Disturbed Eating Behaviors in Adolescents and Emerging Adults With Type 1 Diabetes: A One-Year Prospective Study
Open accessAbstract
Objective Disturbed eating behavior (DEB) is prevalent in youth with type 1 diabetes and is accompanied by an increased risk for complications, morbidity, and mortality. Prospective studies on DEB in the challenging transition to adulthood are scarce. This longitudinal study examined DEB over a 1-year period and investigated the directionality of effects linking DEB to diabetes-specific functioning and depressive symptoms in adolescents and emerging adults. Research design and methods Three hundred youth (16-28 years old) with type 1 diabetes participated in a two-wave longitudinal study. Questionnaires measured DEB (Diabetes Eating Problem Survey-Revised [DEPS-R]), self-management, diabetes distress, and depressive symptoms. HbA 1c values were obtained from physicians. Mixed ANOVA and cross-lagged analysis were used to examine prospective changes and directionality of effects, respectively. Results Mean DEB remained stable in the total sample, but significant individual differences were observed based on the cutoff score of the DEPS-R: 19% displayed persistent DEB and 8% increased and 7.3% decreased in DEB over time. The remaining individuals scored low on DEB over time. These four groups were differentiated based on insulin restriction, omission, diabetes-specific functioning, and depressive symptoms. Cross-lagged analyses indicated that DEB predicted relative increases in depressive symptoms over time, whereas reciprocal associations with glycemic control were found. Concl…
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Insulin omission as a weight-loss strategy ('diabulimia') often starting in teenage years warrants special attention.
“Insulin omission as a weight-loss strategy (“diabulimia”) often starting in teenage years warrants special attention (195,196).”
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Depression and Diabetes: Impact of Depressive Symptoms on Adherence, Function, and Costs
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American Diabetes Association (2015) · Diabetes Care · doi:10.2337/dc15-s009 · Cited by 205 · see citing works
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Holt, R. I. G., DeVries, J. H., Hess-Fischl, A., Hirsch, I. B., Kirkman, M. S., Klupa, T., Ludwig, B., Nørgaard, K., Pettus, J., Renard, E., et al. (2021) · Diabetes Care · doi:10.2337/dci21-0043 · Cited by 699 · see citing works
- Authors
- Luyckx, K., Verschueren, M., Palmeroni, N., Goethals, E. R., Weets, I., & Claes, L.
- Affiliations
- University of the Free State (ZA)
- Research Foundation - Flanders (BE)
- KU Leuven (BE)
- Joslin Diabetes Center (US)
- Université Libre de Bruxelles (BE)
- University of Antwerp (BE)
- Corresponding author
- Luyckx, Koen
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2019-06-19
- Volume
- 42
- Issue
- 9
- Pages
- 1637-1644
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2951517187
- Cited by
- 49
- References
- 3
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 9 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 1
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- FWO Flanders (G.0B35.14N)
- Research Council KU Leuven (C14/15/036)
- 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
- type 1 diabetes, adolescents, emerging adults, coming of age, depressive symptoms, glycemic control, reciprocal effects
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Blood Glucose, Diabetes Mellitus, Type 1, Feeding Behavior, Female, Humans, Insulin, Longitudinal Studies, Male, Prospective Studies, Surveys and Questionnaires, Prevalence, Young Adult
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