprised 67.3% of controls
and 61.3% of patients. Although all scale scores were higher in the patient
group compared to controls, the possible relationships were not confirmed
by multiple linear regression analysis. Significant factors independently
associated with higher DAS score were high age (p=0.043), high body mass
index (p=0.021) and presence of comorbidity (p=0.019). Significant factors
associated with higher TSK score were high age (p<0.001) and high BMI
(p=0.001). High age (p<0.001) was the only parameter associated with higher
EAT score. The presence of T2DM was not found to be an independent factor
associated with any of the scores.
Conclusion: Our results show that, rather than the presence of T2DM,
other patient characteristics were likely to be more influential on ED, DA
and kinesiophobia. These show that older patients with T2DM who have
comorbidities or DM-related complications are more likely to benefit from
management that account for these characteristics.
Key words: type 2 diabetes mellitus, dysfunctional attitude scale, tampa
scale for kinesiophobia, eating attitudes tes