期刊
JOURNAL OF DIABETES AND METABOLIC DISORDERS
卷 21, 期 2, 页码 1883-1893出版社
SPRINGER INT PUBL AG
DOI: 10.1007/s40200-022-01085-1
关键词
Binge eating disorder; T2DM; Obesity; Dysfunctional eating; Psychotherapy; Nutrition
The study demonstrates that psycho-nutritional treatment is effective in controlling weight and managing blood sugar in individuals with obesity and dysfunctional eating habits who have type 2 diabetes.
Purpose Dysfunctional eating is strongly associated with obesity and worsens type 2 diabetes (T2DM) outcomes. The aim of this study was to investigate the effectiveness of the psycho-nutritional treatment (PNT) of Centro DAI e Obesita of Citta della Pieve on weight loss and glucose management in dysfunctional eaters with obesity and T2DM. Methods PNT includes psychotherapeutical, nutritional, physical and social activities. Subjects with obesity, T2DM and dysfunctional eating habits who completed the 8 weeks residential program between 2010 and 2019 were compared with obese, T2DM, dysfunctional eaters who underwent to a conventional, hospital-based, nutritional treatment (CT). Anthropometric variables, glucolipid panel, and body composition were assessed at baseline and at the end of the program. Weight and HbA1c were also measured after one year from the completion. Results Sixty-nine patients completed the PNT and reduced weight (-7 +/- 3.2%; p < 0.001), BMI (-7 +/- 3.1%; p < 0.001), and triglycerides, AST, GGT and ALT (p <= 0.008); glycemic control improved (HbA1c: -1.1 +/- 1.5%, mean fasting glucose: -41 +/- 46 mg/dl, p < 0.001). Eleven% of subjects requiring diabetes medications at baseline discontinued the therapy. In the insulin treated group (49%), mean daily units were halved (-32.6 +/- 26.0, p < 0.001). At one year, weight loss (-6 +/- 7.4%, p < 0.001) and HbA1c reduction (-0.52 +/- 1.4%, p = 0.029) persisted. Fifty-five patients completed the CT: HbA1c reduced (p = 0.02), but weight (-0.6 +/- 3.7%), BMI (-0.7 +/- 3.8%), and insulin units' reduction (-2.5 +/- 11.7, p = 0.20) were lower compared to the PNT. Conclusion PNT is effective in improving T2DM management in patients with obesity and dysfunctional eating.
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