Disordered Eating, Body Mass, and Glycemic Control in Adolescents With Type 1 Diabetes

Meltzer, Lisa J.; Johnson, Suzanne Bennett; Prine, J. M.; Banks, Richard; Desrosiers, Paul; Silverstein, Janet H.

doi:10.2337/diacare.24.4.678

Cited by 133 publications

(136 citation statements)

References 30 publications

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“…Substantial fluctuations in blood glucose and insulin levels may cause changes in eating behavior, which has also been shown in several studies. [10][11][12][13][14] Without sufficient insulin, glucose has no ability to get into the cells to be used or to be stored in the cell, resulting in hyperglycemia and an increase in hunger. Likewise, exogenous insulin administration results in hunger along with an increased appetite, which is reflected in eating behavior changes.…”

Section: Discussionmentioning

confidence: 99%

“…The maximum possible score is 30 for Symptom Scale. A symptom score of 20 or more indicates the presence of binge eating; the medium range (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) suggests an unusual eating pattern; the low range (0-10) falls within normal limits. The BITE is a well-validated and reliable instrument: the inter-item reliability coefficient was 0.96 for the symptom subscale and the test-retest reliability was 0.86 and 0.68 for non-clinical and clinical groups, respectively.…”

Section: Eating Attitudes Test (Eat): Developed Bymentioning

confidence: 99%

“…10 Eating disorders, especially bulimia nervosa (BN) and disordered eating behaviors (DEB) have increased in the context of diabetes, although studies with conflicting results have been conducted. [10][11][12][13][14] Moreover, it has been shown that eating disorders and pathologic eating behaviors are related to elevated levels of HbA1c. 15 The diet in all chronic diseases is a matter of great importance.…”

mentioning

confidence: 99%

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Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Durat¹,

Yıldız²,

Erol³

2017

Turkiye Klinikleri J Health Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Patients with diabetes and hypertension must organize to follow a consistent diet and regulate their eating habits. Their minds busy with the diet lists, the foods that are forbidden, limited eating and weight control. The aim of this study is to compare and eating behaviors and psychological conditions of these patients. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 137 diabetic and 86 hypertensive patients presenting to Health Care Centers were included in the study. Eating Attitudes Test (EAT-40), Bulimic Investigatory Test, Edinburgh (BITE) and General Health Questionnaire (GHQ-12) were used in the study. R Re es su ul lt ts s: : Mean age of the diabetic and hypertensive patients were 56.1±11.5 years and 53.8±13.1 years respectively. There were no statistically differences between two groups with respect to age, height, weight, highest weight and body mass index (BMI). There were no statistical differences between diabetic and hypertensive groups in terms of average BITE, EAT and GHQ score. According to Garner's cut-off value, we demonstrated that 19.7% of diabetic patients and 24.4% of hypertensive patients had disordered eating behavior. There were no statistical differences between two groups in terms of disordered eating behavior (P=0.64). When two groups were compared according to sex, there were no significant differences between average BITE, EAT and GHQ scores, between diabetic and hypertensive men, and between diabetic and hypertensive women. C Co on nl lu us si io on n: : In our study, approximately one-fifth of the patients had disordered eating behaviour. The frequency of disordered eating behaviour were similar between two groups of patients. Patients with eating disorders should be guided towards nutritional health. Clinician should be careful about the eating disorders that may arise in these patients K Ke ey yw wo or rd ds s: : Eating disorders; diabetes complications; hypertension Ö ÖZ ZE ET T A Am ma aç ç: : Diyabetik ve hipertansif hastalar belirli bir diyeti takip etmek ve yeme alışkanlıklarını dü-zenlemek zorundadırlar. Zihinleri genel olarak diyet listeleri, yasaklanmış yiyecekler, kilo kontrolü ile meşguldür. Çalışmamızın amacı bu hastaların yeme alışkanlıklarını ve psikolojik durumlarını karşılaştır-maktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya Sağlık Ocaklarına başvuran 137 diyabetik ve 86 hipertansif hasta alınmıştır. Araştırma verileri Yeme Tutum Testi (YTT-40), Edinburg Bulimik Araştırma Testi (EBAT) ve Genel Sağlık Anketi (GSA-12) kullanılarak toplanmıştır. B Bu ul lg gu ul la ar r: : Diyabetik hasta grubunun yaş ortalaması 56,1±11,5 yıl iken, hipertansif hasta grubunun yaş ortalaması 53,8±13,1 yıl idi. Yaş, boy, kilo, en yük-sek kilo ve beden kitle indeksi (BKİ) açısından gruplar arasında anlamlı bir fark bulunmamıştır. EBAT, YTT ve GSA-12 puan ortalaması açısından iki grup arasında anlamlı fark tespit edilmemiştir. Garner kesme değerine göre diyabetik hastaların %19,7'sinde ve hiper...

