Eating Disorders and IDDM: A problematic association

Rodin, Gary; Daneman, Denis

doi:10.2337/diacare.15.10.1402

Cited by 137 publications

(90 citation statements)

References 35 publications

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“…Because clinical and subclinical ED might be an important element in "brittle" diabetes, collaboration between diabetologists and ED specialists is warranted. Treatment of these cases is difficult (2,24).…”

Section: Causes Of Death In Concurrent Casesmentioning

confidence: 99%

Mortality in Concurrent Type 1 Diabetes and Anorexia Nervosa

Emborg²,

2002

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OBJECTIVE -Previous studies in this field report early occurrence of diabetic complications, but excess mortality, though expectable, has not been reported. We combined information from earlier studies to estimate the mortality for this group of patients.RESEARCH DESIGN AND METHODS -The observed mortality is analyzed using crude mortality rate (a percentage), standardized mortality ratio (SMR), incidence rate ratio, risk difference, and survival analysis.RESULTS -After ϳ10 years of follow-up, 13 of 510 females with type 1 diabetes, 43 of 658 females with anorexia nervosa (AN), and 8 of 23 concurrent case subjects had died. Mortality rate was 2.2 (per 1,000 person-years) for type 1 diabetes, 7.3 for AN cases, and 34.6 for concurrent cases. Crude mortality rates were 2.5, 6.5, and 34.8%, respectively. SMR was 4.06 in type 1 diabetes, 8.86 in AN, and 14.5 in concurrent cases. Survival analysis indicated between-group differences in mortality.CONCLUSIONS -Concurrent type 1 diabetes and AN is a rare but serious condition in females. All indexes of mortality evidence excess mortality in this preliminary study. Vigorous and well-directed treatment efforts seem vital for this subpopulation. Collaboration between diabetologists and eating disorder specialists is warranted. The implications of other eating disorders and subclinical eating disorders in diabetic populations need to be analyzed, especially because these conditions are more frequent than clinical eating disorders. Diabetes Care 25:309 -312, 2002

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Section: Causes Of Death In Concurrent Casesmentioning

confidence: 99%

Mortality in Concurrent Type 1 Diabetes and Anorexia Nervosa

Emborg²,

2002

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“…Previous studies have documented a link between eating disorders, such as bulimia, and glycemic control (4,7,8,10,14). In addition, obesity has long been associated with increased insulin resistance (31).…”

Section: Predictors Of Glycemic Controlmentioning

confidence: 99%

“…Although it is unclear whether eating disorders are more prevalent among patients with type 1 diabetes, eating disorders per se do seem to be associated with poorer glycemic control and increased risk for complications (4,7,8,10,14). For example, Rydall et al (15) reported that 86% of young women who displayed high levels of disordered eating developed retinopathy after 5 years compared with only 24% of women with normal eating patterns.…”

mentioning

confidence: 99%

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

Meltzer¹,

Johnson

Prine³

et al. 2001

Diabetes Care

133

104

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OBJECTIVE -To examine the relationship between disordered eating attitudes and behaviors, BMI, and glycemic control in adolescents with type 1 diabetes.RESEARCH DESIGN AND METHODS -In a cross-sectional design, 152 adolescents (ages 11-19 years) completed three scales from the Eating Disorders Inventory (EDI): Body Dissatisfaction, Drive for Thinness, and Bulimia. All subjects had diabetes for Ͼ1 year. Glycemic control was assessed by glycosylated hemoglobin (HbA 1c ). Height and weight were measured to assess BMI.RESULTS -Adolescents with type 1 diabetes did not report more disordered eating attitudes and behaviors than the normative comparison sample. Male subjects with type 1 diabetes reported fewer symptoms of bulimia and female subjects with type 1 diabetes reported greater body satisfaction than the normative group. A higher BMI was a significant predictor of greater body dissatisfaction, more so for female than male subjects. Symptoms of bulimia were associated with older adolescence and female sex. Those with more symptoms of bulimia were also more likely to have a higher BMI. Sex (female) and body dissatisfaction (more dissatisfied) predicted a stronger desire to be thin. Longer duration of disease, more symptoms of bulimia, and obesity all predicted poorer glycemic control.

