Abstract
Background: Disordered eating behaviors (DEBs), including diagnosable eating disorders, are quite common and can interfere with optimal type 1 diabetes (T1DM) management. We explored DEBs prevalence in youth with T1DM, proposing news diagnostic subscales, to represent the clinical dimensions associated with feeding and eating disorders (ED); Methods: additionally to SCOFF questionnaire and Diabetes Eating Problem Survey–Revised (DEPS-R), four subscales combined from the original DEPS-R questionnaire were administered to 40 youths with T1DM (15.0 ± 2.6); Results: females showed higher scores than males in DEPS-R original factor 2 (“preoccupations with thinness/weight”, p = 0.024) and in DEPS-R proposed “restriction” factor (p = 0.009). SCOFF scores was correlated with original DEPS-R factors 1 (“maladaptive eating habits”) and 2 (p < 0.001) and with the newly proposed DEPS-R factors: restriction, disinhibition, compensatory behaviors, diabetes management (all p < 0.02). Diabetes management was the only factor related to glycated hemoglobin level (p = 0.006). Patients with high DEPS-R score (≥20) scored higher than patients with low (<20) DEPS-R score in DEPS-R original factors 1 (p < 0.001) and 2 (p = 0.002) as well as in the proposed factors including restriction, disinhibition, diabetes management (all p < 0.02); Conclusions: the complicated nature of DEBs calls for the development target specific questionnaires to be used as screening tools to detect cases of DEBs and exclude non cases. Early recognition of DEBs in adolescents with T1DM is essential for effective prevention and successful treatment.
Highlights
Type 1 diabetes mellitus (T1DM) is a common chronic disease in children and young people, caused by autoimmune destruction of beta-pancreatic cells and characterized by chronic hyperglycemia [1,2]
We explored Disordered eating behaviors (DEBs) prevalence in youth with T1DM, proposing new diagnostic subscales to represent the clinical dimensions associated with feeding and eating disorders in this clinical target
We administered four subscales combined from the original Diabetes Eating Problem Survey–Revised (DEPS-R) questionnaire, besides SCOFF questionnaire scores (SCOFF) and Diabetes Eating Problem Survey (DEPS)-R questionnaires, to 40 youths with T1DM
Summary
Type 1 diabetes mellitus (T1DM) is a common chronic disease in children and young people, caused by autoimmune destruction of beta-pancreatic cells and characterized by chronic hyperglycemia [1,2]. Self-managing T1DM requires frequent checking of blood glucose levels, carbohydrate (CHO) counting to estimate CHO content per meal, effective responses to exercise, and self-injecting insulin in adjusted doses [1,2,3]. These burdens are considered predisposing factors for mental disorders, including eating disorders (ED), with a 2–3 fold increase in prevalence compared to individuals without T1DM [4,5,6,7]. Recognition of DEBs in adolescents with T1DM is essential for effective prevention and successful treatment
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