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  1. Eating disorders in adolescent girls with insulin-dependent diabetes mellitus : A population-based case-control study.

    Article - En anglais

    In this study the prevalence of eating disorders in a population-based cohort of 89 female patients with type 1 diabetes, 14-18 y of age, was compared with that in age-matched healthy controls.

    Of all diabetic girls in the study area, 92% participated in the study.

    The majority were treated with multiple insulin injections and the mean HbA1c of the participants was 8.4%. On average, diabetic girls were 6.8 kg heavier than the controls.

    A two-stage design was used.

    The first consisted of a validated self-report questionnaire, the Eating Disorder Inventory (EDI).

    Girls who had high scores were then interviewed about eating habits and mental health using a semistructured interview, the BAB-T (Assessment of Anorexia-Bulimia - Teenager version).

    No cases of anorexia or bulimia nervosa were found, but 15 diabetic patients (16.9%) compared with 2 control girls (2.2%). p<0.01, had disturbed eating behaviour according to the questionnaire.

    In 6 of these 15 diabetic girls an eating disorder was confirmed at the interview, mainly binge eating and self-induced vomiting.

    None of the control girls showed an eating disorder.

    Overweight diabetic girls scored higher on EDI than non-overweight diabetic girls (X2=4.9 ; p=0.038).

    No relationships were found between EDI scores and metabolic control (HbA1c), dose of insulin, frequency of hypoglycaemia or diabetic ketoacidosis.

    Mots-clés Pascal : Diabète insulinodépendant, Adolescent, Homme, Femelle, Etude cohorte, Association, Evaluation, Trouble nutrition, Suède, Europe, Epidémiologie, Prévalence, Questionnaire, Recommandation, Surveillance sanitaire, Endocrinopathie, Immunopathologie, Maladie autoimmune

    Mots-clés Pascal anglais : Insulin dependent diabetes, Adolescent, Human, Female, Cohort study, Association, Evaluation, Nutrition disorder, Sweden, Europe, Epidemiology, Prevalence, Questionnaire, Recommendation, Sanitary surveillance, Endocrinopathy, Immunopathology, Autoimmune disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0190828

    Code Inist : 002B21E01B. Création : 16/11/1999.