Disturbed Eating Behavior and Eating Disorders in Preteen and Early Teenage Girls With Type 1 Diabetes
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OBJECTIVE—To compare the prevalence of eating disturbances in preteen and early teenage girls with type 1 diabetes to their nondiabetic peers. RESEARCH DESIGN AND METHODS—A cross-sectional, case-controlled study of 101 girls with type 1 diabetes, ages 9–14 years, and 303 age-matched, female nondiabetic control subjects was conducted. Participants completed a Children’s Eating Disorder Examination interview. Socioeconomic status, BMI, and diabetes-related variables were assessed. Groups were compared using χ2 analyses. RESULTS—Binge eating; the use of intense, excessive exercise for weight control; the combination of two disturbed eating-related behaviors; and subthreshold eating disorders were all more common in girls with type 1 diabetes. Metabolic control was not related to eating behavior in this study population. CONCLUSIONS—Eating disturbances, though mostly mild, were significantly more common in preteen and early teenage girls with type 1 diabetes. Screening and prevention programs for this high-risk group should begin in the preteen years.
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Somatic symptom and related disorders were reported in 2 studies; one diagnostic interview reported prevalence of 1.91% and one patient register reported 0.16%.
“N = 2 studies reported on somatic symptoms and related disorders [20,23].One study [23] used a diagnostic interview and reported a prevalence of 1.91% and the other study [20] used a patient register and reported a prevalence of 0.16%.”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
One study with healthy controls for somatic symptom and related disorders using a diagnostic interview reported a prevalence of 5.87%.
“N = 1 included a comparison group of healthy controls, used a diagnostic interview, and reported a prevalence of 5.87% [23].”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
One study with healthy controls for obsessive-compulsive and related disorders reported a prevalence of 0.4%.
“N = 1 study had a comparison group of healthy controls, reporting a prevalence of 0.4% [23].”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
For anxiety disorders with healthy controls, 2 diagnostic interview studies reported prevalence from 6.67% to 9.09%.
“For studies including healthy controls the prevalence in studies utilising diagnostic interviews (n = 2) ranged from 6.67% to 9.09% [22,23]”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
Among studies with healthy controls for depressive disorders, 2 using diagnostic interviews reported prevalence from 0.00% to 5.03%.
“Of the n = 4 studies which included a comparison group of healthy controls, n = 2 [22,23] utilised diagnostic interviews, reporting a prevalence of 0.00% to 5.03%”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
For substance-related and addictive disorders with healthy controls, one diagnostic interview study reported prevalence of 4.1% and two register studies reported 0.7% to 0.8%.
“N = 3 studies included a comparison group of healthy controls, n = 1 study used a diagnostic interview and recorded a prevalence of 4.1% [23] and n = 2 used patient registers and reported a prevalence ranging from 0.7% to 0.8% [20,21].”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of depressive disorders based on interviews was 4.58% (95% CI 3.67-5.48) across 2 studies with a total sample size of 2091.
“| | 2 | Interviews | 2091 | 4.58 | 3.67-5.48 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of depressive disorders based on registers was 0.61% (95% CI 0.60-0.62) across 2 studies with a total sample size of 1,703,033.
“| Healthy controls [20-23] | 2 | Registers | 1,703,033 | 0.61 | 0.60-0.62 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of anxiety disorders based on registers was 0.79% (95% CI 0.66-0.92) across 2 studies with a total sample size of 18,424.
“| Type 1 diabetes | 2 | Registers | 18,424 | 0.79 | 0.66 0.92 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of depressive disorders based on interviews was 14.35% (95% CI 10.65-18.05) across 18 studies with a total sample size of 1250.
“| [20-23,29-31,34-39,41,42,44,45,48,52,53,55,58,59] | 18 | Interviews | 1250 | 14.35 | 10.65-18.05 | 91.18% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
Substance-related and addictive disorders were reported in 9 studies; 7 diagnostic interview studies reported prevalence from 0.00% to 34.67% and 2 register/medical record studies reported 0.92% and 2.16%.
“N = 9 [20,21,23,31,34,38,42,52,58] studies reported on the prevalence of substance-related and addictive disorders.Where specified, n = 5 reported alcohol-related, n = 1 was cannabis-related, n = 1 was tobacco-related, n = 1 was medication-related, and n = 1 not specified.N = 7 studies used diagnostic interviews and reported prevalence ranging from 0.00% to 34.67% and n = 2 studies used patient”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of somatic symptom and related disorders based on interviews was 5.87% (95% CI 4.93-6.97) across 1 study with a total sample size of 2046.
“| | 1 | Interviews | 2046 | 5.87 | 4.93-6.97 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of obsessive-compulsive disorder based on interviews was 0.83% (95% CI 0.14-1.52) across 7 studies with a total sample size of 1218.
“| | 7 | Interviews | 1218 | 0.83 | 0.14-1.52 | 42.50% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of somatic symptom and related disorders based on interviews was 1.92% (95% CI 0.88-4.12) across 1 study with a total sample size of 313.
“| | 1 | Interviews | 313 | 1.92 | 0.88-4.12 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of anxiety disorders based on interviews was 12.56% (95% CI 8.87-16.24) across 15 studies with a total sample size of 2156.
“| [20-23,30,31,34,35,38,42,44,45,48,52,53,58,59] | 15 | Interviews | 2156 | 12.56 | 8.87 16.24 | 88.97% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of feeding and eating disorders based on interviews was 6.60% (95% CI 4.11-9.09) across 14 studies with a total sample size of 2004.
