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Disordered Eating Behaviors in Youth and Young Adults With Type 1 or Type 2 Diabetes Receiving Insulin Therapy: The SEARCH for Diabetes in Youth Study

التفاصيل البيبلوغرافية
العنوان:	Disordered Eating Behaviors in Youth and Young Adults With Type 1 or Type 2 Diabetes Receiving Insulin Therapy: The SEARCH for Diabetes in Youth Study
المؤلفون:	Catherine Pihoker, Angel S.Y. Nip, Elizabeth J. Mayer-Davis, Anna R. Kahkoska, Dana Dabelea, Beth A. Reboussin, Anna Bellatorre, Lawrence M. Dolan, Jean M. Lawrence, Claire M. Peterson
المصدر:	Diabetes Care
بيانات النشر:	American Diabetes Association, 2019.
سنة النشر:	2019
مصطلحات موضوعية:	Adult, Blood Glucose, Male, Research design, Pediatrics, medicine.medical_specialty, Adolescent, Diabetic ketoacidosis, Endocrinology, Diabetes and Metabolism, Population, 030209 endocrinology & metabolism, Type 2 diabetes, Diabetic Ketoacidosis, Cohort Studies, Feeding and Eating Disorders, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Surveys and Questionnaires, Diabetes mellitus, Prevalence, Internal Medicine, medicine, Humans, Insulin, 030212 general & internal medicine, Disordered eating, education, Advanced and Specialized Nursing, Type 1 diabetes, education.field_of_study, business.industry, Clinical Care/Education/Nutrition/Psychosocial Research, Feeding Behavior, medicine.disease, United States, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Quality of Life, Female, business, Cohort study
الوصف:	OBJECTIVE This study examines the prevalence of disordered eating behaviors (DEB) and its associations with glycemic control, insulin sensitivity (IS), and psychosocial functioning in a large, diverse cohort of youth and young adults with type 1 or type 2 diabetes. RESEARCH DESIGN AND METHODS In the SEARCH for Diabetes in Youth study, 2,156 youth and young adults with type 1 diabetes (mean ± SD age 17.7 ± 4.3 years; 50.0% female) and 149 youth and young adults with type 2 diabetes (age 21.8 years ± 3.5; 64.4% female) who were receiving insulin therapy completed the Diabetes Eating Problem Survey–Revised (DEPS-R), a self-reported measure for identifying disordered eating. DEB were defined as a DEPS-R score ≥20. Demographic characteristics, clinical measures, and health behaviors of participants with DEB and those without DEB were compared by using t tests. RESULTS DEB were observed in 21.2% of participants with type 1 diabetes and 50.3% of participants with type 2 diabetes. Participants encountered challenges in maintaining a healthy weight while controlling their diabetes. For both types of diabetes, individuals with DEB had a significantly higher BMI z score, lower insulin sensitivity, more depressive symptoms, and poorer quality of life than those without DEB. Diabetic ketoacidosis episodes occurred more frequently in youth with type 1 diabetes with DEB compared to those without DEB. CONCLUSIONS These findings highlight that DEB are prevalent among youth and young adults with type 1 and type 2 diabetes and who are receiving insulin therapy, and DEB are associated with poorer clinical outcomes and psychosocial well-being. Heightened awareness and early interventions are needed to address DEB for this at-risk population, as are longitudinal studies evaluating the course of DEB and diabetes outcomes.
تدمد:	1935-5548 0149-5992
الوصول الحر:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6c8d7ac430097c8bdb78837ede28d023Test https://doi.org/10.2337/dc18-2420Test
حقوق:	OPEN
رقم الانضمام:	edsair.doi.dedup.....6c8d7ac430097c8bdb78837ede28d023
قاعدة البيانات:	OpenAIRE

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RESEARCH DESIGN AND METHODS In the SEARCH for Diabetes in Youth study, 2,156 youth and young adults with type 1 diabetes (mean ± SD age 17.7 ± 4.3 years; 50.0% female) and 149 youth and young adults with type 2 diabetes (age 21.8 years ± 3.5; 64.4% female) who were receiving insulin therapy completed the Diabetes Eating Problem Survey–Revised (DEPS-R), a self-reported measure for identifying disordered eating. DEB were defined as a DEPS-R score ≥20. Demographic characteristics, clinical measures, and health behaviors of participants with DEB and those without DEB were compared by using t tests. RESULTS DEB were observed in 21.2% of participants with type 1 diabetes and 50.3% of participants with type 2 diabetes. Participants encountered challenges in maintaining a healthy weight while controlling their diabetes. For both types of diabetes, individuals with DEB had a significantly higher BMI z score, lower insulin sensitivity, more depressive symptoms, and poorer quality of life than those without DEB. Diabetic ketoacidosis episodes occurred more frequently in youth with type 1 diabetes with DEB compared to those without DEB. CONCLUSIONS These findings highlight that DEB are prevalent among youth and young adults with type 1 and type 2 diabetes and who are receiving insulin therapy, and DEB are associated with poorer clinical outcomes and psychosocial well-being. 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