lnu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Gender, alexithymia and physical inactivity associated with abdominal obesity in type1 diabetes mellitus: a cross sectional study at a secondary care hospital diabetes clinic
Lund University, Sweden;Region Kronoberg, Sweden.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
Lund University, Sweden;Region Kronoberg, Sweden.
Lund University, Sweden.
Visa övriga samt affilieringar
2017 (Engelska)Ingår i: BMC Obesity, E-ISSN 2052-9538, Vol. 4, artikel-id 21Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Obesity is linked to cardiovascular diseases and increasingly common in type 1 diabetes mellitus (T1DM) since the introduction of intensified insulin therapy. Our main aim was to explore associations between obesity and depression, anxiety, alexithymia and self-image measures and to control for lifestyle variables in a sample of persons with T1DM. Secondary aims were to explore associations between abdominal and general obesity and cardiovascular complications in T1DM.

Methods: Cross sectional study of 284 persons with T1DM (age 18–59 years, men 56%), consecutively recruited from one secondary care hospital diabetes clinic in Sweden. Assessments were performed with self-report instruments (Hospital Anxiety and Depression Scale, Toronto Alexithymia Scale-20 items and Structural Analysis of Social Behavior). Anthropometrics and blood samples were collected for this study and supplemented with data from the patients ’ medical records. Abdominal obesity was defined as waist circumference men/women (meters): ≥ 1.02/≥0.88, and general obesity as BMI ≥30 kg/m2 for both genders. Abdominal obesity was chosen in the analyses due to the high association with cardiovascular complications. Different explanatory logistic regression models were elaborated for the associations and calibrated and validated for goodness of fit with the data variables.

Results: The prevalence of abdominal obesity was 49/284 (17%), men/women: 8%/29% (P < 0.001). Abdominal obesity was associated with women (AOR 4.9), physical inactivity (AOR 3.1), alexithymia (AOR 2.6) and age (per year) (AOR 1.04). One of the three alexithymia sub factors, “difficulty identifying feelings” (AOR 3.1), was associated with abdominal obesity. Gender analyses showed that abdominal obesity in men was associated with “difficulty identifying feelings ” (AOR 7.7), and in women with use of antidepressants (AOR 4.3) and physical inactivity (AOR 3.6). Cardiovascular complications were associated with abdominal obesity (AOR 5.2).

Conclusions: Alexithymia, particularly the alexithymia subfactor “difficulty identifying feelings”, physical inactivity, and women, as well as cardiovascular complications were associated with abdominal obesity. As abdominal obesity is detrimental in diabetes due to its association with cardiovascular complications, our results suggest two risk factor treatment targets: increased emotional awareness and increased physical activity.

Ort, förlag, år, upplaga, sidor
Springer, 2017. Vol. 4, artikel-id 21
Nyckelord [en]
Alexithymia, Anxiety, Cardiovascular complications, Depression, Emotions, Gender, Obesity, Physical activity, Self-image, Type 1 diabetes mellitus
Nationell ämneskategori
Endokrinologi och diabetes
Forskningsämne
Naturvetenskap, Medicin
Identifikatorer
URN: urn:nbn:se:lnu:diva-65934DOI: 10.1186/s40608-017-0157-1Scopus ID: 2-s2.0-85029763496OAI: oai:DiVA.org:lnu-65934DiVA, id: diva2:1117212
Tillgänglig från: 2017-06-28 Skapad: 2017-06-28 Senast uppdaterad: 2019-08-29Bibliografiskt granskad

Open Access i DiVA

fulltext(672 kB)112 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 672 kBChecksumma SHA-512
a5fec46aba88f5f8bd616851fc4763072c9f7af0b3cf3ac25c29e1e955f0e3e6dd518b4c72db975109642970f318ae2a1c3eb998a18748bcc307ceb6a2a0b581
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextScopus

Personposter BETA

Svensson, RalphThulesius, Hans

Sök vidare i DiVA

Av författaren/redaktören
Svensson, RalphThulesius, Hans
Av organisationen
Institutionen för psykologi (PSY)
Endokrinologi och diabetes

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 112 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
urn-nbn

Altmetricpoäng

doi
urn-nbn
Totalt: 168 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf