lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • 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 ; Region Kronoberg.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
Lund University ; Region Kronoberg.
Lund University.
Show others and affiliations
2017 (English)In: BMC Obesity, E-ISSN 2052-9538, Vol. 4, 21Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 4, 21
Keyword [en]
Alexithymia, Anxiety, Cardiovascular complications, Depression, Emotions, Gender, Obesity, Physical activity, Self-image, Type 1 diabetes mellitus
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:lnu:diva-65934DOI: 10.1186/s40608-017-0157-1OAI: oai:DiVA.org:lnu-65934DiVA: diva2:1117212
Available from: 2017-06-28 Created: 2017-06-28 Last updated: 2017-07-20Bibliographically approved

Open Access in DiVA

fulltext(672 kB)7 downloads
File information
File name FULLTEXT01.pdfFile size 672 kBChecksum SHA-512
a5fec46aba88f5f8bd616851fc4763072c9f7af0b3cf3ac25c29e1e955f0e3e6dd518b4c72db975109642970f318ae2a1c3eb998a18748bcc307ceb6a2a0b581
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Svensson, Ralph

Search in DiVA

By author/editor
Svensson, Ralph
By organisation
Department of Psychology
Endocrinology and Diabetes

Search outside of DiVA

GoogleGoogle Scholar
Total: 7 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 25 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf