{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T19:38:06Z","timestamp":1776973086063,"version":"3.51.4"},"reference-count":47,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016573","name":"Japan Association for Diabetes Education and Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016573","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims\/Introduction<\/jats:title><jats:p>Diet directly affects glucose metabolism, and eating behavior is influenced by various daily life stressors. This study was conducted to investigate the relationship between common psychosomatic stressors on endocrine hormones and eating behavior in patients with type 2 diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This cross\u2010sectional study was performed in 40 patients with type 2 diabetes. Resting hormone blood sampling and four self\u2010reported questionnaires were employed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients who scored higher on the \u2018anger\/hostility\u2019 (AH) subcategory of the profile of mood state (POMS) questionnaire had significantly higher serum cortisol (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.40, <jats:italic>P<\/jats:italic>\u2009=\u20090.01 by least squares adjusted for age and sex). In the eating behavior questionnaire, the subcategories of \u2018feeling of hunger\/satiation\u2019 (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.49, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and \u2018eating as diversion\u2019 (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.39, <jats:italic>P<\/jats:italic>\u2009=\u20090.03) were associated with higher serum cortisol. Resting morning cortisol levels were higher in participants who rated high on the POMS\u2010AH and in those who reported \u2018irritated when hungry\u2019 and \u2018tend to eat when irritated or anxious\u2019. Sleep quality showed no association with eating behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mood state is associated with eating behavior. Anger increases cortisol levels and may lead to compulsive eating. Various forms of hostility are important factors in appetite control and increased cortisol secretion, and can be an impediment to successful dietary self\u2010management in patients with type 2 diabetes. Thus, assessment of mood state and control of negative mood are important therapeutic targets in diabetes management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.14176","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T09:59:14Z","timestamp":1709287154000},"page":"874-881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An exploratory study of factors in disordered eating behavior in diabetes self\u2010management in Japan"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5610-1044","authenticated-orcid":false,"given":"Sachiko","family":"Tsukamoto\u2010Kawashima","sequence":"first","affiliation":[{"name":"Preemptive Medicine and Lifestyle Related Disease Research Center Kyoto University Hospital  Kyoto Japan"},{"name":"Department of Diabetes, Endocrinology and Nutrition Kyoto University Graduate School of Medicine  Kyoto 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