Abstract
Background: Adolescents with type 1 diabetes are at an increased risk of disturbed eating behaviors (DEBs).
Objective: The aims of this study are to (i) explore the prevalence of DEBs and associated yellow flags', and (ii) establish concordance between adolescents-parents and adolescents-clinicians with respect to DEBs.
Methods: Adolescents (11-16yr) and parents completed questionnaires. A stepwise approach was used to assess DEBs: only adolescents whose answers raised psychological yellow flags for DEBs completed the Diabetes Eating Problems Scale-Revised and questions from the AHEAD study. Parents and clinicians shared their observations regarding possible DEBs. Kruskal-Wallis tests, post hoc Mann-Whitney U test, and chi-squared tests were utilized to examine clinical yellow flags. Cohen's kappa was used to assess concordance.
Results: Of 103 adolescents participated (51.5% girls), answers of 47 (46.5%) raised psychological yellow flags, indicating body and weight concerns. A total of 8% scored above cut-off for DEBs. Clinical yellow flags were elevated glycated hemoglobin A1c (p=0.004), older age (p=0.034), dieting frequency (p=0.001), reduced quality of life (p=0.007), less diabetes self-confidence (p=0.015), worsened diabetes management (p
Discussion: Half of the adolescents reported body and weight concerns, less than 1 in 10 reported DEBs. Screening for yellow flags for DEBs as a part of clinical routine using a stepwise approach and early assistance is recommended to prevent onset or deterioration of DEBs.
Original language | English |
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Pages (from-to) | 376-383 |
Number of pages | 8 |
Journal | Pediatric Diabetes |
Volume | 18 |
Issue number | 5 |
DOIs | |
Publication status | Published - Aug-2017 |
Keywords
- adolescents
- DINO study
- disturbed eating behavior
- quality of life
- type 1 diabetes
- QUALITY-OF-LIFE
- WEIGHT CONTROL
- DISORDERS
- MELLITUS
- WOMEN
- ATTITUDES
- INSULIN
- PSYCHOEDUCATION
- OUTCOMES
- FEMALES