Disordered eating and behaviors among young Egyptians with type 1 diabetes: risk factors and comorbidities

Elhabashy, Safinaz Adel; ElMalak, Mariam William Abd; Elrassas, Hanan; Thabet, Rasha Adel

doi:10.1515/jpem-2022-0336

Cited by 5 publications

(5 citation statements)

References 44 publications

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“…In the present study, 16.5% of the participants enrolled were positively screened for DEBs. This result is comparable with data collected by cross-sectional studies in children and adolescents with T1D from all over the world (17.4% for Egyptian [ 5 ], 25% for Turkish [ 6 ], 13.8% for Norwegian [ 7 ], 39.3% for Chinese [ 8 ], 30.1% for Greek [ 9 ], and 28.1% for Italian populations [ 4 ]). Results from this study are in line with what the available literature specifies around adolescence and T1D [ 31 ], meaning that this age is the most difficult in terms of psychosocial adjustment to the illness as well as correct adherence to therapy.…”

Section: Discussionsupporting

confidence: 85%

“…A recent Italian cross-sectional study of 690 adolescents with T1D estimated a DEB prevalence of 28.1% (21% boys, 35% girls) [ 4 ]. Similar results have been reported for other adolescent populations with T1D across the world [ 5 , 6 , 7 , 8 , 9 ]. A population-based study from national registers in Sweden and Demark investigated the within-individual association between T1D and eating disorders, highlighting a risk of 2% of developing a subsequent eating disorder in this population [ 10 ].…”

Section: Introductionsupporting

confidence: 89%

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A Risk Profile for Disordered Eating Behaviors in Adolescents with Type 1 Diabetes: A Latent Class Analysis Study

et al. 2023

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(1) Background: This multi-center study aimed to identify a risk profile for disordered eating behaviors (DEBs) in youth with type 1 diabetes (T1D) based on their dietary intake, lipid profile, body mass index (BMI-SDS), and glycometabolic control. (2) Methods: Adolescents aged 11 to 18 years from five centers across Italy were recruited. Lipid profile, HbA1c, BMI-SDS, and dietary intake data were collected. The risk for developing DEBs was assessed via the Diabetes Eating Problems Survey-R (DEPS-R) questionnaire. A latent class analysis (LCA) was performed using a person-centered approach. (3) Results: Overall, 148 participants aged 11–18 (12.1, ±3.34), 52% males with a mean diabetes duration of 7.2 (±3.4), were enrolled. Based on the results of the DEBS-R score, LCA allowed us to highlight two different classes of patients which were defined as “at-risk” and “not at-risk” for DEB. The risk profile for developing DEBs is characterized by higher BMI—SDS (23.9 vs. 18.6), higher HbA1c (7.9 vs. 7.1%), higher LDL cholesterol (99.9 vs. 88.8 mg/dL), lower HDL cholesterol (57.9 vs. 61.3 mg/dL), higher proteins (18.2 vs. 16.1%), and lower carbohydrates (43.9 vs. 45.3%). Adolescents included in the “at-risk” class were significantly older (p = 0.000), and their parents’ SES was significantly lower (p = 0.041). (4) Conclusions: This study allowed us to characterize a risk profile for DEBs based on dietary behavior and clinical parameters. Early identification of the risk for DEBs allows timely intervention and prevention of behavior disorders.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionsupporting

confidence: 89%

A Risk Profile for Disordered Eating Behaviors in Adolescents with Type 1 Diabetes: A Latent Class Analysis Study

et al. 2023

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“…In this regard, and upon reviewing the existing literature from the Arab world, only minimal data are available. A recent study [ 23 ] on 138 young Egyptian patients with T1D found that 17.4% of the total sample scored positive for DEBs on the eating attitude test, while 32.6% scored positive for DEBs on the Eating Disorder Examination Questionnaire (EDE-Q6) [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Disordered Eating Behaviors and Insulin Restriction in Saudi Adolescents and Young Adults with Type 1 Diabetes

