Valeria Calcaterra1,2, Chiara Mazzoni3, Donatella Ballardini3, Elena Tomba4, Gian Vincenzo Zuccotti2,5, Chiara Mameli2,5, Rachele De Giuseppe6, Hellas Cena6,7. 1. Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy. 2. Department of Pediatrics, "Vittore Buzzi" Children's Hospital, 20157 Milano, Italy. 3. Eating Disorder Clinic "Centro Gruber", 40125 Bologna, Italy. 4. Department of Psychology, University of Bologna, 40125 Bologna, Italy. 5. Department of Biomedical and Clinical Science "L. Sacco", University of Milano, 20157 Milano, Italy. 6. Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy. 7. Clinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, 27100 Pavia, Italy.
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.
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.
Authors: Jessica T Markowitz; Deborah A Butler; Lisa K Volkening; Jeanne E Antisdel; Barbara J Anderson; Lori M B Laffel Journal: Diabetes Care Date: 2009-12-23 Impact factor: 17.152
Authors: Maria G Grammatikopoulou; Konstantinos Gkiouras; Georgia Polychronidou; Chrysi Kaparounaki; Kalliopi K Gkouskou; Faidon Magkos; Lorenzo Maria Donini; Aristides G Eliopoulos; Dimitrios G Goulis Journal: Nutrients Date: 2021-10-27 Impact factor: 5.717