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Cited by 11Eating Disorders and BehaviorsDiabetes Management and EducationDiabetes Management and Research

Association of executive function problems and disordered eating behaviours in teens with type 1 diabetes

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Cecilia‐Costa, Raquel, Hansmann, Merel, McGill, Dayna E., Volkening, Lisa K., Laffel, Lori M.·2021·Diabetic Medicine
DOI 10.1111/dme.14652PMC PMC8511282
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Abstract

Aim: To explore cross‐sectional associations between executive function problems and disordered eating behaviours in teens with type 1 diabetes. Methods: Executive function was assessed by the Behavior Rating Inventory of Executive Function (BRIEF), self‐report and parent proxy‐report versions. Scores ≥60 (on Global Executive Composite, Behavioral Regulation Index, Metacognition Index or clinical scales) indicated problems with executive function. Disordered eating behaviour was assessed by the Diabetes Eating Problem Survey Revised (DEPS‐R) and categorized as follows: <10 low, 10–19 moderate and ≥20 high. Results: In the 169 teens (46% girls, median age 16.0 years [range 13.7–18.7], median diabetes duration 8.9 years [range 1.4–16.6]), 29% had moderate and 12% had high level of disordered eating behaviours. Executive function problems were present in 9% by self report and 26% by parent proxy‐report. Among teens with moderate/high level of disordered eating behaviours, 19% had executive function problems by self report (vs. 2% of teens with low level of disordered eating behaviours, p < 0.001) and 33% had executive function problems by parent proxy‐report (vs. 20% of teens with low level of disordered eating behaviours, p = 0.056). A greater level of disordered eating behaviours was associated with executive function problems by teen self report on the General Executive Composite (p < 0.001), Behavioral Regulation Index (p < 0.001), emotional control clinical scale (p < 0.001), shift clinical scale (p < 0.001) and by parent proxy‐report on the task initiation clinical scale (p = 0.008). Conclusions: Assessing executive function and screening for disordered eating behaviours in teens with type 1 diabetes could help identify a subset of teens at high risk for adverse outcomes and need for intervention.

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  • Triangulating dietary data with data from wearable tech, mobile apps, school canteen sales data, ecological momentary assessment, direct observation, and proxy reports can provide insights into behaviour changes.

    “Triangulating this data with data from wearable tech, mobile apps, and school canteen sales data, ecological momentary assessment (EMA) for real-time data collection, direct observation of adolescents’ eating behaviours, and proxy reports from family members can provide insights into behaviour changes [70–76].”

    From School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review (2024) · cites this paper as [75]

    The Discussion (page not provided) says teen self-reports and parent proxy-reports offer complementary information, supporting the value of combining those two perspectives. It does not address triangulating dietary data with wearables, apps, canteen sales, EMA, or direct observation, or show that these methods reveal behaviour changes. (LLM, conf=0.82)

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Cited by

Sorted by citations

Authors
Cecilia‐Costa, R., Hansmann, M., McGill, D. E., Volkening, L. K., & Laffel, L. M.
Affiliations
Joslin Diabetes Center (US)
Corresponding author
Laffel, Lori M.
ORCID
Venue
Diabetic Medicine
Publisher
Wiley
Published
2021-07-29
Volume
38
Issue
11
Pages
e14652-e14652
ISSN
  • 0742-3071 (ISSN-L)
  • 1464-5491
DOI
10.1111/dme.14652
PMC
PMC8511282
OpenAlex
W3183798107
Cited by
11
References
5
Citations by year
2025: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 1
FWCI
1.71
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Diabetic Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (R01DK095273, P30DK036836)
  • Fundación Alicia Koplowitz
  • Juvenile Diabetes Research Foundation United States of America (2‐SRA‐2014‐253‐M‐B)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
executive function, disordered eating, type 1 diabetes, adolescents, behavioral regulation, metacognition, emotional control, task initiation, parent proxy reporting, self-report
MeSH terms
Adolescent, Feeding and Eating Disorders, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Feeding Behavior, Female, Follow-Up Studies, Humans, Male, Surveys and Questionnaires, Time Factors, Executive Function, Self Report

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