The predictive role of eating disorders and physical activity in findrisc diabetes risk
the sample of nutrition and dietetics students
Palabras clave:
Diabetes, Diabetes risk score, Eating disorder, Physical activityResumen
Objective
The aim of this study was to investigate the effect of eating disorder risk and physical activity level on diabetes risk in students enrolled in the Department of Nutrition and Dietetics.
Methods
This cross-sectional descriptive study was conducted with 313 students enrolled in the Department of Nutrition and Dietetics at a private foundation university during the academic year of 2021-2022. Data was collected through face-to-face interviews using the Information Form, International Physical Activity Questionnaire, SCOFF Eating Disorders Scale, and Finnish Type-2 Diabetes Risk Questionnaire. The data was analyzed using IBM®SPSS® v.26 statistical software.
Results
Among the Nutrition and Dietetics students, 91.1% were female, mean age was 21.42±3.62 years, and mean body mass ındex was 21.72±3.25 kg/m2. According to International Physical Activity Questionnaire assessment, 8.9% of the students were categorized as inactive. The SCOFF Eating Disorders Scale assessment revealed that 25.6% of the students were at risk of developing an eating disorder. The Finnish Type-2 Diabetes Risk Questionnaire assessment indicated that 90.7% of the students had a low to slight risk of diabetes. The results of the correlation analysis showed that as International Physical Activity Questionnaire scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores decreased by 16.8% (p=0.003), and as SCOFF Eating Disorders Scale scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores also increased by 28% (p<0.001). The results of the multiple regression analysis showed that International Physical Activity Questionnaire significantly predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 3.8% of the variance, while SCOFF Eating Disorders Scale predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 8% of the variance (p<0.001).
Conclusion
The findings of this study suggest that physical activity level and susceptibility to eating disorders have a significant effect on the development of diabetes mellitus.
Citas
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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Derechos de autor 2025 Pinar Hamurcu, Nazli Batar
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
