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Overeating, binge eating, quality of life, emotional difficulties, and HbA1c in adolescents with type 1 diabetes: a Danish national survey
Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
Dokumenter
- Overeating, binge eating, quality of life_Publisher PDF
Forlagets udgivne version, 715 KB, PDF-dokument
DOI
- https://doi.org/10.1016/j.diabres.2021.109150
Forlagets udgivne version
- Kevin P. Marks
- Mikael Thastum
- Morten B. Jensen
- Lene Juel Kristensen ,
- Anne H. Mose ,
- Frans Pouwer, Syddansk Universitet, Deakin University, Steno Diabetes Center Odense, Danmark
- Niels H. Birkebæk
Aims
To determine 1) the prevalence of symptoms of overeating (OE), subclinical binge eating (SBE) and clinical binge eating (CBE), in adolescents with type 1 diabetes (T1D), and 2) their associations with quality of life (QoL), anxiety, depression, HbA1c, and body mass index standard deviation score (BMISDS).
Methods
In total 506 adolescents (age 12-17 years; mean 14.7 years; girls 49%) from the Danish Registry for Diabetes in Childhood and Adolescence (DanDiabKids) were included. Participants completed questionnaires on Eating Disorders, QoL, and emotional difficulties. A blood sample was sent for HbA1c determination. BMISDS was determined from the DanDiabKids data.
Results
Prevalence rates of OE, SBE, and CBE were 8.4%, 18% and 7.9% respectively. Youth with CBE symptoms scored lowest on generic and diabetes specific QoL, highest on anxiety and depression symptoms, and had a higher HbA1c. Youth with CBE had borderline increased BMISDS.
Conclusions
In a Danish national survey of adolescents with T1D, approximately one-third of participants had overeating or binge eating symptoms, comparable with the numbers in a U.S T2D population. Binge eating symptoms associated positively with lower QoL, higher depression scores, higher anxiety scores, and poorer clinical outcomes. Binge eating symptoms were markers for poor mental and somatic health.
To determine 1) the prevalence of symptoms of overeating (OE), subclinical binge eating (SBE) and clinical binge eating (CBE), in adolescents with type 1 diabetes (T1D), and 2) their associations with quality of life (QoL), anxiety, depression, HbA1c, and body mass index standard deviation score (BMISDS).
Methods
In total 506 adolescents (age 12-17 years; mean 14.7 years; girls 49%) from the Danish Registry for Diabetes in Childhood and Adolescence (DanDiabKids) were included. Participants completed questionnaires on Eating Disorders, QoL, and emotional difficulties. A blood sample was sent for HbA1c determination. BMISDS was determined from the DanDiabKids data.
Results
Prevalence rates of OE, SBE, and CBE were 8.4%, 18% and 7.9% respectively. Youth with CBE symptoms scored lowest on generic and diabetes specific QoL, highest on anxiety and depression symptoms, and had a higher HbA1c. Youth with CBE had borderline increased BMISDS.
Conclusions
In a Danish national survey of adolescents with T1D, approximately one-third of participants had overeating or binge eating symptoms, comparable with the numbers in a U.S T2D population. Binge eating symptoms associated positively with lower QoL, higher depression scores, higher anxiety scores, and poorer clinical outcomes. Binge eating symptoms were markers for poor mental and somatic health.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | 109150 |
| Tidsskrift | Diabetes Research and Clinical Practice |
| Vol/bind | 182 |
| ISSN | 0168-8227 |
| DOI | |
| Status | Udgivet - dec. 2021 |
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