Disturbed eating behaviours and thoughts in Australian adolescents with type 1 diabetes

Abstract

High rates of disturbed eating behaviours and thoughts were seen in this Australian sample of adolescents with type 1 diabetes. High scores on both eating disorder measures were associated with poorer glycaemic control. These results highlight the need to screen for disordered eating in adolescents with type 1 diabetes.

Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth—Australia

“…As previously stated, insulin misuse is typically higher among females, which tends to be for weight loss purposes, and is associated with higher HbA 1c (Bächle et al,, 2016;d'Emden et al, 2013;Goebel-Fabbri et al, 2008). As previously stated, insulin misuse is typically higher among females, which tends to be for weight loss purposes, and is associated with higher HbA 1c (Bächle et al,, 2016;d'Emden et al, 2013;Goebel-Fabbri et al, 2008).…”

Assessing the clinical utility of the diabetes eating problem survey‐revised (DEPS‐R) in adolescents with type 1 diabetes

“…By using the DEPS-R, the prevalence of DE behaviours detected among our T1D youth was similar to that of other reported studies among the diabetic population. 22,23 Variable prevalence rates have been reported in the literature, and this is likely due to the heterogeneity of screening tools that are used to detect disordered eating in patients with T1D.…”

“…DEPS scores of 8 [4-11.7], 16 [9][10][11][12][13][14][15][16][17][18][19][20][21][22] and 28 [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36], respectively, as shown in Figure 2.…”

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

“…The most extensive literature on diet-treated CI and disordered eating exists for type 1 diabetes mellitus (see Table 1). Individuals with diabetes are at increased risk for disordered eating attitudes and behaviors, including drive for thinness, body dissatisfaction, dieting, and excessive exercise and diet pill usage for weight control (Antisdel & Chrisler, 2000;Bernstein, Stockwell, Gallagher, Rosenthal, & Soren, 2013;Colton, Olmsted, Daneman, Rydall, & Rodin, 2004;d'Emden et al, 2013;Engstr€ om et al, 1999;Grylli, Hafferl-Gattermayer, Schober, & Karwautz, 2004;Howe, Jawad, Kelly, & Lipman, 2008;Khan & Montgomery, 1996;Mellin, Neumark-Sztainer, Patterson, & Sockalosky, 2004;Neumark-Sztainer et al, 1996;Palladino et al, 2013;Pinar, 2005). The rate of individuals meeting criteria for EDs (AN, BN, EDNOS) varied across studies (Colton, Olmsted, Daneman, & Rodin, 2013;Hudson, Wentworth, Hudson, & Pope, 1985 Cantwell and Steel (1996) Adult subjects with high negative eating attitudes and low negative eating attitudes that had an adolescence-onset of insulin-dependent diabetes (n Maharaj et al (2003) Female subjects with type 1 diabetes (n 5 88; age 5 15) and their mothers EDI; DSED-M Subjects with mild and more severe disordered eating had poorer self-concepts in physical appearance, global self-worth, and behavioral conduct than girls without disordered eating; they also had mothers who weighed more, more likely to be on a diet, and binge eat.…”