Tıkınırcasına Yeme Bozukluğu ve Tip 2 Diabetes Mellitus

Yıl 2022, , 817 - 824, 30.06.2022

Şevval Keskinkaya , Aylin Açıkgöz Pınar

https://doi.org/10.37989/gumussagbil.976688

Öz

Tıkınırcasına yeme bozukluğu, telafi edici davranışlar olmaksızın, son 3 ay içerisinde en az haftada 1 kez tekrarlayan, bireyin kontrolünü kaybettiği tıkınırcasına yeme atakları ile karakterize olan bir yeme bozukluğudur. Zayıf benlik algısı, depresyon, belirli bir diyete uyma zorunluluğu, vücut ağırlığında artış gibi durumlar, Tip 2 Diabetes Mellitus ve tıkınırcasına yeme bozukluğu arasında çift yönlü bir ilişki oluşturmaktadır. İki rahatsızlığın birlikte seyretmesinin, diyabetli bireylerde metabolik kontrolünün sağlanmasını zorlaştırabileceği düşünülmektedir. Bu konuda literatürde çelişkili sonuçlar mevcut olsa da vücut ağırlığının, glisemik kontrol ve yeme bozukluğu arasındaki ilişkide düzenleyici olduğu düşüncesi yaygındır. Prevalansa yönelik yapılan çalışmalarda Tip 2 diyabetlilerin %0,1’i ile %25,6’sı arasında bir sıklıkta tıkınırcasına yeme bozukluğu olduğu saptanmıştır. Prevalanstaki bu geniş aralığın, çalışmalardaki katılımcılara ait özelliklerin ve kullanılan tarama araçlarının farklılığından kaynaklandığı düşünülmektedir. Tip 2 diyabetlilerde tıkınırcasına yeme bozukluğu tanısı için geliştirilmiş altın standart bir tarama testi bulunmamaktadır. Ancak bazı araştırmacılar, Yeme Bozukluğu İnceleme Anketi (Eating Disorder Examination-Questionnaire) ve Yeme ve Ağırlık Modelleri Anketi’nin (Questionnaire of Eating and Weight Patterns) taramada kullanmak için kullanışlı yöntemler olduğunu belirtmiştir. Bu derlemede, tıkınırcasına yeme bozukluğu ve Tip 2 Diabetes Mellitus arasındaki ilişki, görülme sıklığı, metabolik etkileri ve tanıda kullanılabilecek araçlar incelenmiştir.

Anahtar Kelimeler

Tip 2 diabetes mellitus, Tıkınırcasına yeme bozukluğu, Tanı testleri

Binge Eating Disorder and Type 2 Diabetes Mellitus

Öz

Binge Eating Disorder is an eating disorder characterized by binge-eating episodes in which the person loses control, recurring at least once a week for the last 3 months without compensatory behaviors. Conditions such as poor self-perception, depression, having to follow a certain diet, and increased body weight create a bidirectional relationship between Type 2 Diabetes Mellitus and Binge Eating Disorder. It is thought that the coexistence of the two disorders may make it difficult to achieve metabolic control in people with diabetes. Although there are conflicting results in the literature on this subject, it is widely believed that body weight is a moderator in the relationship between glycemic control and eating disorders. In studies conducted on the prevalence, it was determined that between 0.1% and 25.6% of Type 2 diabetes patients have Binge Eating Disorder. This wide range in prevalence is thought to be due to the differences in the characteristics of the participants in the studies and the screening tools used. There is no gold standard screening test developed for the diagnosis of Binge Eating Disorder in people with type 2 diabetes. However, some researchers have stated that the Eating Disorder Examination-Questionnaire and the Questionnaire of Eating and Weight Patterns are useful methods for screening. In this review, the relationship between Binge Eating Disorder and Type 2 Diabetes Mellitus, their incidence, metabolic effects and diagnostic tools were examined.

Anahtar Kelimeler

Type 2 diabetes mellitus, Binge-eating disorder, Diagnostic tests

Kaynakça

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