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“…5 However, this effect appears to be greatest in medical illnesses, such as type 1 diabetes and phenylketonuria, in which treatment imposes dietary restraint. [6][7][8] Considering the importance of diet in the management of hypertension, patients with this disease may have increased risk for developing eating disorders.…”

Section: Correlation Between Dietary Applications In Hypertensive Patmentioning

confidence: 99%

Correlation Between Dietary Applications in Hypertensive Patients and Eating Disorders

Durat¹,

Erol²,

Çevirme³

et al. 2016

Turkiye Klinikleri J Health Sci

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A AB BS ST TR RA AC CT T OOb bj je ec ct ti iv ve e: : Many studies on prevention and treatment of hypertension show that some special nutrition and diets are effective on blood pressure. The aim of this study is to investigate whether the dietary applications in hypertension patients are correlated with eating disorders or not. M Ma at te er ri ia al l a an nd d M Me et th h--o od ds s: : The study was conduced in eight different centers among Family Health Centers in Sakarya. The test group consisted of 86 hypertensive patients and the control group consisted of 162 persons. Abnormal eating behaviours, inappropriate weight control methods and psychological status of the patients were assessed through three questionnaires: Eating Attitudes test-26 (EAT); Bulimic Investigatory Test, Edinburgh (BITE) and General Health Questionnaire-12 (GHQ-12). R Re es su ul lt ts s: : The characteristics of the test group and the control group were similar with regard to age, sex and height. Body mass indeks (BMI) and weight of the test group was significantly higher than the control group. Test group had higher EAT score (21.82±12.53 vs 18.85±9.65, p=0.04), BITE score (9.68±2.95 vs 8.75±3.00, p=0.02) than the control group. GHQ-12 of the test group was significantly higher than the control group (11.86±7.10 vs 10.02±6.35, p=0.04). When we compare the two groups in terms of gender, BITE scores of females in the test group were significantly higher than the females in the control group (9.92±2.9 vs 8.86±3.071, p=0.03), whereas GHQ scores of males in the test group were significantly higher than males in the the control group (11.73±7.35 vs 8.47±5.71, p=0.03). There was positive correlation between BMI and BITE scores in test group (r= 0.242 p=0.025). C Co on nc cl lu us so on n: : Eating disorders and psychiatric complications may develop among patients with hypertension. Hence, a diagnosis hypertension should lead to a heightened level of diagnostic suspicion for eating and psychiatric disorders. Bu ul lg gu ul la ar r: : Hipertansif grup ile kontrol grubu arasında yaş, cinsiyet ve boy açısından anlamlı fark yoktu. Beden kitle indeksi (BKİ) hipertansif grupta kontrol grubuna göre anlamlı olarak yüksekti. Hipertansif grupta YTT-12 puan ortalaması (21,82±12,53 ve 18,85±9,65, p=0,04), EBAT puan ortalaması (9,68±2,95 ve 8,75±3,00, p=0,02) ve GSS-12 puan ortalaması (11,86±7,10 ve 10,02±6,35, p=0,04) kontrol grubuna göre anlamlı olarak yüksekti. Cinsiyete göre her iki grup karşılaştırıldığında hipertansif grup kadın-larının ortalama EBAT puanının kontrol grubundaki kadınlara göre anlamlı olarak yüksek olduğu (9,92±2,9 ve 8,86±3,071, p=0,03), hipertansif gruptaki erkeklerin YTT-12 puan ortalamasının kontrol grubundaki erkeklere göre anlamlı derecede yüksek olduğu saptandı (11,73±7,35 ve 8,47±5,71, p=0,03). Hipertansif grupta VKİ ile EBAT puan ortalaması arasında pozitif korelasyon saptandı (r= 0,242 p=0,025). S So on nu uç ç: : Hipertansif hastalarda yeme bozuklukları ve psikiyatrik komplikasyonlar gelişebilir. Bu nedenle, hipertansi...

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Eating Disorders and IDDM: A problematic association

Cited by 137 publications

References 35 publications

Mortality in Concurrent Type 1 Diabetes and Anorexia Nervosa

Mortality in Concurrent Type 1 Diabetes and Anorexia Nervosa

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

Correlation Between Dietary Applications in Hypertensive Patients and Eating Disorders

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