Aims/IntroductionDiet directly affects glucose metabolism, and eating behavior is influenced by various daily life stressors. This study was conducted to investigate the relationship between common psychosomatic stressors on endocrine hormones and eating behavior in patients with type 2 diabetes.Materials and MethodsThis cross‐sectional study was performed in 40 patients with type 2 diabetes. Resting hormone blood sampling and four self‐reported questionnaires were employed.ResultsPatients who scored higher on the ‘anger/hostility’ (AH) subcategory of the profile of mood state (POMS) questionnaire had significantly higher serum cortisol (β = 0.40, P = 0.01 by least squares adjusted for age and sex). In the eating behavior questionnaire, the subcategories of ‘feeling of hunger/satiation’ (β = 0.49, P < 0.01) and ‘eating as diversion’ (β = 0.39, P = 0.03) were associated with higher serum cortisol. Resting morning cortisol levels were higher in participants who rated high on the POMS‐AH and in those who reported ‘irritated when hungry’ and ‘tend to eat when irritated or anxious’. Sleep quality showed no association with eating behavior.ConclusionsMood state is associated with eating behavior. Anger increases cortisol levels and may lead to compulsive eating. Various forms of hostility are important factors in appetite control and increased cortisol secretion, and can be an impediment to successful dietary self‐management in patients with type 2 diabetes. Thus, assessment of mood state and control of negative mood are important therapeutic targets in diabetes management.

中文翻译：

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日本糖尿病自我管理中饮食失调行为因素的探索性研究

目的/简介饮食直接影响葡萄糖代谢，饮食行为受到各种日常生活压力源的影响。本研究旨在探讨 2 型糖尿病患者内分泌激素的常见心身应激源与饮食行为之间的关系。材料和方法本横断面研究在 40 名 2 型糖尿病患者中进行。采用静息激素血液采样和四份自我报告的问卷。结果在情绪状态概况（POMS）问卷的“愤怒/敌意”（AH）子类别中得分较高的患者血清皮质醇显着升高（β= 0.40，磷= 0.01（根据年龄和性别调整最小二乘法）。在饮食行为调查问卷中，“饥饿/饱足感”的子类别（β= 0.49,磷< 0.01) 和“以饮食为消遣”(β= 0.39,磷= 0.03）与较高的血清皮质醇相关。在 POMS-AH 上评分较高的参与者以及那些报告“饥饿时易怒”和“易怒或焦虑时倾向于进食”的参与者中，早晨静息皮质醇水平较高。睡眠质量与饮食行为无关。结论情绪状态与饮食行为相关。愤怒会增加皮质醇水平，并可能导致强迫性饮食。各种形式的敌意是控制食欲和增加皮质醇分泌的重要因素，并且可能成为 2 型糖尿病患者成功进行饮食自我管理的障碍。因此，情绪状态的评估和负面情绪的控制是糖尿病管理的重要治疗目标。