Screening for disordered eating in adolescents with Type 1 diabetes: A comparison of Diabetes Eating Problem Survey Revised (DEPS-R) and Youth Eating Disorder Examination Questionnaire (YEDE-Q) with item-level analysis

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-02-09 DOI:10.1111/dme.15521

Caroline B. Abild, Loa Clausen, Line Wisting, Jens Meldgaard Bruun, Kurt Kristensen, Rene Klinkby Støving, Esben Thyssen Vestergaard

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Abstract

Aims

People with type 1 diabetes (T1D) face an increased risk of disordered eating (DE) and eating disorders (ED), associated with glucose levels outside target range and an increased risk of complications. The aim of this study was to investigate the type and severity of DE and assess the item accuracy of the Diabetes Eating Problem Survey Revised (DEPS-R) compared to the Youth Eating Disorder Examination Questionnaire (YEDE-Q) in the screening of DE among adolescents with T1D.

Methods

Cross-sectional online survey including DEPS-R, YEDE-Q and medical records. Item to total analysis with correlations, and group comparisons were performed.

Results

A total of 131 adolescents between 11 and 19 (mean age 15.3 ± 2.2) years completed both DEPS-R and YEDE-Q, identifying 21.4% and 22.9% with DE, respectively. Significantly more females (>30%) than males (≈5%) were identified in both measures. More than 50% reported insulin restriction in DEPS-R vs. 1.5% in YEDE-Q. YEDE-Q yielded 32% with weight controlling behaviours, however, half of these were unidentified by DEPS-R. Item-total analysis of DEPS-R showed that item 10 had small correlations to both total score and clinical variables.

Conclusion

This study confirms the clinical relevance of DEPS-R, including associations between DE and female sex, older age, and glucose levels outside target range, however, it may not accurately capture distinct ED risk behaviours, such as excessive exercise or shape and weight related insulin restriction. The item-total analysis shows that the relevance of item 10 should be further investigated.

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1型糖尿病青少年饮食失调筛查：糖尿病饮食问题调查修订版（DEPS-R）与青少年饮食失调检查问卷（YEDE-Q）的项目水平分析比较

目的：1型糖尿病（T1D）患者面临着饮食失调（DE）和饮食失调（ED）的风险增加，与血糖水平超出目标范围和并发症风险增加有关。本研究旨在探讨糖尿病饮食问题调查修订版（DEPS-R）与青少年饮食失调检查问卷（YEDE-Q）在筛查青少年T1D患者中DE的类型和严重程度，并评估其项目准确性。方法：采用DEPS-R、YEDE-Q和病历资料进行横断面在线调查。项目对总进行相关性分析，并进行组间比较。结果：共有131名11 ~ 19岁（平均年龄15.3±2.2）岁的青少年完成了DEPS-R和YEDE-Q，分别鉴定出21.4%和22.9%的DE。在两项测量中均发现女性（约30%）明显多于男性（约5%）。在DEPS-R中，超过50%的患者报告胰岛素限制，而在YEDE-Q中为1.5%。YEDE-Q显示32%的人有体重控制行为，然而，其中一半是由DEPS-R识别出来的。DEPS-R的分项-总分分析显示，分项10与总分和临床变量均有较小的相关性。结论：本研究证实了DEPS-R的临床相关性，包括DE与女性性别、年龄和血糖水平超出目标范围之间的关联，然而，它可能无法准确捕捉到不同的ED风险行为，如过度运动或与体型和体重相关的胰岛素限制。项目总数分析表明，应进一步调查项目10的相关性。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”