Fear of hypoglycemia and disordered eating behavior in type 1 diabetes

IF 2.8 3区医学 Q2 PSYCHIATRY

Eating behaviors Pub Date : 2025-12-01 Epub Date: 2025-10-18 DOI:10.1016/j.eatbeh.2025.102044

Max Z. Roberts , Caitrin Murphy , Ashley A. Moskovich , Francesca A. Scheiber , Rhonda M. Merwin

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引用次数: 0

Abstract

Individuals with type 1 diabetes (T1D) are at elevated risk for disordered eating behaviors (DEBs). When DEBs occur in someone with T1D, they have severe consequences, including increased risk of diabetes-related medical complications and early mortality related to poor glycemic control. Fear of hypoglycemia (FoH) is a diabetes-specific factor that is assumed to play a role in DEBs in T1D, but this has not been adequately tested. The current study examined FoH as a predictor of DEBs in the natural environment in adults with T1D who met criteria for clinically significant DEBs. Participants (n = 59) completed the 18 item FoH worry subscale of the Hypoglycemia Fear Survey II and reported on their eating behavior over three days of ecological momentary assessment. A total of 737 eating episodes were reported; 235 (31.89%) eating episodes involved DEBs (overeating or binge eating). The proportion of eating episodes that involved DEBs was regressed on FoH, controlling for age. Every one-point increase in the FoH worry subscale score was associated with a 2% increase in the odds of DEB (OR = 1.02; 95% CI [1.01, 1.03], p < .001). Results suggest that FoH may be an important clinical factor when addressing DEBs in T1D.

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1型糖尿病患者对低血糖的恐惧和饮食行为紊乱

1型糖尿病（T1D）患者发生饮食失调（DEBs）的风险较高。当糖尿病1型糖尿病患者发生deb时，会产生严重后果，包括糖尿病相关并发症的风险增加以及与血糖控制不良相关的早期死亡。对低血糖的恐惧（FoH）是一种糖尿病特异性因素，被认为在T1D患者的deb中起作用，但尚未得到充分的验证。目前的研究检查了FoH作为自然环境中符合临床显著DEBs标准的T1D成人DEBs的预测因子。参与者（n = 59）完成了低血糖恐惧调查II的18项FoH担忧子量表，并报告了他们在三天的生态瞬时评估中的饮食行为。共报告了737例进食事件；235例（31.89%）进食事件涉及DEBs（暴饮暴食或暴食）。在控制年龄的情况下，进食事件中涉及DEBs的比例在FoH上回归。FoH忧虑亚量表得分每增加1分，DEB的几率就增加2% （OR = 1.02; 95% CI [1.01, 1.03], p < 0.001）。结果表明，FoH可能是解决T1D患者DEBs的重要临床因素。

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 behaviors Multiple-

CiteScore

4.20

自引率

3.60%

发文量

审稿时长

60 days

期刊介绍： Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.