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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0190828
Code Inist : 002B21E01B. Création : 16/11/1999.