Differences between bulimia nervosa and binge-eating disorder in females with type 1 diabetes

Takii, Michiaki; Kobashi, Gén; Uchigata, Yasuko; Maeda, Masaharu; Omori, Yasue; Kubo, Chiharu

doi:10.1016/s0022-3999(99)00031-8

Cited by 49 publications

(48 citation statements)

References 21 publications

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“…Unhealthy weight control practices and other disordered eating behaviors have potentially harmful consequences for all adolescents and are associated with negative psychological well-being (39), nutritional inadequacy (10,15,22), and the later onset of eating disorders (19,27) and obesity (38). The potential consequences of unhealthy weight control practices for adolescents with type 1 diabetes are of particular concern since these practices are associated with poorer metabolic control (8,13,32,41). Furthermore, disordered eating behaviors and poor metabolic control among young women with type 1 diabetes have been associated with microvascular complications (7,34,37).…”

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confidence: 99%

Weight Control Practices and Disordered Eating Behaviors Among Adolescent Females and Males With Type 1 Diabetes

et al. 2002

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OBJECTIVE -This study examines the prevalence of specific weight control practices/ disordered eating behaviors and associations with sociodemographic characteristics, BMI and weight perceptions, family functioning, and metabolic control among adolescent females and males with type 1 diabetes. RESULTS -Unhealthy weight control practices were reported by 37.9% of the females and by 15.9% of the males. Among the females, 10.3% reported skipping insulin and 7.4% reported taking less insulin to control their weight. Only one male reported doing either of these behaviors. Weight control/disordered eating behaviors were not associated with age, parental level of education, family structure, or race/ethnicity. Higher levels of weight dissatisfaction tended to be associated with unhealthy weight control/disordered eating; associations with BMI were inconsistent. Family cohesion was negatively associated with disordered eating among females (r ϭ Ϫ0.52; P Ͻ 0.001) and males (r ϭ Ϫ0.41; P Ͻ 0.001), but correlations with other measures of family environment (control, independence, and responsibility for diabetes management) were not significant. Correlations between disordered eating and HbA 1c levels were significant among females (r ϭ 0.33; P Ͻ 0.01) and males (r ϭ 0.26; P Ͻ 0.05). RESEARCH DESIGN AND METHODSCONCLUSIONS -Special attention is needed for youth with weight concerns and those from less cohesive families to assist in the development of healthy diabetes management behaviors.

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Weight Control Practices and Disordered Eating Behaviors Among Adolescent Females and Males With Type 1 Diabetes

et al. 2002

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“…Takii et al 76 compared a cohort of young women aged 16-36 years with type 1 diabetes who had been referred for eating disorder treatment (22 bulimia nervosa, 11 binge eating disorder [BED]) with 32 subjects with diabetes but without an eating disorder. They found significantly poorer metabolic control in those with an eating disorder compared to those without (average A1C levels were 12.3% in those with bulimia nervosa, 9.7% in BED subjects, and 6.2% in the non-eating disordered group).…”

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Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

Daneman¹,

Rodin²,

Jones³

et al. 2002

Diabetes Spectrum

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“…oncurrence of eating disorders is often problematic for clinicians treating diabetic patients, especially young type 1 diabetic females (1)(2)(3)(4)(5)(6)(7). Over the past two decades, a large number of studies focusing on this issue have reported that concurrence of eating disorders results in deterioration of metabolic control in diabetic patients and hastens the development of long-term complications of diabetes (1)(2)(3)(4)(5).…”

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“…Over the past two decades, a large number of studies focusing on this issue have reported that concurrence of eating disorders results in deterioration of metabolic control in diabetic patients and hastens the development of long-term complications of diabetes (1)(2)(3)(4)(5). These studies also point out the difficulties involved in improving the condition of these patients and the urgent necessity for developing effective treatments (2,3).…”

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Classification of Type 1 Diabetic Females With Bulimia Nervosa Into Subgroups According to Purging Behavior

et al. 2002

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OBJECTIVE -To classify type 1 diabetic females with bulimia nervosa (BN) by type of inappropriate compensatory behavior in order to prevent weight gain (ICB) and to investigate the group differences.RESEACH DESIGN AND METHODS -Type 1 diabetic females with BN, diagnosed by structured diagnostic interview based on DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th ed.) criteria, were classified by type of ICB as follows: 1) only severe insulin omission as an ICB (BN-I) (n ϭ 22), 2) both severe insulin omission and self-induced vomiting and/or laxative abuse (BN-IP) (n ϭ 22), or 3) no insulin omission but another ICB (BN-NI) (n ϭ 11). The clinical characteristics of these three groups and a binge-eating disorder (BED) group (n ϭ 24) were compared.RESULTS -The BN-IP and BN-I groups had the highest HbA 1c levels. The BN-IP group had the highest rates of diabetic neuropathy, retinopathy, and nephropathy. The BN-NI group had the second highest rates of neuropathy and retinopathy. The BN-IP group had the highest frequencies of diabetes-and ketoacidosis-related hospital admissions, and the BN-I group had the second highest frequencies. The BN-NI group showed the highest scores on psychological tests related to depression, anxiety, eating disorder psychopathology, and perfectionism. The BN-NI group had the highest rate of history of visits to a psychiatrist, and the BN-IP group had the second highest history.CONCLUSIONS -Type 1 diabetic females with BN seem not to be homogenous and can be classified into three distinctive subgroups by type of ICB. Individuals with BN-IP had the most severe problems with both medical and psychological/behavioral aspects. Individuals with BN-NI manifested the highest psychological distress. The BN-I group had comparatively mild distress despite having the poorest metabolic control. Each BN group manifested more severe pathology than the BED group. Diabetes Care 25:1571-1575, 2002

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Differences between bulimia nervosa and binge-eating disorder in females with type 1 diabetes

Cited by 49 publications

References 21 publications

Weight Control Practices and Disordered Eating Behaviors Among Adolescent Females and Males With Type 1 Diabetes

Weight Control Practices and Disordered Eating Behaviors Among Adolescent Females and Males With Type 1 Diabetes

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

Classification of Type 1 Diabetic Females With Bulimia Nervosa Into Subgroups According to Purging Behavior

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