The importance of factors early in life for development of eating disorders in young people, with some focus on type 1 diabetes.

IF 2.9 3区医学 Q2 PSYCHIATRY

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Pub Date : 2024-01-10 DOI:10.1007/s40519-023-01633-5

J Ludvigsson, Å Olsen Faresjö

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Abstract

Aim: Eating disorders have a serious impact on quality of life, especially when combined with Type 1 diabetes. We investigated eating disorders in relation to factors early in life with some focus on Type 1 diabetes.

Methods: Out of 21,700 children born 1st of Oct 1997-1st of Oct 1999 17,055 (78.6%) were included in ABIS (All Babies in southeast Sweden) and 16,415 had adequate questionnaires. ICD-10 diagnosis from The National Patient Register was merged with the ABIS data.

Results: In total 247 individuals, 19 boys (7.7%) and 219 girls (92.3%) out of 16,415 (1.5%) developed eating disorders (EDs), 167 (1.0%) Type 1 diabetes of whom 7 (4.2%) also got eating disorders (ED) (OR 3.25 (1.47-7.28); p = 0.04), all of them years after diagnosis of Type 1 diabetes. EDs was associated with high parental education especially in fathers (OR 1.65 (1.09-2.50); p = 0.02) and to at birth anxiety, and depression among mothers. There was no association with the duration of breastfeeding.

Conclusions: Eating disorders are common in girls, with increased risk in high-educated but psychologically vulnerable families. Prevalence is increased in type 1 diabetes. Even modern diabetes treatment needs to be completed with psychological support.

Level of evidence: Level III: Evidence obtained from well-designed cohort or case-control analytic studies.

Abstract Image

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早期因素对青少年饮食失调发展的重要性，重点关注 1 型糖尿病。

目的：饮食失调会严重影响生活质量，尤其是在合并 1 型糖尿病的情况下。我们调查了饮食失调与生命早期因素的关系，并重点关注 1 型糖尿病：在 1997 年 10 月 1 日至 1999 年 10 月 1 日出生的 21,700 名儿童中，17,055 名（78.6%）被纳入 ABIS（瑞典东南部所有婴儿），16,415 名接受了适当的问卷调查。全国病人登记册中的 ICD-10 诊断与 ABIS 数据合并：在 16,415 名婴儿（1.5%）中，有 19 名男孩（7.7%）和 219 名女孩（92.3%）共 247 人患上进食障碍 (ED)，167 人（1.0%）患上 1 型糖尿病，其中 7 人（4.2%）也患上进食障碍 (ED)（OR 3.25 (1.47-7.28)；p = 0.04），他们都是在确诊 1 型糖尿病数年后患上进食障碍的。进食障碍与父母（尤其是父亲）的高教育程度有关（OR 1.65 (1.09-2.50); p = 0.02），与母亲出生时的焦虑和抑郁有关。结论：饮食失调在女孩中很常见：结论：饮食失调在女孩中很常见，在高学历但心理脆弱的家庭中患病风险更高。1 型糖尿病患者的发病率也有所上升。即使是现代糖尿病治疗也需要在心理支持下完成：III级：从设计良好的队列或病例对照分析研究中获得的证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 医学-精神病学

CiteScore

6.50

自引率

10.30%

发文量

170

审稿时长

>12 weeks

期刊介绍： Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.