{"id":24993,"date":"2024-02-02T09:55:40","date_gmt":"2024-02-02T08:55:40","guid":{"rendered":"https:\/\/idibell.cat\/?p=24993"},"modified":"2024-02-02T09:55:40","modified_gmt":"2024-02-02T08:55:40","slug":"relacionen-la-diabetis-tipus-2-i-laugment-de-simptomes-depressius","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2024\/02\/relacionen-la-diabetis-tipus-2-i-laugment-de-simptomes-depressius\/","title":{"rendered":"Relacionen la diabetis tipus 2 i l\u2019augment de s\u00edmptomes depressius"},"content":{"rendered":"<p>Un estudi dona suport a <strong>l\u2019associaci\u00f3 entre la pres\u00e8ncia de diabetis tipus 2 i la gravetat dels s\u00edmptomes depressius en adults d&#8217;edat avan\u00e7ada amb obesitat i s\u00edndrome metab\u00f2lic<\/strong>. Aquest treball suggereix, a m\u00e9s, un pitjor control metab\u00f2lic a partir de nivells lleus de simptomatologia depressiva presentats a curt-mig termini, influ\u00eft per l\u2019\u00edndex de massa corporal i els h\u00e0bits de vida relacionats amb la cura de la diabetis. Els resultats s\u2019han publicat a la <a href=\"https:\/\/doi.org\/10.1007\/s40618-023-02278-y\"><em>Journal of Endocrinological Investigation<\/em><\/a>.<\/p>\n<p><em>\u201cLa diabetis tipus 2 i els problemes afectius s\u00f3n altament com\u00f2rbids, amb factors subjacents compartits i una influ\u00e8ncia m\u00fatua en el seu curs cl\u00ednic i tractament, inclosa l\u2019adher\u00e8ncia a la dieta i l\u2019activitat f\u00edsica o el control de les complicacions relacionades amb la diabetis\u201d <\/em>expliquen Isabel Baenas i Luc\u00eda Camacho-Barcia, investigadores de l\u2019IDIBELL, l\u2019Hospital Universitari de Bellvitge i el CIBEROBN que han liderat la investigaci\u00f3. <em>\u201cAix\u00f2 comporta un <strong>augment de la morbimortalitat i una reducci\u00f3 de la qualitat de vida<\/strong> d\u2019aquests individus, fet que \u00e9s especialment important per als adults de mitjana i avan\u00e7ada edat, que constitueixen un grup de vulnerabilitat deguda la freq\u00fcent coexist\u00e8ncia de trastorns metab\u00f2lics i afectius\u201d <\/em>afegeixen les investigadores.<\/p>\n<p>La recerca ha estat coordinada pel grup que dirigeixen la Dra. Susana Jim\u00e9nez-Murcia i el Dr. Fernando Fern\u00e1ndez-Aranda, des de l\u2019Hospital Universitari de Bellvitge i l\u2019IDIBELL, i ha comptat amb la participaci\u00f3 de tots els grups del CIBEROBN que participen a PREDIMED-Plus. L\u2019estudi ha analitzat a m\u00e9s de 6.000 participants per a investigar <strong>la relaci\u00f3 transversal entre la simptomatologia depressiva i la pres\u00e8ncia de diabetis tipus 2<\/strong>, a m\u00e9s d\u2019explorar la seva associaci\u00f3 amb el control metab\u00f2lic a trav\u00e9s de l\u2019hemoglobina glicosilada, que mesura la glucosa en sang, i altres variables metab\u00f2liques. De la mateixa manera, s\u2019ha examinat la relaci\u00f3 prospectiva entre els s\u00edmptomes depressius i els nivells d\u2019hemoglobina glicosilada en sang, despr\u00e9s d\u2019un any de seguiment. <strong><em>\u201cHem avaluat la capacitat predictiva dels s\u00edmptomes depressius basals sobre l\u2019hemoglobina glicosilada a l\u2019any de seguiment, i el possible paper mediador de diferents caracter\u00edstiques com la duraci\u00f3 de la diabetis, l\u2019activitat f\u00edsica, l\u2019adher\u00e8ncia a la dieta mediterr\u00e0nia i l\u2019\u00edndex de massa corporal\u201d <\/em><\/strong>explica el Dr. Fern\u00e1ndez-Aranda, tamb\u00e9 Catedr\u00e0tic de la Universitat de Barcelona i coordinador de la Unitat de Trastorns de la Conducta Aliment\u00e0ria de l\u2019Hospital Universitari de Bellvitge.