et al. 2023

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Background and Objectives: The prevalence of disordered eating behaviors (DEBs) in type 1 diabetes (T1D) has been studied globally; however, data from Saudi Arabia and Arab-speaking countries are scarce. This study aimed to measure the prevalence of DEBs and associated clinical characteristics in adolescents and young adults with T1D, and the impact of DEBs on glycemic parameters. Materials and Methods: A total of 265 adolescents and young adults with T1D (aged 12–25 years) were recruited randomly from the registry at the Jazan Endocrinology and Diabetes Center, Saudi Arabia. Participants completed the Diabetes Eating Problem Survey–Revised (DEPS-R) questionnaire. Other measures included hemoglobin A1c (HbA1c) in addition to sociodemographic, anthropometric, and clinical data. Results: The prevalence of DEBs among T1D was 27.2%. Females (32.5%) had a higher proportion of DEBs than males (18.6%) (p = 0.01). About 27% of the participants reported insulin restriction. A history of hospital admission in the previous 6 months due to DKA and frequent hypoglycemia was more frequently reported in T1D participants with DEBs compared to those without (p = 0.03). Participants with DEBs had higher HbA1c and higher BMI compared to those without DEBs. Conclusions: Adolescents and young adults with T1D with disordered eating and insulin restriction have higher glycated hemoglobin, and are at higher risk of DKA. Routine screening for DEBs should be an essential element in diabetes care, especially among highly vulnerable groups.

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“…For instance, malnutrition contributes to the deaths of around 20% of cancer patients, whereas in case of type 1 diabetes mellitus peripheral neuropathy, ketoacidosis, and microalbuminuria occur more frequently in individuals with orthorexia. 5,29 Early detection of ON and appropriate intervention are crucial to enhance the management of patients with chronic illnesses. Therefore, they should be assessed for the risk of developing this condition.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with eating disorders were found to have a higher prevalence of peripheral neuropathy, ketoacidosis, and microalbuminuria. Episodes of hypoglycemia were more frequent among those with high EAT-26 and EDE-Q6 scores 29.…”

mentioning

confidence: 91%

The prevalence of orthorexia nervosa in patients with selected chronic diseases

Ciulkiewicz,

Figurowska,

Małek

et al. 2024

J Educ Health Sport

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Introduction and aim. Orthorexia nervosa is described as an obsession with consuming solely healthy foods accompanied by restrictive behaviors. Patients with chronic conditions frequently require dietary interventions alongside medication to manage symptoms and slow down disease progression. However, when dietary restrictions are taken to extremes, individuals may develop orthorexia nervosa, resulting in malnutrition and weight loss. This poses risks during treatment, where maintaining a balanced diet is vital. In this review we aim to display the prevalence of orthorexia nervosa in patients suffering from selected chronic diseases.Material and methods. A literature review was performed to investigate the prevalence of orthorexia nervosa in individuals with type 1 diabetes, inflammatory bowel disease, celiac disease, rheumatoid arthritis, and cancer.Description of the State of Knowledge. The occurrence of orthorexia reaches up to 7% in the general population, 72% in patients with type 1 diabetes mellitus, 77% in case of inflammatory bowel disease, 71% among individuals suffering from celiac disease, 75% in those with rheumatoid arthritis, and 50% in case of cancer. Orthorexia nervosa mostly affects females who are younger, have higher education levels, select organic foods, prepare their own meals, and have concurrent chronic illnesses. Distress associated with diagnosis is the primary factor contributing to the development of this condition. Orthorexia ultimately leads to malnutrition, weight loss, impaired social functioning, and poses a risk of complications in chronically ill patients.Conclusion. The prevalence of orthorexia nervosa in patients suffering from chronic illnesses is significantly higher compared to the general population. Therefore, early detection of this condition and intervention are necessary to improve patient management. Further research is needed to assess the frequency of orthorexia among individuals suffering from other chronic diseases.

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Disordered eating and behaviors among young Egyptians with type 1 diabetes: risk factors and comorbidities

Cited by 5 publications

References 44 publications

A Risk Profile for Disordered Eating Behaviors in Adolescents with Type 1 Diabetes: A Latent Class Analysis Study

A Risk Profile for Disordered Eating Behaviors in Adolescents with Type 1 Diabetes: A Latent Class Analysis Study

Disordered Eating Behaviors and Insulin Restriction in Saudi Adolescents and Young Adults with Type 1 Diabetes

The prevalence of orthorexia nervosa in patients with selected chronic diseases

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