Affiliation:
1. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
2. Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada
Abstract
OBJECTIVE—To compare the prevalence of eating disturbances in preteen and early teenage girls with type 1 diabetes to their nondiabetic peers.
RESEARCH DESIGN AND METHODS—A cross-sectional, case-controlled study of 101 girls with type 1 diabetes, ages 9–14 years, and 303 age-matched, female nondiabetic control subjects was conducted. Participants completed a Children’s Eating Disorder Examination interview. Socioeconomic status, BMI, and diabetes-related variables were assessed. Groups were compared using χ2 analyses.
RESULTS—Binge eating; the use of intense, excessive exercise for weight control; the combination of two disturbed eating-related behaviors; and subthreshold eating disorders were all more common in girls with type 1 diabetes. Metabolic control was not related to eating behavior in this study population.
CONCLUSIONS—Eating disturbances, though mostly mild, were significantly more common in preteen and early teenage girls with type 1 diabetes. Screening and prevention programs for this high-risk group should begin in the preteen years.
Publisher
American Diabetes Association
Subject
Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine
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