Delay Discounting, Glycemic Regulation and Health Behaviors in Adults with Prediabetes.

Delay Discounting, Glycemic Regulation and Health Behaviors in Adults with Prediabetes.
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DOI:
10.1080/08964289.2020.1712581
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发表时间:
2021-07
期刊:
Behavioral medicine (Washington, D.C.)
影响因子:
--
通讯作者:
Bickel WK
Bickel WK
中科院分区:
其他
文献类型:
--
作者:
Epstein LH;Paluch RA;Stein JS;Quattrin T;Mastrandrea LD;Bree KA;Sze YY;Greenawald MH;Biondolillo MJ;Bickel WK

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2型糖尿病患者的饮食习惯有哪些?研究表明,2型糖尿病患者可能会低估未来,并专注于眼前的回报。本研究旨在评估延迟折扣(DD)过程是否与糖尿病前期成人的血糖调节,药物依从性以及饮食和运动行为相关。参与者包括81名患有前驱糖尿病的成年人,他们也被开了高血压或血脂异常药物,这在前驱糖尿病患者中很常见。参与者完成了调整量DD 100美元和1000美元的任务,以及血糖控制(血红蛋白(Hb)A1 c),药物依从性,饮食质量和客观测量的体力活动的评估。DD和这些变量之间的关系进行了评估。结果显示,DD发生率较高与HbA 1c较高有关;以及药物依从性较差,饮食质量较低和体力活动较少。分层回归显示,少数民族地位(2型糖尿病的一个已知危险因素)之间的关联受DD的调节,因为DD较高的少数民族具有较高的HbA 1c值。延迟折扣可能是一个新的目标,以防止从糖尿病前期发展为2型糖尿病。
The majority of people with prediabetes transition to type 2 diabetes. Research has suggested that persons with type 2 diabetes are likely to discount the future and focus on immediate rewards. This study was designed to assess whether this process of delay discounting (DD) is associated with glycemic regulation, medication adherence and eating and exercise behaviors in adults with prediabetes. Participants included 81 adults with prediabetes who were also prescribed hypertension or dyslipidemia drugs, which is common for people with prediabetes. Participants completed adjusting amount DD $100 and $1000 tasks, as well assessments of glycemic control (Hemoglobin (Hb) A1c), medication adherence, diet quality, and objectively measured physical activity. Relationships between DD and these variables were assessed. Results showed higher rates of DD were related to higher HbA1c; as well as poorer medication adherence, lower diet quality and lower physical activity. Hierarchical regression showed that the association between minority status, a known risk factor for type 2 diabetes, was moderated by DD, as minorities with higher DD had greater HbA1c values. Delay discounting may represent a novel target to prevent progression from prediabetes to type 2 diabetes.
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