TY - JOUR

T1 - High prevalence of disordered eating behavior in Danish children and adolescents with type 1 diabetes

AU - Nilsson, Franciska

AU - Madsen, Jens Otto Broby

AU - Jensen, Andreas Kryger

AU - Olsen, Birthe Susanne

AU - Johannesen, Jesper

PY - 2020

Y1 - 2020

N2 - Objective: A higher prevalence of disordered eating behavior (DEB) has been demonstrated in children and adolescents with type 1 diabetes (T1D) compared to healthy aged-matched peers. DEB is associated with higher HbA1c levels and increased risk of developing complications to T1D. The aim of this study was to determine the prevalence of DEB in a Danish cohort of children and adolescents with T1D aged 11 to 19 years and to characterize them regarding metabolic control and relevant clinical data. Research design and methods: In a cross-sectional study, we determined the prevalence of DEB using the revised Diabetes Eating Problem Survey (DEPS-R) questionnaire. HbA1c and relevant clinical data were obtained at the time they filled in the questionnaire. Results: Hundred and ninety-two children and adolescents (46% girls) aged 11 to 19 years with T1D were included from the pediatric diabetes outpatient clinic. A total of 40 participants (21%) had DEB. The prevalence was higher among girls compared with boys (34.1% vs 8.9%) and those who had DEB were older (16.7 vs 15.0 years, P <.001), had longer duration of T1D (7.5 vs 4.9 years, P <.001), higher BMI Z-scores (1.2 vs 0.3, P <.001), higher HbA1c (72.8 (8.8%) vs 62.0 (7.8%) mmol/mol, P <.001), higher total cholesterol (4.6 mmol/L vs 4.2 mmol/L, P =.0048), and LDL (2.7 vs 2.3, P =.001) compared with those with no signs of DEB. Conclusion: As in other countries, the prevalence of DEB is high in Danish adolescents with T1D. Early detection of DEB is essential to prevent short- and long-term complications to T1D.

AB - Objective: A higher prevalence of disordered eating behavior (DEB) has been demonstrated in children and adolescents with type 1 diabetes (T1D) compared to healthy aged-matched peers. DEB is associated with higher HbA1c levels and increased risk of developing complications to T1D. The aim of this study was to determine the prevalence of DEB in a Danish cohort of children and adolescents with T1D aged 11 to 19 years and to characterize them regarding metabolic control and relevant clinical data. Research design and methods: In a cross-sectional study, we determined the prevalence of DEB using the revised Diabetes Eating Problem Survey (DEPS-R) questionnaire. HbA1c and relevant clinical data were obtained at the time they filled in the questionnaire. Results: Hundred and ninety-two children and adolescents (46% girls) aged 11 to 19 years with T1D were included from the pediatric diabetes outpatient clinic. A total of 40 participants (21%) had DEB. The prevalence was higher among girls compared with boys (34.1% vs 8.9%) and those who had DEB were older (16.7 vs 15.0 years, P <.001), had longer duration of T1D (7.5 vs 4.9 years, P <.001), higher BMI Z-scores (1.2 vs 0.3, P <.001), higher HbA1c (72.8 (8.8%) vs 62.0 (7.8%) mmol/mol, P <.001), higher total cholesterol (4.6 mmol/L vs 4.2 mmol/L, P =.0048), and LDL (2.7 vs 2.3, P =.001) compared with those with no signs of DEB. Conclusion: As in other countries, the prevalence of DEB is high in Danish adolescents with T1D. Early detection of DEB is essential to prevent short- and long-term complications to T1D.

KW - diabetes complications

KW - diabetes mellitus type 1

KW - eating disorders

U2 - 10.1111/pedi.13043

DO - 10.1111/pedi.13043

M3 - Journal article

C2 - 32418266

AN - SCOPUS:85086263664

VL - 21

SP - 1043

EP - 1049

JO - Pediatric Diabetes

JF - Pediatric Diabetes

SN - 1399-543X

IS - 6

ER -