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Dietary Adherence, Glycemic Control, and Psychological Factors Associated with Binge Eating Among Indigenous and Non-Indigenous Chileans with Type 2 Diabetes

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Abstract

Background

Despite the strong association between obesity and binge eating, limited research has examined the implications of binge eating on dietary adherence and psychological factors in ethnically diverse type 2 diabetes patients.

Purpose

This study investigated the prevalence of binge eating and its association with dietary adherence, glycemic control, and psychological factors among indigenous and non-indigenous type 2 diabetes patients in Chile.

Method

Participants were 387 indigenous (Mapuche) and non-indigenous (non-Mapuche) adults with type 2 diabetes. Self-report measures of binge eating, dietary adherence, diet self-efficacy, body image dissatisfaction, and psychological well-being were administered. Participants’ weight, height, and glycemic control (HbA1c) were also obtained.

Results

Approximately 8 % of the type 2 diabetes patients reported binge eating. The prevalence among Mapuche patients was 4.9 %, and among non-Mapuche patients, it was 9.9 %. Compared to non-binge eaters, binge eating diabetes patients had greater body mass index values, consumed more high-fat foods, were less likely to adhere to their eating plan, and reported poorer body image and emotional well-being.

Conclusion

Results of this study extend previous research by examining the co-occurrence of binge eating and type 2 diabetes as well as the associated dietary behaviors, glycemic control, and psychological factors among indigenous and non-indigenous patients in Chile. These findings may increase our understanding of the health challenges faced by indigenous populations from other countries and highlight the need for additional research that may inform interventions addressing binge eating in diverse patients with type 2 diabetes.

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Acknowledgments

This study was part of a larger research project supported by funding from the Government of Chile, through its National Council for Scientific and Technological Research (CONICYT), FONDECYT project 1090660 to the last author. The authors thank the FONDECYT project research team, particularly Tamara Hernandez Otzen, Gloria Muñoz, and Ligia Orellana, whose contribution made the data collection for this study possible.

Conflict of Interest

Sylvia Herbozo, Patricia M. Flynn, Serena D. Stevens, and Hector Betancourt declare that they have no conflict of interest.

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Authors and Affiliations

  1. Loma Linda University, 11130 Anderson St., Loma Linda, CA, 92350, USA

    Sylvia Herbozo, Patricia M. Flynn, Serena D. Stevens & Hector Betancourt

  2. Universidad de La Frontera, Francisco Salazar 1145, 4811230, Temuco, Araucanía, Chile

    Hector Betancourt

  3. Department of Psychology, Loma Linda University, 11130 Anderson Street, Loma Linda, CA, 92350, USA

    Sylvia Herbozo

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  1. Sylvia Herbozo
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Correspondence to Sylvia Herbozo.

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Herbozo, S., Flynn, P.M., Stevens, S.D. et al. Dietary Adherence, Glycemic Control, and Psychological Factors Associated with Binge Eating Among Indigenous and Non-Indigenous Chileans with Type 2 Diabetes. Int.J. Behav. Med. 22, 792–798 (2015). https://doi.org/10.1007/s12529-015-9478-y

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