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Pediatr Diabetes. 2009 Feb;10(1):74-81. doi: 10.1111/j.1399-5448.2008.00422.x. Epub 2008 Aug 1.

Disturbed eating behaviors in Taiwanese adolescents with type 1 diabetes mellitus: a comparative study.

Author information

1
Department of Nursing, National Cheng Kung University, Taiwan ROC. vuht12@mail.ncku.edu.tw

Abstract

OBJECTIVES:

This study aimed to (i) compare disturbed eating behaviors in adolescents with type 1 diabetes mellitus (T1D) with a matched group of adolescents in Taiwan and (ii) examine the relationships of disturbed eating behaviors to body mass index (BMI) and metabolic control among adolescents with T1D.

METHODS:

A cross-sectional study was conducted in southern Taiwan. Seventy-one adolescents with T1D (aged 10-22 yr; 41 females and 29 males) were matched to a group of non-diabetic adolescents. Adolescents completed two self-reported measures of eating behavior, the Bulimic Investigatory Test, Edinburgh and the Eating Attitude Test-26. Metabolic control was assessed by glycosylated hemoglobin A1c levels.

RESULTS:

Both adolescent females and males with T1D had more symptoms of bulimia and bulimic behaviors than their non-diabetic peers. There were no group differences in the proportion of subthreshold eating disorders. BMI and metabolic control were significant factors predicting disturbed eating behaviors.

CONCLUSIONS:

Both adolescent females and males with T1D exhibited a higher level of disturbed eating behaviors than their non-diabetic adolescent counterparts. Preventive programs that address disturbed eating behaviors should be provided for adolescents with T1D, particularly for adolescents with a high BMI and poor metabolic control.

[Indexed for MEDLINE]

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