Prevalence of disordered eating in adults with type 1 diabetes in an Australian metropolitan hospital

Abstract

The purpose of this study is to establish the prevalence of disordered eating behaviours and establish its identifiable factors in adults with T1D attending a large tertiary hospital service. In this cross‐sectional study, 199 participants with TID, aged 18–65 years, completed the revised Diabetes Eating Problem Survey‐Revised (DEPS‐R). Additional demographic and medical data obtained included age, sex, BMI, HbA1C, duration of diabetes and number of hospital admissions within 12 months (including diabetic ketoacidosis). A DEPS‐R score of ≥20, indicative of disordered eating behaviour, was evident in 31% of participants. A DEPS‐R score of ≥20 was associated with being female (39% females vs. 23.3% males; p = .016) and a high HbA1c (8.9% [7.8–10.2] vs. 8.0% [7.3–8.7], median [IQR], p < .001). The prevalence of disordered eating behaviours increased significantly with BMI, from 21.3% in the healthy BMI group (18.5–24.9 kg/m2) to 37.1% in the group with BMI > 25 kg/m2 (p = .02). A DEPS‐R score of ≥20 was often driven by questions related to a desire to lose weight, meal patterns and glycaemic control. While these behaviours may be attributed to desirable self‐management behaviours for adults with T1D, the DEPS‐R is still a useful tool to identify patients with potential disordered eating behaviours and the need for dietetic intervention.

Associations between disordered eating behaviour, diabetes distress and emotion regulation strategies in adults with type 1 diabetes: Results from a Dutch‐Italian cross‐sectional study

“…37 The point prevalence of 27.1% DEB in our total sample was comparable to previous research in adults with T1D. 5 However, differences between Dutch and Italian participants were observed, such that Dutch participants reported higher DEB (35.8%) than Italian participants (20.8%). 9,38 Different strategies of study advertisement between countries could have contributed to this varying point prevalence of DEB.…”

“…DEB was furthermore associated with a younger age, a higher BMI, a higher HbA 1c , and a lower TIR, which corresponds with previous studies conducted in adolescents and adults. 5,6,8,9,34,35 Nevertheless, by including a wide age range, our results show that DEB is not only prevalent in young adults but warrants attention across all ages.…”

“…1,2 DEB is defined as a cluster of different symptoms and maladaptive behaviours including worrying about eating, restrictive eating, binge eating, and compensatory behaviours, such as fasting, vomiting, abuse of laxatives, excessive exercising, and insulin restriction in the case of diabetes. 1,[3][4][5][6] These behaviours are also described as subclinical eating disorder symptoms, that…”

Prevalencia, factores de riesgo y terapias psicológicas asociados a la diabulimia: revisión sistemática en adolescentes y adultos

“…Otro factor de riesgo identificado en varios de los artículos revisados es la pertenencia ser mujer (Nilsson et al, 2020;Smith et al, 2020;Ribeiro et al, 2021;Fritzen et al, 2021;Watt et al, 2022). Sin embargo, el estudio correlacional prospectivo de Salah et al (2022), llevado a cabo con 60 adolescentes egipcios, no encontró asociación significativa entre el género y la presencia de DB.…”

“…En la presente revisión bibliográfica, se constató que el 47% de los artículos, recomendaron iniciar terapias psicoeducativas posterior al diagnóstico (Gibbings et al, 2021;Smith et al, 2020;Costa et al, 2017;Grigolon et al, 2019;Ribeiro et al, 2021;Fritzen et al, 2021;Troncone et al, 2018;Troncone et al, 2021;Brewster et al, 2020;Verbist & Condon, 2021;Şahin-Bodur et al, 2021;Lica et al, 2021;Watt et al, 2022;Nilsson et al, 2020;Al Hourani et al, 2020). Estos resultados evidencian su importancia, ISSN: 2773-7330 Vol.…”