Eating Disorders in Girls and Women With Type 1 Diabetes: A Longitudinal Study of Prevalence, Onset, Remission, and Recurrence
Abstract
Objective Girls and women with type 1 diabetes are at increased risk for developing eating disorders (EDs), and these disorders are associated with serious diabetes-related medical complications. This study describes the longitudinal course of disturbed eating behavior (DEB) and EDs in a cohort with type 1 diabetes. Research design and methods A total of 126 girls with type 1 diabetes receiving care for diabetes at The Hospital for Sick Children in Toronto participated in a series of seven interview-based assessments of ED behavior and psychopathology over a 14-year period, beginning in late childhood. Survival analysis was used. Results Mean age was 11.8 ± 1.5 years at time 1 and 23.7 ± 2.1 years at time 7. At time 7, 32.4% (23/71) met the criteria for a current ED, and an additional 8.5% (6/71) had a subthreshold ED. Mean age at ED onset (full syndrome or below the threshold) was 22.6 years (95% CI 21.6-23.5), and the cumulative probability of onset was 60% by age 25 years. The average time between onset of ED and subsequent ED remission was 4.3 years (95% CI 3.1-5.5), and the cumulative probability of remission was 79% by 6 years after onset. The average time between remission of ED and subsequent recurrence was 6.5 years (95% CI 4.4-8.6), and the cumulative probability of recurrence was 53% by 6 years after remission. Conclusions In this longitudinal study, EDs were common and persistent, and new onset of ED was documented well into adulthood. Further research regarding p…
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Eating disorders, including anorexia nervosa, bulimia nervosa, and binge eating, are overrepresented in type 1 diabetes populations, particularly in young women but may also occur in men.
“Eating disorders, including anorexia nervosa, bulimia nervosa, and binge eating, are overrepresented in type 1 diabetes populations, particularly in young women (193,194) but may also occur in men.”
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- Authors
- Colton, P. A., Olmsted, M. P., Daneman, D., Farquhar, J. C., Wong, H., Muskat, S., & Rodin, G. M.
- Affiliations
- University Health Network (CA)
- University of Toronto (CA)
- Corresponding author
- Colton, Patricia A.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2015-04-17
- Volume
- 38
- Issue
- 7
- Pages
- 1212-1217
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2165916005
- Cited by
- 165
- References
- 42
- Citations by year
- 2026: 13 · 2025: 15 · 2024: 15 · 2023: 13 · 2022: 17 · 2021: 17 · 2020: 20 · 2019: 17 · 2018: 15 · 2017: 13 · 2016: 5 · 2015: 5
- FWCI
- 15.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (MOP-81168)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorders, type 1 diabetes, women and girls, eating disorder onset, prevalence, subthreshold eating disorders, longitudinal course, psychopathology
- MeSH terms
- Adolescent, Feeding and Eating Disorders, Child, Diabetes Mellitus, Type 1, Feeding Behavior, Female, Humans, Longitudinal Studies, Ontario, Recurrence, Prevalence, Age of Onset, Young Adult
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