Associations between fatigue, sleep disturbance and eating style in adults with type 2 diabetes: A correlational study

Abstract

Aims and objectives:To test the hypothesis that fatigue and sleep disturbance account for a significant amount of variation in eating styles among people with type 2 diabetes (T2D). Background: Healthy eating is an important component of diabetes self-care but remains a major challenge. In people with T2D, symptoms of fatigue and sleep disturbance are pervasive. However, there is limited understanding of whether fatigue and sleep disturbance are associated with eating style in people with T2D. Design: Correlational design. Methods: This study was reported following the STROBE checklist. Data were collected between February 2017 and January 2018. A convenience sample of 64 T2D adults completed the Three-Factor Eating Questionnaire-R18V2 to measure eating style (e.g., emotional eating, cognitive restraint and uncontrolled eating). Diabetes distress, fatigue and sleep disturbance were measured using validated questionnaires. Hierarchical regression analyses were performed. Results: Only age was a significant predictor (β = −0.344) of cognitive restraint. Participant demographics, psychological factor and health-related factors contribute significantly to the model predicting emotional eating, but only diabetes distress was a significant predictor (β = 0.433). Introducing fatigue and poor sleep quality explained an additional 12.0% of the variation in emotional eating. The final model explained 24.9% of the variation in emotional eating; both diabetes distress (β = 0.294) and fatigue (β = 0.360) were significant predictors. Conclusion: There is a strong, independent relationship of fatigue and diabetes distress with emotional eating T2D patients. The effect of improving fatigue and diabetes distress on eating style should be explored. Relevance to clinical practice: In clinical practice, nurses are recommended to include a detailed assessment of fatigue and distress in patients with diabetes. Additional to the conventional nutrition therapy focusing on diet advice, eating style should also be incorporated in diet education by diabetes nurses. K E Y W O R D S distress, eating behaviour, emotion, fatigue, nurse, sleep, symptom | 3201 ZHU et al.

Eight-Section Brocade Exercises Improve the Sleep Quality and Memory Consolidation and Cardiopulmonary Function of Older Adults With Atrial Fibrillation-Associated Stroke

“…We chose the baseline characteristics [age (Hokett and Duarte, 2019; Scullin et al, 2019), gender (Spencer, 2008), high blood pressure (Borda et al, 2019; Kumar et al, 2019), high blood lipids (Reijmer et al, 2009; Kruisbrink et al, 2017), diabetes (Margolis et al, 2019; Zhu et al, 2019), being overweight (Mora-Gonzalez et al, 2019; Yeo et al, 2019), atrial fibrillation (Takii et al, 2016; Yeung et al, 2019), smoking (Blaes et al, 2019; Cohen et al, 2019), family history of stroke (Baumann et al, 2012; Reeves et al, 2014), and history of transient ischemic attack (Takahashi et al, 2009; Sico et al, 2017)] according to previous reports indicating that these parameters would affect sleep and memory. The statistical difference for baseline characteristics was insignificant between the two groups (Table 1, p > 0.05).…”

Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model

“…A recent study found that unhealthy diets led to excessive dietary energy intake, extreme dietary energy restriction, protein malnutrition, and starvation ketosis, and all of these are causes of diabetes fatigue [16]. Zhu and colleagues [67] reported the causal relationship of emotional eating with fatigue in adults with type 2 diabetes, but further investigation on how psychological aspects of dietary management are associated with diabetes fatigue is needed.…”

Muscle Mitochondrial Capacity and Endurance in Adults with Type 1 Diabetes

“…The primary findings of this study were that muscle endurance and muscle mitochondrial capacity were not different between adults with TID and controls. Previous studies have suggested that type 2 diabetes is associated with increased fatigue (reduced endurance) (23–27). However, there has been less research on muscle endurance and muscle mitochondrial capacity in people with T1D.…”