Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes
Abstract Background Obesity’s increasing follows decreased perception of weight status in obese persons, mainly female, undergoing age-related changes. Objective To study weight perception and psychological alterations associated to MS and T2DM. Methods 200 patients selected from Metabolic Syndrome...
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | Diabetology & Metabolic Syndrome |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13098-017-0222-4 |
| _version_ | 1811211690694410240 |
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| author | Maria Cristina de Oliveira Regina Marcos Antonio Tambascia |
| author_facet | Maria Cristina de Oliveira Regina Marcos Antonio Tambascia |
| author_sort | Maria Cristina de Oliveira Regina |
| collection | DOAJ |
| description | Abstract Background Obesity’s increasing follows decreased perception of weight status in obese persons, mainly female, undergoing age-related changes. Objective To study weight perception and psychological alterations associated to MS and T2DM. Methods 200 patients selected from Metabolic Syndrome Outpatient Clinic of University of Campinas. Instruments: Beck Depression and Beck Anxiety Inventories’, Toronto Alexithymia Scale-26s, questionnaire and data from reports. Approved by Unicamp Research Ethic Committee. Results Patients aged 18–40 years perceived their weight higher than actual (A < D) (p = 0.0272), amongst untreated hypertensive (p = 0.037). ≥41 years old patient’s subdivided into A = D and A > D. A = D had 4.3 more chances to be alexithymic than A < D. 35% of A < D accepted their physical appearance, contrarily A = D (66%) and A > D (69%) (p = 0.0018). 50% of A < D felt offended by social aggression due to their weight; A = D (20%) and A > D (34%) (p = 0.007). 3.6 more chances of A > D than A < D using anti-hypertensive drugs (p = 0.021) (≥41 years old) and 3.5 more chances to perceive A = D (41–60 years old) (p = 0.023). A = D presented 3.8 more chances of depression than A < D and 4.3 more chances of alexithymia than A < D (62% of 41–60 year-old patients with higher cholesterol, mainly LDL and hyper-triglycerides). A = D with alexithymia, partially linked with higher cholesterol, suggests neuroinflammation due to hypertriglycerides. Females, who declared had been anteriorly made diet as treatment to lose weight were exactly those who perceived their weight A > D (45%, p = 0.0091). Conclusions Age as a period of development, in which cultural influences occurs, was a factor in weight misperception. A < D and A > D were distinct in age, history of obesity and BMI. |
| first_indexed | 2024-04-12T05:16:27Z |
| format | Article |
| id | doaj.art-de60c82c19a8459dbb4b4553aba0ea46 |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-04-12T05:16:27Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-de60c82c19a8459dbb4b4553aba0ea462022-12-22T03:46:37ZengBMCDiabetology & Metabolic Syndrome1758-59962017-05-01911910.1186/s13098-017-0222-4Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetesMaria Cristina de Oliveira Regina0Marcos Antonio Tambascia1Department of Human Being Development and Rehabilitation, Medical Faculty of State University of CampinasDepartment of Internal Medicine, Endocrinology Metabolic Syndrome and Diabetes, Medical Faculty of State University of CampinasAbstract Background Obesity’s increasing follows decreased perception of weight status in obese persons, mainly female, undergoing age-related changes. Objective To study weight perception and psychological alterations associated to MS and T2DM. Methods 200 patients selected from Metabolic Syndrome Outpatient Clinic of University of Campinas. Instruments: Beck Depression and Beck Anxiety Inventories’, Toronto Alexithymia Scale-26s, questionnaire and data from reports. Approved by Unicamp Research Ethic Committee. Results Patients aged 18–40 years perceived their weight higher than actual (A < D) (p = 0.0272), amongst untreated hypertensive (p = 0.037). ≥41 years old patient’s subdivided into A = D and A > D. A = D had 4.3 more chances to be alexithymic than A < D. 35% of A < D accepted their physical appearance, contrarily A = D (66%) and A > D (69%) (p = 0.0018). 50% of A < D felt offended by social aggression due to their weight; A = D (20%) and A > D (34%) (p = 0.007). 3.6 more chances of A > D than A < D using anti-hypertensive drugs (p = 0.021) (≥41 years old) and 3.5 more chances to perceive A = D (41–60 years old) (p = 0.023). A = D presented 3.8 more chances of depression than A < D and 4.3 more chances of alexithymia than A < D (62% of 41–60 year-old patients with higher cholesterol, mainly LDL and hyper-triglycerides). A = D with alexithymia, partially linked with higher cholesterol, suggests neuroinflammation due to hypertriglycerides. Females, who declared had been anteriorly made diet as treatment to lose weight were exactly those who perceived their weight A > D (45%, p = 0.0091). Conclusions Age as a period of development, in which cultural influences occurs, was a factor in weight misperception. A < D and A > D were distinct in age, history of obesity and BMI.http://link.springer.com/article/10.1186/s13098-017-0222-4Perception of weightActual body mass indexReported or declared body mass indexDyslipidemiaHypertensionType 2 diabetes mellitus |
| spellingShingle | Maria Cristina de Oliveira Regina Marcos Antonio Tambascia Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes Diabetology & Metabolic Syndrome Perception of weight Actual body mass index Reported or declared body mass index Dyslipidemia Hypertension Type 2 diabetes mellitus |
| title | Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes |
| title_full | Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes |
| title_fullStr | Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes |
| title_full_unstemmed | Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes |
| title_short | Depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes |
| title_sort | depression and alexithymia on weight perception in patients with metabolic syndrome and type 2 diabetes |
| topic | Perception of weight Actual body mass index Reported or declared body mass index Dyslipidemia Hypertension Type 2 diabetes mellitus |
| url | http://link.springer.com/article/10.1186/s13098-017-0222-4 |
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