التفاصيل البيبلوغرافية
| العنوان: |
Assessment of diabetes-specific eating disorder risk in adult patients with diabetes. |
| المؤلفون: |
Babayeva, Afruz, Alishova, Shovket, Mammadova, Gunay, Coskun, Meric, Cerit, Ethem Turgay, Altinova, Alev Eroglu, Akturk, Mujde, Toruner, Fusun Balos, Karakoc, Mehmet Ayhan, Yalcin, Mehmet Muhittin |
| المصدر: |
Journal of Eating Disorders; 1/21/2025, Vol. 13 Issue 1, p1-9, 9p |
| مصطلحات موضوعية: |
TYPE 2 diabetes, TYPE 1 diabetes, DIETARY patterns, FOOD habits, BEHAVIOR disorders |
| مستخلص: |
Purpose: Adults with type 1 diabetes (T1D) are reported to be at higher risk for clinical eating disorders (ED) and other disordered eating behaviors (DEB) than their peers without diabetes. On the other hand, there is insufficient data on DEB in adults with type 2 diabetes (T2D). Our study aimed to investigate the prevalence of DEB in patients with T1D and T2D on intensive insulin therapy followed in our outpatient clinic. Methods: Diabetes Eating Problem Survey-Revised (DEPS-R), electronically delivered to the patients with T1D and T2D who were on an intensive insulin regimen followed up in the diabetes outpatient clinic in our center for the evaluation of DEB. A total of 120 participants, 80 patients with T1D and 40 patients with T2D, were included in the study. DEB was defined as a DEPS-R score ≥ 20 according to the answers given to the questionnaire. Results: Risk of DEB was observed in 35% of all individuals with diabetes and was higher in T2D (55% (n = 22)) than in T1D (25% (n = 20)) (p < 0.001). In patients with T1D, BMI was similar between the risk and normal groups in terms of DEB (p = 0.15), whereas in patients with T2D, BMI was significantly higher in the risk group in terms of DEB compared to the non-risk group (p < 0.001). There was a positive correlation between the risk of DEB and HbA1c and a negative correlation with the duration of diabetes in the T1D group (p < 0.05). Weight loss was an important goal for more than 50% of individuals with diabetes in both groups, more than 60% said they skipped a main meal or snack. 13.8% of those with T1D and 27.5% of those with T2D preferred being thin to having their diabetes better controlled. Conclusion: In our study, 35% of patients with diabetes were found to have a risk of DEB, with the risk being higher in the T2D group. Our results emphasize the importance of increasing awareness among physicians and patients about DEB, which is prevalent among patients with diabetes. Early detection of individuals at risk for DEB should be considered a crucial aspect of treatment. Plain English summary: Studies have reported that adults with diabetes are at a higher risk for eating disorders (ED) compared to their peers without diabetes. However, this issue has not been thoroughly explored in adults with type 2 diabetes (T2D). Therefore, our aim was to investigate the prevalence of disordered eating behaviors (DEB) in patients with type 1 diabetes (T1D) who were receiving intensive insulin therapy, as well as in patients with T2D at our outpatient clinic. The Diabetes Eating Problem Survey-Revised (DEPS-R) was electronically delivered to the participants for the evaluation of DEB. The survey results, revealed that 35% of all individuals with diabetes exhibited a risk of DEB, with a higher prevalence in those with T2D compared to those with T1D. In patients with T1D, the body mass index (BMI) was similar between risk and non-risk groups in terms of DEB. However, in patients with T2D, the BMI was significantly higher in the at-risk group than in the non-at-risk group. Additionally, over 50% of individuals with diabetes in both groups identified weight loss as an important goal, and more than 60% admitted to skipping meals or snacks. Interestingly, 13.8% of patients with T1D and 27.5% patients with T2D expressed a preference for being thin over having better of their diabetes. Our study underscores that 35% of individuals with diabetes are at risk for DEB, with a higher risk in the T2D group. These findings emphasize the necessity of increasing awareness among physicians and patients regarding the prevalence of disordered eating behavior among patients with diabetes. Early identification of individuals at risk for DEB should be considered an essential component of treatment. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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