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Diagnóstico sugestivo de transtorno da compulsão alimentar periódica em portadores de diabetes mellitus tipo 2 e seu efeito sobre o controle metabólico Presumptive binge eating disorder in type 2 diabetes mellitus patients and its effect in metabolic control

Diagnóstico sugestivo de transtorno da compulsão alimentar periódica em portadores de diabetes mellitus tipo 2 e seu efeito sobre o controle metabólic

Diagnóstico sugestivo de transtorno da compulsão alimentar periódica em portadores de diabetes mellitus tipo 2 e seu efeito sobre o controle metabólico Presumptive binge eating disorder in type 2 diabetes mellitus patients and its effect in metabolic control  
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objective: This study sought to determine the presence of diagnosis suggestive of binge eating disorder in individuals with type 2 diabetes mellitus, and to evaluate the influence of such disorder on the metabolic control. Methods : sixty-three patients with type 2 diabetes mellitus and registered at the Diabetes and Hypertension Program of a Health Unit in the town of Balneário Camboriú, Santa Catarina, Brazil, were evaluated. The diagnosis of binge eating disorder was made by analysis of the Questionnaire on Eating and Weight Patterms - Revised. For the evaluation of metabolic control, 10 ml of blood was collected, and the serum glucose, glycated hemoglobin, tryglicerides, cholestrol and fractions were determined. Weight and height were determined for evaluation of national nutritional state, according to the body mass index. results: Among the evaluated individuals, 29% presented a diagnosis suggestive of binge eating disorder, with higher prevalence among females. The individuals with diagnosis suggestive of binge eating disorder presented a higher average body mass index value than the group without diagnosis. The serum concentrations of glycated hemoglobin (p = 0.02) and triglicerides (p = 0.03) were statistically higher in the group with diagnosis suggestive of binge eating disorder. Conclusions: Based on the results of this study, it is possible to conclude that the presence of binge eating disorder in individuals with type 2 diabetes mellitus favors an increase in body weight and has a negative influence on metabolic control, contributing to the early emergence of complications related to the disease.
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