Is disordered eating behavior more prevalent in adolescents with early‐onset type 1 diabetes than in their representative peers?

Bächle, Christina; Castillo, Katty; Straßburger, Klaus; Stahl‐Pehe, Anna; Meißner, Thomas; Holl, Reinhard W.; Giani, Guido; Rosenbauer, Joachim

doi:10.1002/eat.22238

Cited by 64 publications

(68 citation statements)

References 48 publications

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“…We could not compare the prevalence of disordered eating in our study group with that among healthy peers, because data from population‐based peers were unavailable for the whole age range. However, we previously reported results for the 11‐ to 17‐year‐old subgroup . The prevalence of disordered eating was higher among T1D girls (31.2% vs. 28.9%) but lower among T1D boys (11.7% vs. 15.2%) than among peers from the general population, but the differences were not significant ( p > 0.05).…”

Section: Discussionmentioning

confidence: 67%

Disordered eating and insulin restriction in youths receiving intensified insulin treatment: Results from a nationwide population‐based study

Bächle

Stahl‐Pehe

Rosenbauer

2015

Intl J Eating Disorders

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Section: Discussionmentioning

confidence: 67%

Disordered eating and insulin restriction in youths receiving intensified insulin treatment: Results from a nationwide population‐based study

Bächle

Stahl‐Pehe

Rosenbauer

2015

Intl J Eating Disorders

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“…However, adolescents with T1D and DE behaviours present a diagnostic challenge, as they often engage in behaviours that are not captured by standard screening tools. Previous studies have found that standard DE screening tools, such as the SCOFF questionnaire, detect a similar prevalence of DE between adolescents with T1D and age‐matched peers . Still, a substantial number of youth with T1D engage in insulin omission and/or restriction, which is not accounted for in these studies.…”

Section: Introductionmentioning

confidence: 81%

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

Ryman

MacIsaac

Robinson

et al. 2019

Endocrino Diabet & Metabol

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Summary Objective Eating disorders are prevalent among adolescents with type 1 diabetes (T1D). We examined the clinical utility of the Diabetes Eating Problem Survey‐Revised (DEPS‐R), a brief self‐report questionnaire developed for patients with T1D, to identify at‐risk adolescents. We aimed to determine whether a positive DEPS‐R screen was predictive of a formal diagnosis of an eating disorder as per the DSM‐V. In addition, we assessed whether other variables including psychosocial characteristics and diabetes conflict were associated with an abnormal DEPS‐R screen. Methods Cross‐sectional study of 116 T1D adolescents aged 12‐17 years. All participants completed the DEPS‐R screening; both participants and parents completed a questionnaire addressing psychosocial characteristics/conflict around diabetes management. Clinical variables were obtained from participant charts. Differences were examined between positive and negative DEPS‐R groups. Adolescents who screened positive were offered a referral to a specialized eating disorder team for further assessment. Results From 116 participants (mean age ± SD = 14.6 years ± 1.56), 21% (24/116) scored positive for DEPS‐R More females than males had abnormal DEPS‐R (75% vs 25%, P = 0.001). Those with positive DEPS‐R score had higher HbA1c% (mean = 9.3 ± 1.3 vs 8.3 ± 1.2, P = 0.001). Positive DEPS‐R group had higher conflict score for diabetes management in both parents’ and children's assessments (both ps < 0.001). In regression analysis, being female (OR males = 0.07, 95%CI: 0.010‐0.46, P = 0.006), older (OR = 2.01, 95%CI: 1.16‐3.48, P = 0.040) and > child‐reported conflict (OR = 1.78, 95%CI: 1.02‐3.11, P = 0.044) were predictors of an abnormal DEPS‐R score. Conclusion The DEPS‐R score is a useful clinical tool for identifying T1D adolescents at risk for disordered eating behaviour, but has a low positive predictive value (PPV) for identifying adolescents who meet diagnostic criteria for an eating disorder. Female gender, suboptimal diabetes control and increased conflict in diabetes management are associated with an abnormal DEPS‐R score.

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“…91 There is also evidence that Type 1 diabetes may be related to the development of anorexia nervosa, although the specifics are inconclusive. 92 However, what is very clear is that some of these insulin-dependent diabetic patients realize that they can induce weight loss via reducing their use of insulin, thereby causing hyperglycemia and a resultant osmotic diuresis. This accelerates microvascular complications.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Medical Complications of Anorexia Nervosa and Bulimia

Westmoreland

Krantz

Mehler

2016

The American Journal of Medicine

318

239

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Is disordered eating behavior more prevalent in adolescents with early‐onset type 1 diabetes than in their representative peers?

Abstract: Children and adolescents with early-onset Type 1 diabetes of long duration do not seem to be more frequently SCOFF-positive than peers. However, as insulin restriction is practiced in a substantial portion of patients, attention for insulin restriction in diabetes care is essential.

Cited by 64 publications

References 48 publications

Disordered eating and insulin restriction in youths receiving intensified insulin treatment: Results from a nationwide population‐based study

Disordered eating and insulin restriction in youths receiving intensified insulin treatment: Results from a nationwide population‐based study

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

Medical Complications of Anorexia Nervosa and Bulimia

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