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Gepubliceerd in: Journal of Behavioral Medicine 5/2019

22-03-2019

Role of delay discounting in predicting change in HBA1c for individuals with prediabetes

Auteurs: Leonard H. Epstein, Rocco A. Paluch, Jeff S. Stein, Alexandra M. Mellis, Teresa Quattrin, Lucy D. Mastrandrea, Kyle A. Bree, Mark H. Greenawald, Warren K. Bickel

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2019

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Abstract

The majority of people with prediabetes transition to type 2 diabetes. Weight gain is a known predictor of increasing the risk of diabetes, but another reason may be a focus on immediate rewards and discounting of the future. Delay discounting (DD: devaluation of future consequences) is related to obesity and poor glycemic control in persons with type 2 diabetes. This study was designed to assess whether changes in DD are associated with HbA1c change beyond BMI change in individuals with prediabetes. Hierarchical regression showed changes in BMI (p = 0.008) and the $1000 DD task (p = 0.04) were associated with HbA1c change beyond demographic characteristics, with the full model accounting for 25.8% of the variance. Those with greater BMI increases and greater increases in discounting of the future showed the greatest increases in HbA1c. DD represents a novel target to prevent progression from prediabetes to type 2 diabetes.
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Metagegevens
Titel
Role of delay discounting in predicting change in HBA1c for individuals with prediabetes
Auteurs
Leonard H. Epstein
Rocco A. Paluch
Jeff S. Stein
Alexandra M. Mellis
Teresa Quattrin
Lucy D. Mastrandrea
Kyle A. Bree
Mark H. Greenawald
Warren K. Bickel
Publicatiedatum
22-03-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00026-3

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