摘要目的? 调查新疆地区新诊断2型糖尿病(T2DM)患者食物成瘾发生情况,并分析其影响因素.方法? 采用便利抽样法,选取2017年1—12月在新疆医科大学第一附属医院内分泌科门诊新诊断的T2DM患者279例为研究对象,采用耶鲁食物成瘾量表(YFAS)判定患者是否存在食物成瘾.根据结果将入选患者分为食物成瘾组和非食物成瘾组,收集两组的临床资料并比较,采用Spearman相关分析食物成瘾与临床资料的相关性,采用Logistic回归分析食物成瘾的影响因素.结果? 共39例患者被判定为食物成瘾,占比13.98%(39/279).食物成瘾组BMI、腰围、腰高比、空腹血糖、餐后2 h血糖、三酰甘油及胰岛素抵抗指数均高于非食物成瘾组,胰岛素分泌指数低于非食物成瘾组,差异有统计学意义(P＜0.05).Spearman相关分析显示,食物成瘾与性别、BMI、腰围、腰高比、空腹血糖呈正相关,与年龄呈负相关(P＜0.05).Logistic回归分析显示,性别、年龄及BMI是新诊断T2DM患者食物成瘾的影响因素(P＜0.05).结论? 我国新疆地区新诊断T2DM患者食物成瘾者占比较高,其可能与性别、年龄及BMI有关.医务工作者应重视T2DM患者食物成瘾的筛查及生活方式干预,以预防糖尿病及其他代谢类疾病.

abstractsObjective? To investigate the prevalence of food addiction among newly diagnosed type 2 diabetes mellitus (T2DM) patients in Xinjiang region and to analyze its influencing factors. Methods? From January 2017 to December 2017, we selected 279 newly diagnosed T2DM patients in Endocrinology Outpatient Department of the First Affiliated Hospital of Xinjiang Medical University as subjects by convenience sampling. The Yale Food Addiction Scale was used to judge the food addiction of patients. All selected patients were divided into group of food addiction and group of non-food addiction based on results. We collected and compared the clinical data both groups, and used Spearman correlation to analyze the correlations between food addiction and clinical data, and used Logistic regression to analyze the influencing factors of food addiction. Results? A total of 39 patients were judged as food addiction with 13.98% (39/279) for the proportion. In group of food addiction, the body mass index (BMI), waistline, waistline/height, fasting blood glucose (FBG), 2-hour postprandial plasma glucose (2 h-PG), triacylglycerol and insulin resistance index were higher than those in group of non-food addiction, and the insulin secretion index was lower than that in control group,the differences were all statistically significant(P＜0.05). Spearman correlation analysis showed that food addiction had positive correlations with the sexes, BMI, waistline, waistline/height and FBG, and had a negative correlation with the ages (P＜0.05). Logistic regression analysis showed that the influencing factors of food addiction among newly diagnosed T2DM patients included sexes, ages and BMI (P＜ 0.05). Conclusions? The proportion of food addiction is high among newly diagnosed T2DM patients in Xinjiang region of China which is related to sexes, ages and BMI. Medical staff should pay attention to the screening of food addiction and intervention for life style so as to prevent diabetes and other metabolism diseases.