title: Disordered eating behaviors are associated with poorer diet quality in adolescents with type 1 diabetes.
abstract: Disordered eating behaviors may pose a risk for poor long-term health outcomes in patients with type 1 diabetes. This cross-sectional study examined associations of disordered eating behaviors with diet quality, diet-related attitudes, and diabetes management in adolescents with type 1 diabetes (N=151, 48% female). Participants, recruited July 2008 through February 2009, completed 3-day diet records and survey measures, including the Diabetes Eating Problem Survey (DEPS) and measures of eating-related attitudes. Biomedical data were obtained from medical records. Participants scoring more than 1 standard deviation above the mean DEPS were classified as at risk for disordered eating. The Healthy Eating Index-2005 was calculated to assess diet quality. Analysis of covariance was used to test for differences between risk groups in diet quality, eating attitudes, and diabetes management, controlling for age, sex, and body mass index (BMI) percentile. Youth at risk for disordered eating were more likely to be overweight/obese than those at low risk (59.1% vs 31.8%, P=0.01). The at-risk group had poorer diet quality (P=0.003) as well as higher intake of total fat (P=0.01) and saturated fat (P=0.007) compared with the low-risk group. The at-risk group reported lower self-efficacy (P=0.005), greater barriers (P<0.001), and more negative outcome expectations (P<0.001) for healthful eating, as well as worse dietary satisfaction (P=0.004). The at-risk group had lower diabetes adherence (P<0.01), less-frequent blood glucose monitoring (P<0.002), and higher hemoglobin A1c (P<0.001). The constellation of excess weight, poorer dietary intake, and poorer diabetes management associated with youth at risk for disordered eating suggests potential risk of future poor health outcomes. Attention should be given to healthful weight management, especially among overweight youth with type 1 diabetes.
authors.affiliation: Division of Epidemiology, Statistics and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, DHHS, Building 6100, Room 7B05, MSC 7510, Bethesda, MD 20892-7510, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Tse
authors.forename: Tonja R
authors.initials: TR
authors.lastname: Nansel
authors.forename: Denise L
authors.initials: DL
authors.lastname: Haynie
authors.forename: Sanjeev N
authors.initials: SN
authors.lastname: Mehta
authors.forename: Lori M B
authors.initials: LM
authors.lastname: Laffel
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring; D001828:Body Image; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000523:psychology; D004032:Diet / Q000592:standards* / Q000706:statistics & numerical data; D015930:Diet Records; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D010349:Patient Compliance; D017060:