Disturbed eating behaviours and thoughts in Australian adolescents with type 1 diabetes

d'Emden, Helen, Holden, Libby, McDermott, Brett, Harris, Mark, Gibbons, Kristen, Gledhill, Anne and Cotterill, Andrew (2013) Disturbed eating behaviours and thoughts in Australian adolescents with type 1 diabetes. Journal of Paediatrics and Child Health, 49 4: E317-E323. doi:10.1111/jpc.12014

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Author d'Emden, Helen
Holden, Libby
McDermott, Brett
Harris, Mark
Gibbons, Kristen
Gledhill, Anne
Cotterill, Andrew
Title Disturbed eating behaviours and thoughts in Australian adolescents with type 1 diabetes
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1034-4810
Publication date 2013-04
Year available 2012
Sub-type Article (original research)
DOI 10.1111/jpc.12014
Open Access Status
Volume 49
Issue 4
Start page E317
End page E323
Total pages 7
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2013
Language eng
Formatted abstract
Aim: To describe the presence and type of disturbed eating behaviours and thoughts in a combined male/female Australian sample of adolescents with type 1 diabetes, and examine the association of eating behaviours and thoughts with glycaemic control as evidenced by high glycosylated haemoglobin levels (HbA1c).

: In this cross-sectional descriptive study, 124 adolescents aged 13–18 years were invited to complete three self-administered questionnaires. The Youth Eating Disorder Examination Questionnaire (YEDE-Q) and the Eating Disorder Inventory -3 Risk Composite (EDI-3RC) assessed risk for an eating disorder. The third questionnaire, the Strengths and Difficulties Questionnaire (SDQ) assessed emotional and behavioural concerns. Clinical data were collected from the medical records, routine clinic appointments and the adolescent.

Any disturbed eating behaviour was reported by approximately one-third of participants (32.3%) and was common in females and males (37.9% vs. 25.9%). Binge eating (17.7%), driven exercise (13.0%) and dietary restraint (8.9%) were the most common disturbed eating behaviours, although restraintwas not evident in males. Insulin manipulation/omission (5.6%), vomiting (3.3%), laxative (0.8%) or diuretic use (0.8%) were less common. Regression analysis showed a significant association between HbA1c and more disturbed eating behaviours and thoughts which remained significant when adjusted for confounders.

High rates of disturbed eating behaviours and thoughts were seen in this Australian sample of adolescents with type 1 diabetes. High scores on both eating disorder measures were associated with poorer glycaemic control. These results highlight the need to screen for disordered eating in adolescents with type 1 diabetes.
Keyword Adolescence
Eating disorders
Glycosylated haemoglobin
Type 1 diabetes
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 2 December 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
School of Medicine Publications
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Created: Thu, 04 Apr 2013, 11:32:03 EST by Ms Ramona Hooyer on behalf of Medicine - Mater Hospital