Eating behavior and metabolic syndrome over time.
Autor: Song, Yun-Mi; Lee, Kayoung
Publication year: 2020
Eating and weight disorders : EWD
issn:1590-1262 1124-4909
doi: 10.1007/s40519-019-00640-9
Abstract:
PURPOSE: We evaluated the longitudinal associations between eating behaviors (EB) and risk of metabolic syndrome (MetS). METHODS: We obtained complete data on EB, assessed using the Dutch Eating Behavior Questionnaire, and MetS components at baseline and follow-up. Participants included 1876 individuals (704 men, 1172 women; mean age, 45.0 ± 12.8 years) from those participating in the Korean Healthy Twin study. A generalized estimating equation model was applied, with sociodemographic factors, health-related factors, follow-up interval, and EB (baseline and changes over time) as independent factors. RESULTS: MetS at baseline was 21.5%, while incident MetS and persistent MetS were 12.0% and 66.6%, respectively, at the 3.13 ± 1.38 years follow-up period. In men, baseline restrained EB had positive associations with concurrent MetS (odds ratio [95% confidence interval] per 1 point increase in the score, 1.55 [1.33-1.81]) and persistent MetS (1.53 [1.16-2.01]); baseline external EB and change in external EB had positive associations with persistent MetS (1.56 [1.04-2.33], 1.37 [1.01-2.22], respectively). In women, baseline restrained EB had a positive association with concurrent MetS (1.14 [1.01-1.30]); baseline external EB had an inverse association with persistent MetS (0.71[0.52-0.98]); baseline emotional EB had positive associations with concurrent, incident, and persistent MetS (1.23 [1.01-1.50], 2.14 [1.50-3.06], and 1.92 [1.40-2.64], respectively); and change in emotional EB had positive associations with incident and persistent MetS (1.50 [1.05-2.15], 1.62 [1.14-2.29], respectively). CONCLUSION: Higher restrained and external EB, and an increase in external EB in men; and higher restrained and emotional EB, and an increase in emotional EB in women may be associated with increased risk of concurrent, incident, or persistent MetS. LEVEL OF EVIDENCE: III, cohort study.
Language: eng
Rights:
Pmid: 30715680
Tags: Humans; Female; Male; Adult; Incidence; Middle Aged; Risk Factors; Longitudinal Studies; Republic of Korea/epidemiology; Socioeconomic Factors; Sex; Health Behavior; Emotions/*physiology; Feeding Behavior/*psychology; Metabolic syndrome; Diseases in Twins/epidemiology/*etiology; Dutch Eating Behavior Questionnaire; Emotional eating behavior; Metabolic Syndrome/epidemiology/*etiology; Restrained eating behavior
Link: https://pubmed.ncbi.nlm.nih.gov/30715680/
