Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control
Salah, Nouran; Hashim, Mostafa Ahmad; Abdeen, Mai Seif El Din;
Abstract
Background: Disordered eating behaviour (DEB) represents a significant morbidity among people with type-1 diabetes (T1D). Continuous-subcutaneous insulin infusion (CSII) improves glycemic control and psychological wellbeing in those with T1D. However, its relation to DEB remains obscure. Objectives: To compare DEB among adolescents with T1D on CSII versus basal-bolus regimen and correlate it with body image, HbA1C and depression. Methods: Sixty adolescents with T1D (30 on CSII and 30 on basal-bolus regimen), aged 12–17 years were studied focusing on diabetes-duration, insulin therapy, exercise, socioeconomic standard, hypoglycemic attacks/week and family history of psychiatric illness. Anthropometric measures, HbA1C, binge eating scale (BES), body image tool, patient health questionnaire-9 (PHQ9) and the Mini-KID depression scale were assessed. Results: Among the studied adolescents with T1D, six had DEB (10%), 14 had poor body-image perception (23.3%), 42 had moderate body-image perception (70%) and 22 had depression (36.7%). Adolescents with T1D on CSII had significantly lower BES (p = 0.022), Mini-KID depression (p = 0.001) and PHQ9 (p = 0.02) than those on basal-bolus regimen. BES was positively correlated to depression (p < 0.001), HbA1C (p = 0.013) and diabetes-duration (p = 0.009) and negatively correlated to body-image (p = 0.003). Conclusion: DEB is a prevalent comorbidity among adolescents with T1D, with higher frequency in those on basal-bolus regimen than CSII.
Other data
Title | Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control | Authors | Salah, Nouran ; Hashim, Mostafa Ahmad; Abdeen, Mai Seif El Din | Keywords | Adolescents;Body image;Continuous subcutaneous insulin infusion;Eating disorders;Type 1-diabetes | Issue Date | 1-Dec-2022 | Publisher | BMC | Journal | Journal of Eating Disorders | ISSN | 2050-2974 | DOI | 10.1186/s40337-022-00571-4 | PubMed ID | 35379350 | Scopus ID | 2-s2.0-85127552837 | Web of science ID | WOS:000778124300001 |
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