The Cross-sectional Relationship Between Use of Automatic Insulin Delivery Systems and Eating Styles Among Older Adults With Type 1 Diabetes: An Exploratory Analysis
Authors' conclusion
Eating styles may vary between older adult AID users and non-users. To our knowledge, this is the first study to characterize eating styles in this population, though generalizability is limited by a non-diverse and small sample with high technology use overall (eg, continuous glucose monitoring, insulin pumps).
Study context
- Population
- Adults ≥65 years with T1D receiving care through a university-affiliated hospital system; 95% non-Hispanic white; mean age 71.8 (SD 4.1) years, diabetes duration 33 (18) years, hemoglobin A1c (HbA1c) 6.83 (1.12%), body mass index (BMI) 27.3 (4.7) kg/m²
- Participants
- 77 adults
- Exposure
- Automated insulin delivery (AID) users vs non-users
- Outcome
- Eating styles (restrained, external, emotional), Dutch Eating Behavior Questionnaire
Methodological detailsexploratory analysis, one-time electronic survey, Survey September to November 2023; clinical and demographic data from medical records
- Exploratory analysis
- One-time electronic survey
- Survey September to November 2023; clinical and demographic data from medical records
Main finding
As reported in the abstract
Eating styles by AID use
- AID users had higher median scores for emotional and external eating, and more varied restrained eating scores, vs non-users
- Overall, highest median scores for external and restrained eating, lower for emotional eating
- Exploratory analysis
Observational data: associations, not effects.
Further findings
Correlation of eating styles with HbA1c
- Restrained eating vs HbA1c, r
- −0.14
- External eating vs HbA1c, r
- 0.08
- Emotional eating vs HbA1c, r
- 0.15
- Weak correlations
Correlation of eating styles with BMI
- Restrained eating vs BMI, r
- 0.09
- External eating vs BMI, r
- 0.04
- Emotional eating vs BMI, r (small correlation)
- 0.27
Original publication
The Cross-sectional Relationship Between Use of Automatic Insulin Delivery Systems and Eating Styles Among Older Adults With Type 1 Diabetes: An Exploratory Analysis. J Diabetes Sci Technol. Published 10 November 2024. doi:10.
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