Abstract
Aim
The aim of this study was to determine the prevalence of likely eating disorders and
insulin misuse in a prospective cohort of adults with type 1 diabetes mellitus (T1DM)
treated with insulin pump therapy.
Methods
This prospective study was held at the participants’ home. The participants completed
the SCOFF questionnaire as well as a question related to insulin misuse. Information
about lifestyle, medical history, insulin pump and Continuous Glucose Monitoring (CGM)
data were collected.
Results
The analysis covered 198 participants with a median age of 51 [95% CI 38; 62] years.
The prevalence of likely eating disorders was 21.7% (95% CI 16.3; 28.2) in the study
population and 20.6% (95% CI 14.3; 28.6) and 24.2% (95% CI 14.6; 37.0) in males and
females respectively. The prevalence of insulin misuse was 39.0% (95% CI 30.8; 47.7).
There was no significant difference in prevalence between males and females for likely
eating disorders and insulin misuse. The analysis of CGM data revealed no factors
related to glycaemic control associated with likely eating disorders.
Conclusion
The results of this study indicate that the prevalence of likely eating disorders
is high even in a middle-aged population with a T1DM and satisfactory glucose control.
Keywords
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References
Hanlan ME, Griffith J, Patel N, Jaser SS. Eating Disorders and Disordered Eating in Type 1 Diabetes: Prevalence, Screening, and Treatment Options. Curr Diab Rep 2013:10.1007/s11892-013-0418–4. https://doi.org/10.1007/s11892-013-0418-4
- Clinical characteristics and outcome of 467 patients with a clinically recognized eating disorder identified among 52,215 patients with type 1 diabetes: a multicenter german/austrian study.Diabetes Care. 2014; 37: 1581-1589https://doi.org/10.2337/dc13-2156
- Diabulimia: the world’s most dangerous eating disorder.BMJ. 2019; 364l982https://doi.org/10.1136/bmj.l982
- Terminology matters: “diabulimia” is insufficient to describe eating disorders in individuals with Type 1 diabetes.Diabet Med. 2019; https://doi.org/10.1111/dme.14108
- The mSCOFF for Screening Disordered Eating in Pediatric Type 1 Diabetes.Diabetes Care. 2014; 37: e26-e27https://doi.org/10.2337/dc13-1637
- Brief Screening Tool for Disordered Eating in Diabetes.Diabetes Care. 2010; 33: 495-500https://doi.org/10.2337/dc09-1890
- SCOFF, the development of an eating disorder screening questionnaire.Int J Eat Disord. 2010; 43: 344-351https://doi.org/10.1002/eat.20679
- Validation of the French version of SCOFF questionnaire for screening of eating disorders among adults.World J Biol Psychiatry. 2010; 11: 888-893https://doi.org/10.3109/15622975.2010.483251
- Disordered eating and insulin restriction in youths receiving intensified insulin treatment: Results from a nationwide population-based study.Int J Eat Disord. 2016; 49: 191-196https://doi.org/10.1002/eat.22463
- Disordered eating and insulin restriction in type 1 diabetes: A systematic review and testable model.Eat Disord. 2018; 26: 343-360https://doi.org/10.1080/10640266.2017.1405651
- Prevalence of disordered eating in adults with type 1 diabetes in an Australian metropolitan hospital.Health & Social Care in the Community. 2022; 30: e974-e980https://doi.org/10.1111/hsc.13500
- The Diabetes Eating Problem Survey-Revised (DEPS-R) in a Greek Adult Population with Type 1 Diabetes Mellitus: Model Comparison Supporting a Single Factor Structure.Nutrients. 2021; 13: 2375https://doi.org/10.3390/nu13072375
- Continuous subcutaneous insulin infusion vs modern multiple injection regimens in type 1 diabetes: an updated meta-analysis of randomized clinical trials.Acta Diabetol. 2019; 56: 973-980https://doi.org/10.1007/s00592-019-01326-5
- Diabetes technologies in people with type 1 diabetes mellitus and disordered eating: A systematic review on continuous subcutaneous insulin infusion, continuous glucose monitoring and automated insulin delivery.Diabetic Medicine. 2021; 38: e14581
- Glycemic variability indices can be used to diagnose islet transplantation success in type 1 diabetic patients.Acta Diabetol. 2019; https://doi.org/10.1007/s00592-019-01425-3
- International physical activity questionnaire: 12-country reliability and validity.Med Sci Sports Exerc. 2003; 35: 1381-1395https://doi.org/10.1249/01.MSS.0000078924.61453.FB
- Eating Disorders and Associated Health Risks Among University Students.J Nutr Educ Behav. 2015; 47: 412-420.e1https://doi.org/10.1016/j.jneb.2015.06.009
- Probable Inference, the Law of Succession, and Statistical Inference.Journal of the American Statistical Association. 1927; 22: 209-212https://doi.org/10.2307/2276774
- Sociodemographic correlates of eating disorder subtypes among men and women in France, with a focus on age.J Epidemiol Community Health. 2019; 73: 56-64https://doi.org/10.1136/jech-2018-210745
- Eating Disorders and Disordered Eating Symptoms in Adolescents with Type 1 Diabetes.Nutrients. 2017; : 9https://doi.org/10.3390/nu9080906
- Is disordered eating behavior more prevalent in adolescents with early-onset type 1 diabetes than in their representative peers?.Int J Eat Disord. 2014; 47: 342-352https://doi.org/10.1002/eat.22238
- Symptoms of Eating Disorders and Depression in Emerging Adults with Early-Onset, Long-Duration Type 1 Diabetes and Their Association with Metabolic Control.PLoS One. 2015; : 10https://doi.org/10.1371/journal.pone.0131027
- Estimation of Eating Disorders Prevalence by Age and Associations With Mortality in a Simulated Nationally Representative US Cohort.JAMA Network Open. 2019; 2: e1912925
- Prevalence of eating disorders over the 2000–2018 period: a systematic literature review.Am J Clin Nutr. 2019; 109: 1402-1413https://doi.org/10.1093/ajcn/nqy342
- A 20-year longitudinal study of body weight, dieting, and eating disorder symptoms.Journal of Abnormal Psychology. 2007; 116: 422-432https://doi.org/10.1037/0021-843X.116.2.422
- Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy.BMC Psychiatry. 2017; 17: 262https://doi.org/10.1186/s12888-017-1434-8
- A meta-analysis of the diagnostic accuracy of the SCOFF.Span J Psychol. 2013; 16: E92https://doi.org/10.1017/sjp.2013.92
- Detection of eating disorders in patients: Validity and reliability of the French version of the SCOFF questionnaire.Clinical Nutrition. 2011; 30: 178-181https://doi.org/10.1016/j.clnu.2010.09.007
- Prevalence of Eating Disorder Risk and Associations with Health-related Quality of Life: Results from a Large School-based Population Screening.Eur Eat Disord Rev. 2016; 24: 9-18https://doi.org/10.1002/erv.2368
- Exploring health-related quality of life in eating disorders by a cross-sectional study and a comprehensive review.BMC Psychiatry. 2014; 14: 165https://doi.org/10.1186/1471-244X-14-165
- Disordered eating behaviors in youth with type 1 diabetes: prospective pilot assessment following initiation of insulin pump therapy.Diabetes Technol Ther. 2013; 15: 428-433https://doi.org/10.1089/dia.2013.0008
Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. BMJ 2002;325:746
Article info
Publication history
Accepted:
March 14,
2023
Received in revised form:
March 3,
2023
Received:
February 6,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier B.V. All rights reserved.