“| | 14 | Interviews | 2004 | 6.60 | 4.11-9.09 | 86.75% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of anxiety disorders based on registers was 0.63% (95% CI 0.62-0.65) across 2 studies with a total sample size of 1,703,033.
“| Healthy controls [20-23] | 2 | Registers | 1,703,033 | 0.63 | 0.62-0.65 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of obsessive-compulsive disorder based on interviews was 0.39% (95% CI 0.20-0.77) across 1 study with a total sample size of 2046.
“| | 1 | Interviews | 2046 | 0.39 | 0.20-0.77 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of somatic symptom and related disorders based on registers was 0.16% (95% CI 0.11-0.24) across 1 study with a total sample size of 17,122.
“| Type 1 diabetes [20,23] | 1 | Registers | 17,122 | 0.16 | 0.11-0.24 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of feeding and eating disorders based on registers was 0.60% (95% CI 0.50-0.73) across 2 studies with a total sample size of 18,424.
“| Type 1 diabetes [20-26,31,33,34,43,45,50-52,54] | 2 | Registers | 18,424 | 0.60 | 0.50-0.73 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of anxiety disorders based on interviews was 9.02% (95% CI 7.79-10.25) across 2 studies with a total sample size of 2046.
“| | 2 | Interviews | 2046 | 9.02 | 7.79-10.25 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of feeding and eating disorders based on registers was 0.27% (95% CI 0.27-0.28) across 2 studies with a total sample size of 1,703,033.
“| Healthy controls [20-26] | 2 | Registers | 1,703,033 | 0.27 | 0.27-0.28 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of substance-related and addictive disorders based on registers was 0.83% (95% CI 0.81-0.84) across 2 studies with a total sample size of 1,703,033.
“| Healthy controls [20,21,23] | 2 | Registers | 1,703,033 | 0.83 | 0.81-0.84 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of substance-related and addictive disorders based on interviews was 3.87% (95% CI 1.9-6.66) across 7 studies with a total sample size of 1173.
“| | 7 | Interviews | 1173 | 3.87 | 1.9-6.66 | 88.03% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In people with type 1 diabetes, the pooled prevalence of substance-related and addictive disorders based on registers was 1.98% (95% CI 1.77-2.18) across 2 studies with a total sample size of 18,424.
“| Type 1 diabetes [20,21,23,31,34,38,42,52,58] | 2 | Registers | 18,424 | 1.98 | 1.77-2.18 | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of substance-related and addictive disorders based on interviews was 4.11% across 1 study with a total sample size of 2046.
“| | 1 | Interviews | 2046 | 4.11 | - | N/A |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
In healthy controls, the pooled prevalence of feeding and eating disorders based on interviews was 1.25% (95% CI 0.00-2.84) across 5 studies with a total sample size of 3581.
“| | 5 | Interviews | 3581 | 1.25 | 0.00-2.84 | 90.73% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
The heterogeneity (I2) for the pooled prevalence of feeding and eating disorders in healthy controls based on interviews was 90.73%.
“| | 5 | Interviews | 3581 | 1.25 | 0.00-2.84 | 90.73% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
The heterogeneity (I2) for the pooled prevalence of feeding and eating disorders in people with type 1 diabetes based on interviews was 86.75%.
“| | 14 | Interviews | 2004 | 6.60 | 4.11-9.09 | 86.75% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
The heterogeneity (I2) for the pooled prevalence of depressive disorders in people with type 1 diabetes based on interviews was 91.18%.
“| [20-23,29-31,34-39,41,42,44,45,48,52,53,55,58,59] | 18 | Interviews | 1250 | 14.35 | 10.65-18.05 | 91.18% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
The heterogeneity (I2) for the pooled prevalence of anxiety disorders in people with type 1 diabetes based on interviews was 88.97%.
“| [20-23,30,31,34,35,38,42,44,45,48,52,53,58,59] | 15 | Interviews | 2156 | 12.56 | 8.87 16.24 | 88.97% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
The heterogeneity (I2) for the pooled prevalence of substance-related and addictive disorders in people with type 1 diabetes based on interviews was 88.03%.
“| | 7 | Interviews | 1173 | 3.87 | 1.9-6.66 | 88.03% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
The heterogeneity (I2) for the pooled prevalence of obsessive-compulsive disorder in people with type 1 diabetes based on interviews was 42.50%.
“| | 7 | Interviews | 1218 | 0.83 | 0.14-1.52 | 42.50% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [23]
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- Authors
- Colton, P., Olmsted, M., Daneman, D., Rydall, A., & Rodin, G.
- Affiliations
- University of Toronto (CA)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2004-07-01
- Volume
- 27
- Issue
- 7
- Pages
- 1654-1659
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2116570531
- Cited by
- 216
- References
- 42
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 9 · 2023: 10 · 2022: 14 · 2021: 5 · 2020: 11 · 2019: 10 · 2018: 8 · 2017: 10 · 2016: 9 · 2015: 12 · 2014: 14 · 2013: 13 · 2012: 7
- FWCI
- 10.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- 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
- type 1 diabetes, eating disorders, binge eating, subthreshold eating disorders, early adolescence, metabolic control, eating disorder screening, eating disorder prevention
- MeSH terms
- Adolescent, Feeding and Eating Disorders, Child, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Feeding Behavior, Female, Humans, Ontario, Reference Values, Exercise, Incidence, Case-Control Studies
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