Analysis of risk factors for carbohydrate metabolism disorders in the population of the Tyumen region

The problem of the high prevalence of risk factors for carbohydrate metabolism disorders does not lose its relevance, while the special role of behavioral risk factors, in particular, eating behavior, is highlighted. Aim. To analyze risk factors for the development of carbohydrate disorders and eating disorders in the population of the Tyumen region. Materials and methods. The study involved 2176 people living in the Tyumen region: 64.8 % (n = 1,411) of women and 35.2 % (n = 765) of men, the median age was 41 (27; 53) years. 43.5 % (n = 947) of respondents lived in the south of the Tyumen region, 40 % (n = 871) – in the Yamalo–Nenets Autonomous District, 16.5 % (n = 358) – in the Khanty-Mansi Autonomous Okrug. Socio-demographic characteristics, behavioral risk factors, symptoms and manifestations of eating disorders were assessed according to the criteria of the DSM-V and the Dutch Eating Behavior Questionnaire (DEBQ), and the risk of developing carbohydrate disorders was assessed according to the FINDRISK scale. Results. Analysis of risk factors for the development of carbohydrate disorders and eating behavior in the population of the Tyumen region, the most common were: a burdened heredity with respect to diabetes mellitus (72.1 %), waist circumference  ⩾ 80 cm for women,  ⩾ 94 cm for men (43.9 %), age  ⩾ 45 years (43.7 %). Eating disorders (bulimia nervosa and compulsive overeating) were detected in 4.7 % of respondents. The presence of verified eating disorders increased the risk of developing carbohydrate disorders by 2.8 times (95 % confidence interval: 1.8–3.2; p = 0.033). Conclusion. Evaluation of the population’s eating behavior, both in terms of identifying disorders and nosological forms, and in terms of pathological patterns of behavior in terms of food intake, can be included in personalized preventive programs for working with the population to increase the effectiveness of verification and prevent the development of carbohydrate d isorders.

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