High prevalence of disordered eating behavior in Danish children and adolescents with type 1 diabetes

Nilsson, Franciska; Madsen, Jens Otto Broby; Jensen, Andreas Kryger; Olsen, Birthe Susanne; Johannesen, Jesper

doi:10.1111/pedi.13043

Cited by 16 publications

(22 citation statements)

References 37 publications

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“…The prevalence of DEB in the studied cohort of adolescents with T1D was 10%. This prevalence is lower than previous Danish and Italian studies that found DEB in 21% and 21.8% of adolescents with T1D, respectively [ 31 , 32 ]. Prevalence estimates for DEB are variable between different studies with a wide range from < 1 to 39% [ 33 – 36 ].…”

Section: Discussioncontrasting

confidence: 73%

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

2022

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Background Disordered eating behaviour (DEB) represents a significant morbidity among people with type-1 diabetes (T1D). Continuous-subcutaneous insulin infusion (CSII) improves glycemic control and psychological wellbeing in those with T1D. However, its relation to DEB remains obscure. Objectives To compare DEB among adolescents with T1D on CSII versus basal-bolus regimen and correlate it with body image, HbA1C and depression. Methods Sixty adolescents with T1D (30 on CSII and 30 on basal-bolus regimen), aged 12–17 years were studied focusing on diabetes-duration, insulin therapy, exercise, socioeconomic standard, hypoglycemic attacks/week and family history of psychiatric illness. Anthropometric measures, HbA1C, binge eating scale (BES), body image tool, patient health questionnaire-9 (PHQ9) and the Mini-KID depression scale were assessed. Results Among the studied adolescents with T1D, six had DEB (10%), 14 had poor body-image perception (23.3%), 42 had moderate body-image perception (70%) and 22 had depression (36.7%). Adolescents with T1D on CSII had significantly lower BES (p = 0.022), Mini-KID depression (p = 0.001) and PHQ9 (p = 0.02) than those on basal-bolus regimen. BES was positively correlated to depression (p < 0.001), HbA1C (p = 0.013) and diabetes-duration (p = 0.009) and negatively correlated to body-image (p = 0.003). Conclusion DEB is a prevalent comorbidity among adolescents with T1D, with higher frequency in those on basal-bolus regimen than CSII.

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Section: Discussioncontrasting

confidence: 73%

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

2022

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“…Furthermore, in the American T2D cohort, females were evenly distributed in all the groups -OE, SBE, CBE [13] -while in our type 1 diabetic cohort, females were more frequent in the CBE group and males were more frequent in the OE group. The gender difference with more symptoms of disordered eating in females with type 1 diabetes is in accordance with recent studies [8,24,25].…”

Section: Discussionsupporting

confidence: 92%

“…EDs may persist and evolve over time in adolescents with T1D, particularly in females [5]. EDs and/or disordered eating behaviors in adolescents with T1D have been associated with higher HbA 1c levels [6][7][8]. Furthermore, an Australian study of adolescents with T1D and a US study of youths with T1D and T2D reported a positive association between disordered eating and emotional difficulties [9,10].…”

Section: Introductionmentioning

confidence: 99%

Overeating, binge eating, quality of life, emotional difficulties, and HbA1c in adolescents with type 1 diabetes: A Danish national survey

Marks

Thastum

Jensen

et al. 2021

Diabetes Research and Clinical Practice

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Section: Introductionmentioning

confidence: 99%

“…It should be noted that although the prevalence of DEBs in adolescents with T1D has frequently been investigated (e.g., Ackard et al, 2008; Colton et al, 2015; Nilsson et al, 2020), few nationally representative epidemiological/cohort studies have been conducted. To date, nationwide population‐based studies have investigated DEB occurrence in Norwegian ( N = 770) (Wisting et al, 2013a), German/Austrian ( N = 380) (Scheuing et al, 2014), German ( N = 819) (Bächle et al, 2016), Australian ( N = 477) (Araia et al, 2017), and US ( N = 2156) (Nip et al, 2019) pediatric and young adult patients with T1D.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study

Troncone

Affuso

Cascella

et al. 2022

Intl J Eating Disorders

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Objective To assess the prevalence of disordered eating behaviors (DEBs) in a large sample of Italian adolescents with type 1 diabetes and to explore potential demographic, clinical, and psychological differences (understood as emotional and behavioral problems) among adolescents with and without DEBs. Method Adolescents (11–19 years) with type 1 diabetes completed the Diabetes Eating Problems Survey‐revised (DEPS‐r) and the Youth Self Report (YSR). Demographic and clinical data were also collected. Results Of 690 adolescents with type 1 diabetes (mean age 14.97 ± 1.81, n = 337 girls) assessed in this study, 28.1% (21% boys, 35% girls) were DEPS‐r positive (score ≥ 20). Girls had higher DEPS‐r total scores (p < .0001, d = .42) than boys, although no age differences were found in mean DEPS‐r total scores (p = .961). In both genders, adolescents with DEBs had significantly higher zBMI (p < .0001, d = .52) and HbA1c values (p < .0001, d = .54) and showed more emotional and behavioral problems (both as internalizing and externalizing problems) than those without DEBs (all p < .0001). These differences were largely confirmed in all age groups. Adolescents reporting insulin misuse had higher HbA1c values (p = .001, d = .26), higher DEPS‐r mean scores (p < .0001, d = 1.07), and greater psychological problems (all p < .001) than those who did not. Discussion DEBs are prevalent among adolescents with type 1 diabetes, and those with eating problems showed adverse clinical and psychological conditions. Routine screening for DEBs and of general psychological condition should be a fundamental part of diabetes care, especially during adolescence. Public significance statement This nationwide study indicated that DEBs are common in adolescents with T1D, and those suffering from them show poorer clinical conditions and higher emotional and behavioral problems. As such, it offers important contributions for those working with EDs and in the T1D field, as it provides a deeper understanding of the co‐occurring DEBs–emotional/behavioral problems in youths with T1D and highlights the importance of continuous monitoring of their psychological condition by a multidisciplinary team.

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High prevalence of disordered eating behavior in Danish children and adolescents with type 1 diabetes

Cited by 16 publications

References 37 publications

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control

Overeating, binge eating, quality of life, emotional difficulties, and HbA1c in adolescents with type 1 diabetes: A Danish national survey

Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study

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