Assessment of diabetes-specific eating disorder risk in adult patients with diabetes.

IF 3.5 3区医学 Q2 NUTRITION & DIETETICS

Journal of Eating Disorders Pub Date : 2025-01-21 DOI:10.1186/s40337-025-01188-z

Afruz Babayeva, Shovket Alishova, Gunay Mammadova, Meric Coskun, Ethem Turgay Cerit, Alev Eroglu Altinova, Mujde Akturk, Fusun Balos Toruner, Mehmet Ayhan Karakoc, Mehmet Muhittin Yalcin

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引用次数: 0

Abstract

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.

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成人糖尿病患者糖尿病特异性饮食失调风险评估

目的：据报道，1型糖尿病（T1D）成人患临床饮食失调（ED）和其他饮食失调行为（DEB）的风险高于未患糖尿病的同龄人。另一方面，关于成人2型糖尿病（T2D）的DEB数据不足。我们的研究旨在调查在门诊接受强化胰岛素治疗的T1D和T2D患者中DEB的患病率。方法：对我院糖尿病门诊接受胰岛素强化治疗的T1D、T2D患者进行电子邮寄的《糖尿病饮食问题调查-修订版》（dps - r），评估糖尿病饮食问题。研究共纳入120名参与者，其中80名T1D患者和40名T2D患者。根据问卷的回答，DEB定义为DEPS-R评分≥20分。结果：35%的糖尿病患者存在DEB风险，其中T2D组（55% (n = 22)）高于T1D组（25% (n = 20)） (p结论：在我们的研究中，35%的糖尿病患者存在DEB风险，其中T2D组风险更高。我们的研究结果强调了提高医生和患者对糖尿病患者中普遍存在的DEB认识的重要性。早期发现有DEB风险的个体应被视为治疗的一个关键方面。

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来源期刊

Journal of Eating Disorders Neuroscience-Behavioral Neuroscience

CiteScore

5.30

自引率

17.10%

发文量

161

审稿时长

16 weeks

期刊介绍： Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.