| Literature DB >> 30903441 |
Leonard H Epstein1, Rocco A Paluch2, Jeff S Stein3, Alexandra M Mellis3, Teresa Quattrin2, Lucy D Mastrandrea2, Kyle A Bree2, Mark H Greenawald3, Warren K Bickel3.
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.Entities:
Keywords: Delay discounting; Glycemic control; Prediabetes
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Year: 2019 PMID： 30903441 PMCID： PMC6726498 DOI： 10.1007/s10865-019-00026-3
Source DB: PubMed Journal: J Behav Med ISSN： 0160-7715