Abstract

OLIVA, Laura et al. Carbohydrate compulsion study and its relationship with anthropometric and metabolic profile within a group of argentine adult women. Diaeta [online]. 2013, vol.31, n.143, pp.13-19. ISSN 1852-7337.

Introduction: In the act of eating, apart from numerous hormones and systems, a mechanism of pleasure/ reward participates, which obeys specific and natural stimuli. Objectives: To associate carbohydrate compulsion with anthropometric and metabolic profile within a group of Argentine adult women. Methodology: Cross sectional design in non-random volunteer sample of women over 20 years old, attending for the first time a Nutritional Consultation for Endocrine Metabolic Diseases Research during 2011-2012. Dependent variable: Carbohydrate Compulsion (irresistible urge to consume carbohydrates plus a sense of calm after consumption). Independent Variables: Age and biological stage: childbearing age, pre and post menopause, lifestyle (smoking, alcohol consumption and physical inactivity), anthropometric profile (BMI>25 kg/m2 and waist circumference: WC > 88cm), metabolic profile (HDL-C, insulin and TG expressed in mg/dl through HOMA-R > 2,5 and TG/HDL-C > 3,0), thyroid profile (euthyroid/ hypothyroid). Statistical analysis through SPSS 15.0 calculating Odds Ratio (OR), confidence interval (CI) of 95%, X2, Fisher test and Pearson correlation with statistical significance level p< 0,05. Results: Sample of 164 women 50,5 ± 10,7 years. 49,4% were postmenopausical. 87,7% were overweight or obese and 67,1% presented increased WC. 47% presented increased HOMA-R and 22,6% increased TG/HDL. 59,1% preferred the sweet, 73,8% peck between meals and 81,7% carbohydrate compulsion. Most do it without feeling hungry, more than twice a week and at night. The most chosen foods were baked foods and chocolate. Significant association was found between carbohydrate compulsion and overweight and obesity. (OR: 0,29; IC95%: 0,10-0,79; p=0,01) and increased waist circumference (OR: 0,34; IC95%: 0,15-0,77; p=0,009). Conclusion: Women with WC increased, overweight and obesity, presented much more risk towards carbohydrate compulsion tan those with normal anthropometric profile. There was no association between compulsions and variables related to metabolic profile and thyroid profile.

Keywords : Carbohydrate compulsion; Adult women; Anthropometric profile; Metabolic profile.

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