XX Conference of the Graduate Committee of the Argentine Society Diabetes Topic: Obesity and Diabetes. Table 1: Psychosocial aspects of people with diabetes and obesity
DOI:
https://doi.org/10.47196/diab.v59i3Sup.1203Keywords:
diabetes mellitus, obesity, psychosocial factors, eating behavior, obesity phenotypes, mood disorders, psychotropic drugs, bariatric surgery, quality of life, sexual dysfunction, motivational interviewing, health coaching, weight management, depression, anxietyAbstract
Introduction: diabetes mellitus (DM) and obesity are chronic, multifactorial, and frequently coexisting diseases. Effective management requires not only medical interventions but also an understanding of the psychosocial factors that influence their development, progression, and therapeutic response.
Materials and methods: a review of the literature was conducted, prioritizing clinical practice guidelines, systematic reviews, meta-analyses, and clinical trials from the last 10 years. Evidence selection was aimed at identifying relevant findings in the clinical and psychosocial context of obesity and DM.
Results: dysfunctional dietary patterns, influenced by emotional, social, and biological factors, are key factors in maintaining excess weight. Phenotypic stratification of obesity allows for personalized treatment with improved weight loss outcomes. A high prevalence of mood disorders (depression, anxiety) was identified in people with DM and obesity, with bidirectional interactions affecting adherence and metabolic control. The use of psychotropic medications, especially antipsychotics and antidepressants, is frequently associated with weight gain. Quality of life and sexual function are impaired, and there is an elevated psychosocial risk in certain subgroups, particularly those undergoing bariatric surgery. Behavioral tools such as motivational interviewing and health coaching demonstrate clinical and subjective benefits, facilitating patient empowerment.
Conclusions: a psychosocial approach to DM and obesity is essential for achieving effective, sustainable, and person-centered interventions. Incorporating communication tools and behavioral change strategies, respecting patients' experiences and belief systems, improves not only clinical parameters but also their overall well-being. It is recommended that psychosocial assessment be systematically integrated into all levels of care.
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