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Un enfoc terap\u00e8utic integrador per als pacients amb diabetis tipus 2<\/strong><\/p>\n<p>L\u2019estudi s\u2019emmarca en el projecte PREDIMED-Plus, la mostra del qual est\u00e0 composta per adults d\u2019edat avan\u00e7ada amb sobrep\u00e8s o obesitat i s\u00edndrome metab\u00f2lic que van adoptar una estrat\u00e8gia multimodal basada en la dieta mediterr\u00e0nia i la restricci\u00f3 cal\u00f2rica, acompanyada de la promoci\u00f3 de l\u2019activitat f\u00edsica d\u2019oci i el recolzament psicosocial.<\/p>\n<p><strong><em>\u201cVam observar que la pres\u00e8ncia de diabetis tipus 2 augmentava la probabilitat de majors nivells de s\u00edmptomes depressius, i al seu torn, a majors nivells de s\u00edmptomes depressius, la prevalen\u00e7a de diabetis tipus 2 era major\u201d<\/em><\/strong> manifesten les doctores Baenas i Camacho-Barcia.<\/p>\n<p>Les an\u00e0lisis fetes en l\u2019estudi van mostrar que, a major severitat de s\u00edmptomes depressius basals, major era la probabilitat d\u2019obtenir uns nivells d\u2019hemoglobina glicosilada en el seguiment anual que reflectissin un pitjor control metab\u00f2lic. Les investigadores afegeixen, a m\u00e9s, que \u201c<em>una major severitat en els s\u00edmptomes depressius a l\u2019inici de l\u2019estudi, aix\u00ed com la duraci\u00f3 de la diabetis, van predir, a l\u2019any d\u2019intervenci\u00f3, majors nivells d\u2019hemoglobina glicosilada, major \u00edndex de massa corporal, un menor nivell de despesa energ\u00e8tica en l\u2019activitat f\u00edsica d\u2019oci i una menor probabilitat d\u2019adher\u00e8ncia a la dieta mediterr\u00e0nia<\/em>\u201d.<\/p>\n<p>Els resultats posen de manifest la necessitat de garantir el cribratge dels s\u00edmptomes depressius, aix\u00ed com un enfoc terap\u00e8utic integrador i multidisciplinari en els pacients amb diabetis tipus 2, que tingui en compte tant el control metab\u00f2lic com els s\u00edmptomes depressius en aquesta poblaci\u00f3, donat que la millora simptom\u00e0tic d\u2019un influir\u00e0 en l\u2019altre.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d&#8217;Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l&#8217;Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l&#8217;Institut Catal\u00e0 de la Salut, l&#8217;Institut Catal\u00e0 d&#8217;Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d&#8217;Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L&#8217;any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un equip d&#8217;investigadors ha evidenciat com la pres\u00e8ncia de diabetis tipus 2 augmentava la probabilitat de patir m\u00e9s s\u00edmptomes depressius, i a la vegada, com a majors nivells de s\u00edmptomes depressius, la prevalen\u00e7a de diabetis tipus 2 era major.<\/p>\n","protected":false},"author":8,"featured_media":24994,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[340,457,515],"tags":[],"class_list":["post-24993","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurociencies","category-p-de-neurociencies","category-psiconeurobiologia-dels-trastorns-alimentaris-i-conductes-addictives"],"publishpress_future_action":{"enabled":false,"date":"2024-12-29 18:31:29","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/24993","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=24993"}],"version-history":[{"count":2,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/24993\/revisions"}],"predecessor-version":[{"id":24996,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/24993\/revisions\/24996"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/24994"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=24993"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=24993"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=24993"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}