Endocrinology & Metabolism Life Sciences & Biomedicine Science & Technology
Aims
Increased body weight and disordered eating attitudes/behaviours are common in adolescent girls with Type 1 diabetes (T1D). Disordered eating increases risks for diabetes-related complications. This study aimed to identify a rapid screening approach for disordered eating attitudes and behaviours in adolescent girls with T1D and to examine the relationship between disordered eating and body weight in this population.
Methods
Ninety adolescent girls, aged 12-19 years, provided a self-assessment of weight status. Participants also completed questionnaires to assess attitudes/behaviours toward food and eating, appetitive responsiveness to the food environment, disinhibition in eating and weight history.
Results
Forty-three per cent of participants reported a history of overweight. Compared with participants who reported never being overweight, those who reported ever being overweight were significantly older, scored significantly higher on all measures of disordered eating attitudes/behaviours (P < 0.009) and were 4.8 times more likely to be currently overweight or obese (P < 0.001). Glycated haemoglobin (HbA(1c)) was similar between those who did and did not report ever being overweight.
Conclusions
Because of the ill-health effects of disordered eating and the higher rate of overweight in adolescent girls with T1D, effective screening tools are warranted. The single question 'Have you ever been overweight?' may be sufficient as a first question to screen for those at high risk for disordered eating attitudes/behaviours and to provide early intervention and prevention.
Self-reported history of overweight and its relationship to disordered eating in adolescent girls with Type 1 diabetes
Creators
J. T. Markowitz - Joslin Diabetes Center
M. R. Lowe - Drexel University
L. K. Volkening - Joslin Diabetes Center
L. M. B. Laffel - Joslin Diabetes Center
Publication Details
Diabetic medicine, v 26(11), pp 1165-1171
Publisher
Wiley
Number of pages
7
Grant note
T32 DK007260 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Maria Griffin Drury Pediatric Fund
Katherine Adler Astrove Youth Education Fund
T32DK007260 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
Resource Type
Journal article
Language
English
Academic Unit
Psychological and Brain Sciences (Psychology)
Web of Science ID
WOS:000271493900013
Scopus ID
2-s2.0-70350783890
Other Identifier
991019168147104721
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