scholarly journals Disordered Eating Behaviors Are Not Increased by an Intervention to Improve Diet Quality but Are Associated With Poorer Glycemic Control Among Youth With Type 1 Diabetes

Diabetes Care ◽  
2018 ◽  
Vol 41 (4) ◽  
pp. 869-875 ◽  
Author(s):  
Miriam H. Eisenberg Colman ◽  
Virginia M. Quick ◽  
Leah M. Lipsky ◽  
Katherine W. Dempster ◽  
Aiyi Liu ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Disordered Eating ◽  
Diet Quality ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors

scholarly journals Disordered Eating Behaviors Are Associated with Poorer Diet Quality in Adolescents with Type 1 Diabetes

2012 ◽  
Vol 112 (11) ◽  
pp. 1810-1814 ◽  
Author(s):  
Julia Tse ◽  
Tonja R. Nansel ◽  
Denise L. Haynie ◽  
Sanjeev N. Mehta ◽  
Lori M.B. Laffel
Keyword(s):  
Type 1 Diabetes ◽  
Disordered Eating ◽  
Diet Quality ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors

scholarly journals Risk of Disordered Eating Behaviors in Adolescents with Type 1 Diabetes

2020 ◽  
Vol 45 (5) ◽  
pp. 583-591
Author(s):  
Meredith Rose ◽  
Randi Streisand ◽  
Carrie Tully ◽  
Lauren Clary ◽  
Maureen Monaghan ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Negative Affect ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Self Management ◽  
Negative Urgency ◽  
Disordered Eating Behaviors ◽  
Increased Risk

Abstract Objective Management of type 1 diabetes (T1D) may be difficult for adolescents, who often fail to meet glycemic targets. Adolescents are also at an increased risk for negative affect (i.e., anxiety, depressive symptoms) and are prone to disordered eating behaviors (DEB). This study hypothesized that negative affect would be associated with DEB, self-management, and glycemic control, but that this would be moderated by negative urgency (the urge to engage in impulsive behaviors in response to negative affect), such that this relationship would be significant only for those with higher negative urgency. Methods The Eating in Adolescents with T1D Study recruited 100 caregiver-adolescent dyads (55% male youth, 48% Caucasian) to complete questionnaires reporting on the adolescent’s negative affect, negative urgency, DEB, and diabetes management. Glycemic control 3–4 months following survey completion was extracted from the medical record. Results A total of 61% of adolescents reported elevated symptoms of anxiety or depression and 25% reported elevated disordered eating symptoms. A total of 81% of adolescents had an A1c level above recommended targets. Negative affect was associated with DEB, suboptimal T1D self-management, and suboptimal glycemic outcomes, moderated by higher levels of negative urgency. Negative affect was associated directly with suboptimal self-management and glycemic control, but not DEB, at all levels of negative urgency. Conclusions Adolescents reported high levels of negative affect, DEB, and suboptimal glycemic control. Interventions that target negative affect and negative urgency in adolescents with T1D are needed in order to reduce the risk for DEB and negative diabetes health outcomes.

scholarly journals An Examination of Sex Differences in a Disease-Specific Model of Disordered Eating Behaviors in Type 1 Diabetes

2019 ◽  
Vol 45 (1) ◽  
pp. 91-100 ◽  
Author(s):  
Laura B Smith ◽  
Nicole Foster ◽  
Sureka Bollepalli ◽  
Hannah F Fitterman-Harris ◽  
Diana Rancourt
Keyword(s):  
Risk Factors ◽  
Type 1 Diabetes ◽  
Eating Disorder ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Eating Disorder Risk ◽  
Disordered Eating Behaviors ◽  
Disease Specific ◽  
Disorder Risk

