O papel preditivo dos distúrbios alimentares e da atividade física no risco de diabetes
amostra de estudantes de nutrição e dietética
Palavras-chave:
Diabetes, Escore de risco de diabetes, Atividade física, Transtorno alimentarResumo
Objetivo
O estudo visou investigar como o risco de transtornos alimentares e o nível de atividade física influenciam o risco de diabetes em estudantes do Departamento de Nutrição e Dietética.
Métodos
Realizou-se um estudo transversal descritivo com 313 alunos matriculados no Departamento de Nutrição e Dietética de uma universidade privada, utilizando entrevistas face a face para coletar os dados com o Formulário de Informações, o Questionário Internacional de Atividade Física, a Escala de Distúrbios Alimentares SCOFF e o Questionário Finlandês de Risco para Diabetes Tipo, analisados por meio do software estatístico IBM®SPSS® v.26.
Resultados
Os alunos de Nutrição e Dietética avaliados neste estudo apresentaram uma predominância do sexo feminino (91,1%), idade média de 21,42±3,62 anos e o índice de massa corporal médio de 21,72±3,25 kg/m2. Segundo o Questionário Internacional de Atividade Física, 8,9% dos alunos foram considerados inativos. A avaliação SCOFF revelou que 25,6% dos alunos apresentavam risco de transtornos alimentares. O Questionário Finlandês de Risco para Diabetes Tipo 2 indicou que 90,7% dos alunos apresentavam risco baixo a leve de diabetes. A análise de correlação mostrou uma relação inversa entre os escores do Questionário Internacional de Atividade Física e do Questionário Finlandês de Risco para Diabetes Tipo 2, enquanto os escores do SCOFF estavam positivamente
correlacionados com o Questionário Finlandês de Risco para Diabetes Tipo 2. A análise de regressão múltipla indicou que o Questionário Internacional de Atividade Física e o SCOFF foram preditores significativos do escore do Questionário Finlandês de Risco para Diabetes Tipo 2. O Questionário Internacional de Atividade Física explicou 3,8% da variância e o SCOFF, 8% da variância (p<0,001).
Conclusão
Este estudo indica que o nível de atividade física e a propensão a transtornos alimentares influenciam significativamente o risco de desenvolver diabetes mellitus.
Referências
Endocrinology and Metabolism Society of Türkiye. Guidelines for the diagnosis, treatment and follow-up of diabetes mellitus and its complications [Internet]. 2020 [cited 2022 Dec 16]. Avaliable from: https://file.temd.org.tr/Uploads/publications/guides/documents/diabetes-mellitus_2022.pdf.
Republic of Türkiye Ministry of Health General Directorate of Public Health. Prevalence of Obesity in Türkiye [Internet]. 2002 [cited 2022 Dec 16]. Avaliable from: https://hsgm.saglik.gov.tr/tr/obezite/turkiyedeobezitenin-gorulme-sikligi.html.
Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan B, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pr. 2022;183:109119.
World Health Organization (WHO). Constitution [Internet]. 2022 [cited 2022 Dec 16]. Avaliable from: https://www.who.int/about/governance/constitution.
Warburton DE, Bredin SS. Reflections on physical activity and health: What should we recommend? Can J Cardiol. 2016;32(4):495-504.
Public Health Institution of Türkiye. Türkiye Physical Activity Guide [Internet]. 2014 [cited 2022 Dec 16]. Avaliable from: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Fiziksel_Aktivite_Rehberi/Turkiye_Fiziksel_Aktivite_Rehberi.pdf.
Hamadi L, Holliday J. Moderators and mediators of outcome in treatments for anorexia nervosa and bulimia nervosa in adolescents: A systematic review of randomized controlled trials. Int J Eat Disor. 2019;53(1):3-19.
American Psychological Association. Diagnostic and statistical manual of mental disorders. 5th. ed Washington: APA; 2013.
Tunç P. Childhood Trauma and Eating Attitudes in University Students. Curr Approa Psychiatr. 2019;11(1):203-19.
Altun M, Kutlu Y. The Views of Adolescent about the Eating Behaviour: A Qualitative Study . Floren Nightingale J Nursing. 2015;23(3):174-84.
Turkish Diabetes Foundation. Diabetes Diagnosis and Treatment Guide [Internet]. 2019 [cited 2022 Dec 16]. Avaliable from: https://www.turkdiab.org/admin/PICS/files/Diyabet_Tani_ve_Tedavi_Rehberi_2019.pdf
Öztürk M. Validity and reliability of the international physical activity questionnaire and determination of physical activity levels in university students [master’s thesis]. Ankara: Hacettepe University Institute of Health Sciences; 2005.
Aydemir Ö, Köksal B, Yalın Sapmaz Ş, Yüceyar H. Reliability and validity of Turkish form of SCOFF Eating Disorders Scale. Anatolian J Psychiat. 2015;16(1):31-5.
