Journal of diabetes investigation 2018 01 12() doi 10.1111/jdi.12800
Higher hedonic hunger has been observed in obese individuals compared to those without obesity, but little is known about its association with glycemic management. We aimed to examine the association between hedonic hunger and glycemic control in non-obese and obese patients with type 2 diabetes (T2D).
Between April and November 2016, a total of 211 T2D patients who underwent comprehensive diabetes assessments at a university-affiliated hospital were recruited into two groups according to body mass index (BMI): non-obese (BMI) = 18.5-24.9 kg/m2 ) and obese (BMI ≥ 30 kg/m2 ) groups. All participants completed the Chinese version Power of Food Scale (PFS) for assessment of hedonic hunger. Good glycemic control was defined as glycated hemoglobin (HbA1c ) <7.0%. RESULTS
Compared to the non-obese group, the obese group displayed higher PFS aggregated and subscale "food available" scores (both P <0.05). After adjustment for age, gender, disease duration of diabetes and insulin use, there were positive associations of HbA1c with PFS aggregated, subscale "food available" and "food present" scores in the obese group (all P for trend <0.05). PFS aggregated score was negatively associated with good glycemic control in obese T2DM after adjustment using logistic regression analysis (adjusted odds ratio = 0.42, 95% confidence interval 0.20-0.91, P = 0.027). By contrast, such associations were not observed in non-obese T2D. CONCLUSIONS
Hedonic hunger had an independent and inverse association with good glycemic control in obese Chinese patients with T2D but not in their counterparts without obesity. This article is protected by copyright. All rights reserved.