Type 1 diabetes

Disordered eating behaviours in adolescents with type 1 diabetes can be influenced by their weight at diagnosis and rapid weight gain subsequently

Diabet MedPublished Retrospective observational study

Authors' conclusion

Disordered eating behaviours are common among adolescents with type 1 diabetes and are associated with various parameters, including BMI at diagnosis and the rate of weight gain at 3 months post-diagnosis in females. Our findings highlight the need for early preventive efforts for disordered eating behaviours and interventions to avoid late diabetes complications.

Study context

Population
Adolescents aged 15–19 years with T1D who completed the Diabetes Eating Problem Survey-Revised (DEPS-R) routinely in a diabetes clinic
Participants
291 adolescents
Outcome
Prevalence of disordered eating behaviours and risk factors for their development

Main finding

As reported in the abstract

Prevalence of disordered eating behaviours

Adolescents with disordered eating behaviours

84

28.9%

Observational data: associations, not effects.

Further findings

Factors associated with disordered eating behaviours

Female sex: β = 3.01 (SE 0.97)
P = 0.002
Higher BMI-Z score: β = 2.08 (SE 0.49)
P < 0.001
Higher HbA1c: β = 0.19 (SE 0.03)
P < 0.001
MDI treatment: β = 2.19 (SE 1.02)
P = 0.032
  • Positive associations

Risk factors at T1D diagnosis for disordered eating behaviours

Higher BMI-Z score at diagnosis, diagnosed before age 13 years: β = 1.54 (SE 0.63)
P = 0.016
Increased weight gain at 3 months post-diagnosis, females diagnosed at age 13 years or older: β = 0.88 (SE 0.25)
P = 0.001

Original publication

Disordered eating behaviours in adolescents with type 1 diabetes can be influenced by their weight at diagnosis and rapid weight gain subsequently. Diabet Med. Published 21 June 2023. doi:10.1111/dme.15166

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