Demirağ HE. Diabetes risk assessment of the first degree relatives of patients with TYPE-2 diabetes mellitus [thesis]. Aydin: Adnan Menderes University; 2016.
Colak M. Physical activity levels and type 2 diabetes risk scores of university students. Stud Ethno-Med. 2015;9(3):401-9.
Demirağ H, Hintistan S, Tuncay B, Cin A. Vocational School of Health Services Students Determination of Diabetes Risks. J İnönü Univer Vocational School Health Services. 2018;6(2):25-35.
Choi J, Peters M, Mueller RO. Correlational analysis of ordinal data: From Pearson’sr to Bayesian polychoric correlation. Asia Pac Educ Rev. 2010;11(4):459-66.
Şekercioğlu G, Bökeoğlu ÖÇ, Büyüköztürk Ş. Investigation of Research Self-Efficacy in Prospective Teachers in Terms of Different Variables and Determination of Predictors. Akd U Jfa. 2018;1(2):137-47.
Atayoglu AT, Inanc N, Başmisirli E, Çapar AG. Evaluation of the Finnish Diabetes Risk Score (FINDRISC) for diabetes screening in Kayseri, Türkiye. Prim Care Diabetes. 2020;14(5):488-93.
Topbaş E. Type 2 Diabetes Mellitus (Dm) Risk In University Students And Related Factors . ACU Sağlık Bil Derg. 2019;10(4):616-20.
Gezer C. The Assesment Of Relatıon Between Waist/Height Ratio And Type 2 Diabetes Risk Among Nursing Students. J Food Health Sci. 2017;3(4):141-9.
Al-Shudifat AE, Al-Shdaifat A, Al-Abdouh AA, Aburoman MI, Otoum SM, Sweedan A, et al. Diabetes Risk Score in a Young Student Population in Jordan: A Cross-Sectional Study. J Diabetes Res. 2017;8290710.
Kulak E, Berber B, Temel H, Kutluay SN, Yıldırım M, Dedeoğlu FN, et al. Determination of type 2 diabetes risk levels in individuals applying to family medicine. Turk J Family Prac. 2019;23(1):20-30.
Awad A, Alsaleh FM. 10-year risk estimation for type 2 diabetes mellitus and coronary heart disease in Kuwait: A cross-sectional population-based study. PLoS One. 2015;10(1):e0116742.
Makrilakis K, Liatis S, Grammatikou S, Perrea D, Stathi C, Tsiligros P, et al. Validation of the Finnish diabetes risk score (FINDRISC) questionnaire for screening for undiagnosed type 2 diabetes, dysglycaemia and the metabolic syndrome in Greece. Diabetes Metab. 2011;37(2):144-51.
Bülbül E, Çelik S, Alçiçek H, Dindar A, Furtana M, Günal M, et al. Determining Diabetes Risk and Healthy Lifestyle Behaviors in Nursing Students. Türk Diyab Obez. 2020;3:230-8.
International Diabetes Federation. Diabetes Atlas 2022 Report [Internet]. 2022 [cited 2022 Dec 7]. Avaliable from: https://diabetesatlas.org/2022-reports/.
Aksu İ. Type 2 Diabetes Risk Among Academicians: South-Eastern Türkiye Sample [thesis], Gaziantep: Hasan Kalyoncu University Institute of Health Sciences; 2018.
Olgun N. Diabetes (Type 2) and Care. In: Akın S, Durna Z. Chronic Diseases and Care. Istanbul: Nobel Medical Publishing House; 2012.
National Sleep Foundation. Sleep in America Poll Sleep In The Modern Family [Internet]. 2014. [cited 2022 Dec 7]. Avaliable from: https://www.thensf.org/wp-content/uploads/2021/03/2014-Sleep-in-Americapoll-summary-of-findings-FINAL-Updated-3-26-14-.pdf.
Schwarz PE, Li J, Reimann M, Schutte AE, Bergmann A, Hanefeld M, et al. The Finnish Diabetes Risk Score is associated with insulin resistance and progression towards type 2 diabetes. J Clin Endocrinol Metab. 2009;94(3):920-6.
Hellgren MI, Petzold M, Beteus-Forslund H, Wedel H, Jansson PA, Lindblad U. Feasibility of a randomized controlled intervention with physical activity in participants with impaired glucose tolerance recruited by FINDRISC: A pilot study. Scand J Public Health. 2014;42(5):463-70.
Herpertz-Dahlmann B. Adolescent eating disorders: Definitions, symptomatology, epidemiology and comorbidity. Child Adolesc Psychiatr Clin N Am. 2009;18(1):31-47.
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Copyright (c) 2025 Pinar Hamurcu, Nazli Batar
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