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Cited by 145Eating Disorders and BehaviorsDiabetes Management and EducationNutrition, Health and Food Behavior

The DOI matches its Crossref record; 41 of the 45 references it cites were found in a registry or an index.

Disordered Eating Behaviors in Youth and Young Adults With Type 1 or Type 2 Diabetes Receiving Insulin Therapy: The SEARCH for Diabetes in Youth Study

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Nip, Angel S.Y., Reboussin, Beth A., Dabelea, Dana, Bellatorre, Anna, Mayer-Davis, Elizabeth J., Kahkoska, Anna R., Lawrence, Jean M., Peterson, Claire M., Dolan, Lawrence, Pihoker, Catherine·2019·Diabetes Care
DOI 10.2337/dc18-2420PMC PMC6489106
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Abstract

OBJECTIVE This study examines the prevalence of disordered eating behaviors (DEB) and its associations with glycemic control, insulin sensitivity (IS), and psychosocial functioning in a large, diverse cohort of youth and young adults with type 1 or type 2 diabetes. RESEARCH DESIGN AND METHODS In the SEARCH for Diabetes in Youth study, 2,156 youth and young adults with type 1 diabetes (mean ± SD age 17.7 ± 4.3 years; 50.0% female) and 149 youth and young adults with type 2 diabetes (age 21.8 years ± 3.5; 64.4% female) who were receiving insulin therapy completed the Diabetes Eating Problem Survey–Revised (DEPS-R), a self-reported measure for identifying disordered eating. DEB were defined as a DEPS-R score ≥20. Demographic characteristics, clinical measures, and health behaviors of participants with DEB and those without DEB were compared by using t tests. RESULTS DEB were observed in 21.2% of participants with type 1 diabetes and 50.3% of participants with type 2 diabetes. Participants encountered challenges in maintaining a healthy weight while controlling their diabetes. For both types of diabetes, individuals with DEB had a significantly higher BMI z score, lower insulin sensitivity, more depressive symptoms, and poorer quality of life than those without DEB. Diabetic ketoacidosis episodes occurred more frequently in youth with type 1 diabetes with DEB compared to those without DEB. CONCLUSIONS These findings highlight that DEB are prevalent among youth and young adults with type 1 and type 2 diabetes and who are receiving insulin therapy, and DEB are associated with poorer clinical outcomes and psychosocial well-being. Heightened awareness and early interventions are needed to address DEB for this at-risk population, as are longitudinal studies evaluating the course of DEB and diabetes outcomes.

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Crossref · 10.2337/dc18-2420

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  1. Centers for Disease Control and Prevention, 2000, National Health and Nutrition Examination Survey (NHANES): Anthropometry Procedures Manual, 3

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Metadata

Authors
Nip, A. S. Y., Reboussin, B. A., Dabelea, D., Bellatorre, A., Mayer-Davis, E. J., Kahkoska, A. R., Lawrence, J. M., Peterson, C. M., Dolan, L., & Pihoker, C.
Affiliations
  • University of Washington (US)
  • Wake Forest University Health Sciences (US)
  • Colorado School of Public Health (US)
  • Departments of Nutrition and Medicine, University of North Carolina, Chapel Hill, NC
  • University of North Carolina at Chapel Hill (US)
  • Kaiser Permanente (US)
  • Cincinnati Children's Hospital Medical Center (US)
Corresponding author
Pihoker, Catherine
ORCID
Venue
Diabetes Care
Publisher
American Diabetes Association
Published
2019-03-12
Volume
42
Issue
5
Pages
859-866
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
DOI
10.2337/dc18-2420
PMC
PMC6489106
OpenAlex
W2921461134
Cited by
145
References
45
Citations by year
2026: 13 · 2025: 26 · 2024: 19 · 2023: 25 · 2022: 24 · 2021: 21 · 2020: 13 · 2019: 3
FWCI
17.81
Type
journal article
Language
en
Open access
Licence
www.diabetesjournals.org/content/license (vor, 41 d)
Locations
  • Diabetes Care (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Centers for Disease Control and Prevention (00097, DP-05-069, DP-10-001)
  • National Institute of Diabetes and Digestive and Kidney Diseases (1UC4DK108173)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
disordered eating, type 1 diabetes, type 2 diabetes, insulin therapy, youth and young adults, glycemic control, insulin sensitivity, depressive symptoms, quality of life, diabetic ketoacidosis, body mass index, SEARCH for Diabetes in Youth
MeSH terms
Adolescent, Adult, Feeding and Eating Disorders, Blood Glucose, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Feeding Behavior, Female, Humans, Insulin, Male, Quality of Life, Surveys and Questionnaires, Risk Factors, United States, Cohort Studies, Prevalence, Diabetic Ketoacidosis, Young Adult

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