Cargando…
Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis
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 associa...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7761849/ https://www.ncbi.nlm.nih.gov/pubmed/33287458 http://dx.doi.org/10.3390/diagnostics10121044 |
_version_ | 1783627664683171840 |
---|---|
author | Calcaterra, Valeria Mazzoni, Chiara Ballardini, Donatella Tomba, Elena Zuccotti, Gian Vincenzo Mameli, Chiara De Giuseppe, Rachele Cena, Hellas |
author_facet | Calcaterra, Valeria Mazzoni, Chiara Ballardini, Donatella Tomba, Elena Zuccotti, Gian Vincenzo Mameli, Chiara De Giuseppe, Rachele Cena, Hellas |
author_sort | Calcaterra, Valeria |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7761849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77618492020-12-26 Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis Calcaterra, Valeria Mazzoni, Chiara Ballardini, Donatella Tomba, Elena Zuccotti, Gian Vincenzo Mameli, Chiara De Giuseppe, Rachele Cena, Hellas Diagnostics (Basel) Article 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. MDPI 2020-12-03 /pmc/articles/PMC7761849/ /pubmed/33287458 http://dx.doi.org/10.3390/diagnostics10121044 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Calcaterra, Valeria Mazzoni, Chiara Ballardini, Donatella Tomba, Elena Zuccotti, Gian Vincenzo Mameli, Chiara De Giuseppe, Rachele Cena, Hellas Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis |
title | Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis |
title_full | Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis |
title_fullStr | Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis |
title_full_unstemmed | Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis |
title_short | Disturbed Eating Behaviors in Youth with Type 1 Diabetes: An Exploratory Study about Challenges in Diagnosis |
title_sort | disturbed eating behaviors in youth with type 1 diabetes: an exploratory study about challenges in diagnosis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7761849/ https://www.ncbi.nlm.nih.gov/pubmed/33287458 http://dx.doi.org/10.3390/diagnostics10121044 |
work_keys_str_mv | AT calcaterravaleria disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT mazzonichiara disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT ballardinidonatella disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT tombaelena disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT zuccottigianvincenzo disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT mamelichiara disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT degiusepperachele disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis AT cenahellas disturbedeatingbehaviorsinyouthwithtype1diabetesanexploratorystudyaboutchallengesindiagnosis |