Type 1 diabetes

Predisposition to eating disorders in adults with type 1 diabetes: Comparison between multiple daily injections and continuous subcutaneous insulin infusion

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

A non -significant higher percentage of BSQ class 1 was detected in subjects T1DM compared to healthy controls. Among subjects with T1DM, no differences between MDI and CSII were observed in ED predisposition. A more perfectionist personality has been detected among subjects on MDI.

Study context

Population
Adults aged ≥18 years with T1D and healthy controls; T1D age 41 ± 12 years, 47% male162 T1D, 50 healthy subjects (HS)
Exposure
T1D on multiple daily injections (MDI) vs CSII, and T1D vs healthy subjects
Outcome
Predisposition to eating disorders (ED) or body dissatisfaction (34-item BSQ, EDI-3; HS completed BSQ only)
Methodological detailsmonocentric, observational
  • Monocentric
  • Observational

Main finding

As reported in the abstract

Distribution of BSQ scores, T1D vs HS

Body Shape Questionnaire (BSQ) class 1, T1D

16%

BSQ class 1, HS

8%

Observational data: associations, not effects.

Further findings

OutcomeP value
EDI-3 scores, MDI vs CSIIPredisposition for perfectionism more frequent with MDIP < 0.05

BSQ scores, MDI vs CSII

No significant difference in BSQ scores between MDI and CSII

EDI-3 scores, MDI vs CSII

No differences in other EDI-3 scores except perfectionism; bulimia more frequent with MDI at trend level

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Predisposition to eating disorders in adults with type 1 diabetes: Comparison between multiple daily injections and continuous subcutaneous insulin infusion. Diabetes Res Clin Pract. Published 16 August 2023. doi:10.1016/j.diabres.2023.110882

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