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Section: Discussionmentioning

confidence: 99%

Section: Eating Attitudes Test (Eat): Developed Bymentioning

confidence: 99%

mentioning

confidence: 99%

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Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Durat¹,

Yıldız²,

Erol³

2017

Turkiye Klinikleri J Health Sci

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“…A study of healthy children (Bernier et al 2010) also demonstrated similar correlations between BMI percentile and overall body esteem (r ¼ À0.36 to À0.45, p < 0.01); however, those children demonstrated a negative correlation between BMI percentile and scores on the ChEAT (r ¼ À0.22 to À28, p < 0.01). When comparing to patients with chronic metabolic disease, previous research involving patients with Type I diabetes has noted that body dissatisfaction is associated with poor glycemic control, whereas good metabolic control is linked to better quality of life (Meltzer et al 2001;Hoey et al 2001). Poor metabolic control in GSD leads to greater complications and comorbid factors including hypoglycemic episodes, hepatomegaly, hyperlipidemia, hyperlactatemia, nephropathy, and hepatic adeno-mas, which may negatively impact quality of life.…”

Section: Discussionmentioning

confidence: 99%

Disordered Eating and Body Esteem Among Individuals with Glycogen Storage Disease

et al. 2014

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Glycogen storage disease (GSD) is an inherited disorder that requires a complex medical regimen to maintain appropriate metabolic control. Previous research has suggested the disease is associated with decreased quality of life, and clinical experience suggests that patients are at risk for disordered eating behaviors that may significantly compromise their health. The current study assessed eating attitudes, eating disorder symptoms, and body image among 64 patients with GSD ranging from 7-52 years old (M ¼ 18.5 years old). About half the participants were male (n ¼ 33, 51.6%). Most participants were diagnosed with GSD Type I (n ¼ 52, 81.3%). Quantitative and qualitative analyses were utilized. Results indicated that 14.8% of children and 11.1% of adolescents/ adults with GSD met the clinical cutoff for dysfunctional attitudes toward eating, suggesting high likelihood for presence of an eating disorder. However, traditional eating disorder symptoms (e.g., binging, purging, fasting, etc.) were less prevalent in the GSD sample compared to population norms (t ¼ À6.45, p < 0.001). Body esteem was generally lower for both children and adolescents/ adults with GSD compared to population norms. These results were consistent with interview responses indicating that GSD patients experience negative feedback from peers regarding their bodies, especially during childhood and adolescence. However, they reported growing acceptance of their bodies with age and reported less negative attitudes and behaviors. Assessing mental health, including symptoms of disordered eating and low body esteem, among individuals with GSD should be an important component of clinical care.

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“…Ensaios clínicos com adultos mostraram que insulinas de ação basal como a Detemir parecem causar menos ganho de peso do que a insulina NPH, em esquema com insulina de ação basal e insulina de ação ultra-rápida (HERMANSEN et al, 2004). E já se sabe que maior peso ou IMC podem ser preditores para risco de TA (Meltzer et al, 2001).…”

Section: Discussionunclassified

Comportamentos de risco para transtornos alimentares em adolescentes e adultos portadores de diabetes tipo 1

Cardoso¹

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2009É expressamente proibida a comercialização deste documento, tanto na sua forma impressa como eletrônica. Sua reprodução total ou parcial é permitida exclusivamente para fins acadêmicos e científicos, desde que na reprodução figure a identificação do autor, título, instituição, e ano da dissertação. DedicatóriaGostaria de dedicar este trabalho a todos os portadores de diabetes melito tipo 1 participantes deste trabalho, ao meu marido Ricardo, aos meus pais, Mário e Marli e ao meu tesouro Guilherme. AgradecimentosPrimeiramente gostaria de agradecer à minha orientadora e amiga, Prof a Sonia Tucunduva Philippi, pelo aprendizado que me proporcionou durante todo o Curso de Mestrado, pela paciência, pela amizade e principalmente pela confiança desde o primeiro dia.À professora Marle Alvarenga pelo apoio, atenção e carinho que foram fundamentais para o aperfeiçoamento dessa dissertação. À professora Patrícia H. C. Rondó pelas correções e pela atenção dispensada.Aos professores Dr. Simão Augusto Lottenberg e Dra Márcia Nery, pela confiança e pela oportunidade única de estudar e conhecer os pacientes do Hospital das Clínicas -FMUSP, que me trouxe grandes ensinamentos. À Enf. Satiko pela permanente atenção e cordialidade ao me proporcionar pesquisar e conhecer os pacientes do AMBESP, em Santos.A estatística Rejane, pelas orientações e pela paciência nas idas e vindas, que apesar de cansativas, me auxiliaram muito.Às amigas Greisse V. da S. Leal, Erika C. Toassa, Tammy Matiusi Harada, Ana Carolina Leme, Camilla de C. P. Estima e todas as colegas e amigas que me ensinaram e me apoiaram nos momentos que mais precisei. Todas elas deixaram um pouco de si comigo e espero também ter deixado um pouco de mim com elas.À amiga Carolina Alessandra de Souza Di Guimarães, pela troca de informações e sentimentos freqüente, pela ajuda, pela motivação e pela companhia.Às amigas muito queridas Ana Carolina Ruiz e Andressa de Souza Dias pelo apoio na digitação dos dados, pelo estímulo e bom humor sempre.Aos meus pais, que são meus eternos protetores e amigos, pessoas que foram e são indispensáveis em todos os momentos da minha vida, inclusive na conclusão dessa dissertação: Mário G. Lima e Marli F. Lima. À minha irmã pela amizade, pelo incentivo e principalmente pelos cuidados com o sobrinho nos momentos que precisei.Ao meu marido, companheiro de uma vida, Ricardo Neves Cardoso, pelo infinito amor, paciência, compreensão e apoio em todos os momentos. Sua presença foi e é a minha força diária. E ao meu loirinho, meu anjinho Guilherme, luz no meu caminho.

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Disordered Eating, Body Mass, and Glycemic Control in Adolescents With Type 1 Diabetes

Cited by 133 publications

References 30 publications

Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Disordered Eating and Body Esteem Among Individuals with Glycogen Storage Disease

Comportamentos de risco para transtornos alimentares em adolescentes e adultos portadores de diabetes tipo 1

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