Characteristics of Inhibitory Control in Type 2 Diabetic Patients with Different Levels of Dietary Adherence

doi:10.12114/j.issn.1007-9572.2020.00.469

Abstract

Abstract: Background　Diet therapy is the basis of diabetes treatment，but the overall dietary adherence in type 2 diabetics is poor. Inhibitory control，a cognitive function closely related to diet behavior regulation，has been concerned in recent years. It is of great significance to explore its relationship with diet adherence to improve the dietary adherence in such patients. Objective　To explore the characteristics of inhibitory control by dietary adherence and their relationship in type 2 diabetic patients，to develop an inhibitory control training program based on dietary adherence to improve dietary adherence in such patients. Methods　Using convenient sampling method，190 type 2 diabetic patients from Department of Endocrinology，First Affiliated Hospital of Anhui Medical University were selected from May to September 2019. According to the score of the Food Control Behavior Scale（FCBS），they were divided into high，medium and low dietary adherence groups. Stop signal task was used to measure the no-stop signal response time（NSRT） and stop signal response time（SSRT） in three groups under conditions with stimuli from high，medium and low energy food pictures. Results　The average NSRT showed no significant differences across three groups during implementing stop signal tasks with stimuli from different types of pictures（P>0.05）.During implementing stop signal tasks with stimuli from high and low energy food pictures，low dietary adherence group had longer average SSRT than other two groups（P<0.05）. Low dietary adherence group required greater NSRT to implement stop signal tasks with stimuli from medium energy food pictures instead of from high and low energy food pictures（P<0.05）. Low dietary adherence group needed less SSRT to implement stop signal tasks with stimuli from medium energy food pictures instead of other two types of pictures（P<0.05），and so did medium dietary adherence group（P<0.05）. Conclusion　Low dietary adherence may be associated with lower food-specific inhibitory control in type 2 diabetic patients.

Key words: Diabetes mellitus, type 2；Dietary adherence；Inhibitory control；Stop signal task

摘要： 背景　饮食治疗是糖尿病治疗的基础，然而2型糖尿病（T2DM）患者饮食依从行为不佳。抑制控制作为与饮食行为调控存在密切联系的认知功能，近年来得到关注，研究其与饮食依从行为关联对改善患者饮食依从行为具有重要意义。目的　探究不同饮食依从性T2DM患者抑制控制特点，了解T2DM患者抑制控制加工与饮食依从行为关联，为构建T2DM患者饮食依从行为的抑制控制训练方案、提升患者饮食依从行为提供实证依据。方法　采用便利抽样法，选取2019年5—9月于安徽医科大学第一附属医院内分泌科住院的190例T2DM患者为研究对象，根据饮食控制行为量表（FCBS）得分将患者分为高、中、低饮食依从性三组，采用认知行为学范式停止信号任务测量在高、低能量食物图片、中性图片刺激条件下三组患者无停止信号反应时（NSRT）与停止信号反应时（SSRT）。结果　不同类别图片刺激任务中，三组患者NSRT差异无统计学意义（P>0.05）；在高、低能量食物图片刺激任务中，低饮食依从性组SSRT长于中、高饮食依从性组（P<0.05）。低饮食依从性组在高、低能量食物图片刺激任务的NSRT短于中性图片刺激，而SSRT长于中性图片刺激（P<0.05）；中饮食依从性组在高、低能量食物图片刺激任务的SSRT长于中性图片刺激（P<0.05）。结论　低饮食依从性T2DM患者对食物线索抑制控制能力较中、高饮食依从性患者降低。

关键词: 糖尿病, 2型, 饮食依从性, 抑制控制, 停止信号任务

ZHU Guiyue,LIU Annuo,DING Cuilu, et al. Characteristics of Inhibitory Control in Type 2 Diabetic Patients with Different Levels of Dietary Adherence　[J]. Chinese General Practice, 2020, 23(34): 4386-4393. DOI: 10.12114/j.issn.1007-9572.2020.00.469.
朱桂月,刘安诺,丁翠路等. 不同饮食依从性2型糖尿病患者抑制控制特点研究[J]. 中国全科医学, 2020, 23(34): 4386-4393. DOI: 10.12114/j.issn.1007-9572.2020.00.469.

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