Abstract Objective Preliminary evidence supports the integration of type 1 diabetes (T1D) disease-specific factors into eating disorder risk models. The current study explored whether cross-sectional associations among constructs included in the modified dual pathway model of eating disorder risk for individuals with T1D are similar across sex among adolescents and young adults with T1D. Methods Original study participants were recruited from the T1D Exchange Clinic Network, a U.S. registry of individuals with T1D. Online surveys included measures of general eating disorder risk factors, hypothesized T1D-specific risk factors, and a T1D-specific eating disorder questionnaire. The current study is a secondary analysis with the adolescents (13–17 years; n = 307; 46.9% female) and young adults (18–25 years; n = 313; 62.6% female) from the original sample. In the absence of strong measurement invariance for all measures of interest, sex-specific path models were estimated among the adolescent and young adult cohorts. Results Only two paths emerged as significant in the female, but not male, adolescent model. In the young adult cohort, all significant paths were the same across sex. Conclusions Both general and T1D-specific risk factors are associated with disordered eating behaviors in the T1D population. Patterns of associations were similar across male and female youth with T1D, suggesting that sex-specific prevention approaches to disordered eating behaviors among T1D youth may not be warranted.

Disordered Eating Behaviors in Emerging Adults With Type 1 Diabetes: A Common Problem for Both Men and Women

2017 ◽  
Vol 31 (3) ◽  
pp. 327-333 ◽  
Author(s):  
Elizabeth A. Doyle ◽  
Sheila M. Quinn ◽  
Jodie M. Ambrosino ◽  
Kate Weyman ◽  
William V. Tamborlane ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Emerging Adults ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Men And Women ◽  
Disordered Eating Behaviors

Changes in body image and onset of disordered eating behaviors in youth with type 1 diabetes over a five-year longitudinal follow-up

2018 ◽  
Vol 109 ◽  
pp. 44-50 ◽  
Author(s):  
Alda Troncone ◽  
Crescenzo Cascella ◽  
Antonietta Chianese ◽  
Ilaria Galiero ◽  
Angela Zanfardino ◽  
...  
Keyword(s):  
Body Image ◽  
Type 1 Diabetes ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors

Association of Executive Function Problems and Disordered Eating Behaviors in Teens with Type 1 Diabetes

2021 ◽  
Author(s):  
Raquel Cecilia‐Costa ◽  
Merel Hansmann ◽  
Dayna E. McGill ◽  
Lisa K. Volkening ◽  
Lori M. Laffel
Keyword(s):  
Type 1 Diabetes ◽  
Executive Function ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors

scholarly journals The impact of the COVID-19 lockdown on disordered eating behaviors in youths with type 1 diabetes: Analysis of cross-sectional survey data.

2020 ◽  
Author(s):  
Alda Troncone ◽  
Antonietta Chianese ◽  
Angela Zanfardino ◽  
Crescenzo Cascella ◽  
Alessia Piscopo ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Children And Adolescents ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Female Adolescent ◽  
Cross Sectional ◽  
Disordered Eating Behaviors ◽  
Eat 26 ◽  
The Impact

Abstract Background: Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed at examining the impact of the COVID-19 lockdown on DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls.Methods: 138 children and adolescents with T1D (aged 8.01-19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed a cross-sectional online survey of eating behaviors (ChEAT and Eat-26), anthropometric characteristics, and clinical characteristics. Results: 8.69% (N=12) of participants with T1D and 13.4% (N=37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients—whether children (total ChEAT score F(1, 157)=.104, p=.748) or adolescents (total EAT-26 score F(1, 255)=.135, p=.731)—and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p<.0001), while HbA1c values remained unchanged (p=.110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138)= 20.411, p<.0001, η2 =.132, controls: F(1, 276)=18.271, p<.0001, η2 =.063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores.Discussion: Psychological conditions in relation to DEB symptoms of children and adolescents with T1D were not aggravated by lockdown conditions. Results indicated DEBs as more of a female adolescent developmental issue rather than as a result of the challenges of living with a chronic illness aggravated by outbreak. Possible effects of parental pressure on their children’s eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.

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