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Accepted manuscript

Exploring the Interplay between Emotional Attitudes toward Diabetes, Eating Behavior, and Glycemic Control in Patients with Type 2 Diabetes Mellitus

Published online by Cambridge University Press:  23 October 2024

Olívia Garbin Koller ,
Tamires Freire de Carvalho Santana Andrade ,
Antônio Bonfada Collares Machado ,
Jessica Pinto Polet ,
Bárbara Pelicioli Riboldi ,
Cíntia Corte Real Rodrigues  and
Jussara Carnevale de Almeida
Olívia Garbin Koller
Affiliation:
Post-graduate Program in Nutrition, Food and Health, Universidade Federal do Rio Grande do Sul, Brazil.
Tamires Freire de Carvalho Santana Andrade
Affiliation:
Post-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil.
Antônio Bonfada Collares Machado
Affiliation:
Post-graduate Program in Psychology, Universidade Federal do Rio Grande do Sul, Brazil.
Jessica Pinto Polet
Affiliation:
Post-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil. Nutrition Division, Santa Casa de Misericórdia de Porto Alegre, Rio Grande do Sul, Brazil.
Bárbara Pelicioli Riboldi
Affiliation:
Post-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil.
Cíntia Corte Real Rodrigues
Affiliation:
Post-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil.
Jussara Carnevale de Almeida*
Affiliation:
Post-graduate Program in Nutrition, Food and Health, Universidade Federal do Rio Grande do Sul, Brazil. Post-graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil. Nutrition and Dietetics Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil. Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Brazil.
*
Corresponding author: Jussara Carnevale de Almeida, Nutrition and Dietetic Division, Hospital de Clínicas de Porto Alegre. Rua Ramiro Barcelos 2350, 1o andar do bloco A. PO 90035-003. Porto Alegre, Brazil. Phone: + 55 51 3359 8410; E-mail: jcalmeida@hcpa.edu.br
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Abstract

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Objective:

This study aimed to assess the association between emotional attitudes toward diabetes, eating behavior styles, and glycemic control in outpatients with type 2 diabetes.

Design:

Observational study.

Setting:

Endocrinology Division of Hospital de Clínicas de Porto Alegre, Brazil.

Participants:

91 outpatients diagnosed with type 2 diabetes. Baseline assessments included data on clinical parameters, lifestyle factors, laboratory results, eating behavior 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 hemoglobin values. Patients were categorized 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 glycemic control, eating behavior styles, and emotional attitudes. However, patients with a positive attitude towards the disease exhibited a significantly better response in glycemic control compared to 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 glycated hemoglobin levels following nutritional counseling. However, baseline BMI could be a potential confounding factor.

Keywords

Diabetes Mellitustype 2attitudeeating behaviornutrition education
Type
Research Paper
Information
Public Health Nutrition , Accepted manuscript , pp. 1 - 23
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Authors 2024