Characteristics of eating behavior in overweight individuals with somatic disorders
DOI: https://dx.doi.org/10.18565/therapy.2021.3.14-19
Shepel R.N., Drapkina О.М., Lavrenova E.A.
National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Healthcare of Russia, Moscow
Abstract. Aims: to study the characteristics of eating behavior in overweight individuals with somatic disorders.
Material and methods. The study included 60 patients (22 men and 39 women, average age 56,53±16,14 years). Depending on the measure of body mass index participants in the study were divided into 2 groups: 1st group – patients with normal body weight (n=30); group 2 – patients with overweight (n=30). All patients underwent assessment of anthropometric indices (height, weight, body mass index). Type of eating behavior was determined using the Dutch Eating Behavior Questionnaire (DEBQ).
Results. In each of the studied groups revealed almost the same number of patients (19 patients in the 1st, 18 – 2nd group), which were violations of restrictive behavior, while the average score in individuals with overweight was higher than in individuals with normal body weight. The participants of the 1st group violations of the emotional behavior met 2,5 more frequently than emotional behavior 2nd group: emotional behavior >1,8 scores was from 6 (20%) women and 4 (13,3%) men with normal weight and only 4 patients (13,3%) women with overweight. Men with overweight, in which there would be a violation of the emotional behavior, we were recorded. Violations of the external behavior met 1,3 times more often in persons with overweight. The number of men with violation of the external behavior was 2 times greater among individuals with overweight, compared with persons of normal weight – 4 (13,3%) and 2 (6,7%), respectively. In participants with normal weight the most frequently met combination of violations of the restrictive behavior and emotional behavior (7 (23,3%) patients), while as in individuals with overweight were more frequent in the combination of violations restrictive behavior and external behavior (6 (20%) patients). Violations of all three types were present in one participant in each group (in both cases they were women).
Conclusion. A comprehensive treatment of the patient based on an assessment of the type of eating behavior and, if necessary, psychological assistance will provide effective screening of individuals with eating disorders and will serve as the basis for timely preventive measures, the purpose of which is to prevent the development of obesity.
Keywords: restrained, emotional, and external types of eating behavior, overweight, Dutch Eating Behavior Questionnaire
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About the Autors
Ruslan N. Shepel, Deputy Director for prospective development of medical activity of National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Healthcare of Russia. Address: 101000, Moscow, 10/3 Petroverigky Lane. Tel.: +7 (499) 553-68-91. E-mail: RShepel@gnicpm.ru. ORCID: 0000-0002-8984-9056
Oksana М. Drapkina, MD, professor, corresponding member of RAS, Director of National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Healthcare of Russia. Address: 101000, Moscow, 10/3 Petroverigskiy Lane. Tel: +7 (495) 623-86-36. E-mail: ODrapkina@gnicpm.ru. ORCID: 0000-0002-4453-8430
Eugeniya A. Lavrenova, endocrinologist-nutritionist of National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Healthcare of Russia. Address: 101000, Moscow, 10/3 Petroverigky Lane. Tel.: +7 (499) 553-68-91. E-mail: ELavrenova@gnicpm.ru. ORCID: 0000-0003-1429-8154