Glycemic Variability and Disordered Eating Among Adolescents and Young Adults with Type 1 Diabetes: The Role of Disinhibited Eating
Authors' conclusion
DEB are prevalent among adolescents and young adults with T1D and are associated with various risk factors. Factors associated with DEB vary across different levels of glycemic variability. Both low and high glycemic variability are associated with specific risk factors for DEB.
Study context
- Population
- Adolescents and young adults with T1D, aged 13–21 years
- Participants
- 147 adolescents
- Outcome
- Prevalence of disordered eating behaviors (DEB) and associated risk factors, across levels of glycemic variability
Methodological detailsobservational
- Observational
Main finding
As reported in the abstract
DEB prevalence
Disordered eating behaviors (DEB)
62
42.1%
Achieved glycemic variability (%CV) target ≤36%
41.5%
Observational data: associations, not effects.
Further findings
Factors associated with DEB, low glycemic variability
- Diabetes distress, OR
- 1.14 (1.05-1.22), P < 0.001 (95% CI)
- Longer diabetes duration, OR
- 1.34 (1.05-1.70), P = 0.016 (95% CI)
- Lower socioeconomic status, OR
- 0.53 (0.31-0.90), P = 0.019 (95% CI)
Factors associated with DEB, high glycemic variability
- BMI Z score, OR
- 3.82 (1.48-9.85), P = 0.005 (95% CI)
- HbA1c, OR
- 4.12 (1.33-12.80), P = 0.014 (95% CI)
- Disinhibited eating, OR
- 1.57 (1.14-2.15), P = 0.005 (95% CI)
- Tendency to lower socioeconomic status, OR
- 0.75 (0.56-1.01), P = 0.065 (95% CI)
Original publication
Glycemic Variability and Disordered Eating Among Adolescents and Young Adults with Type 1 Diabetes: The Role of Disinhibited Eating. Diabetes Technol Ther. Published 25 September 2024. doi:10.
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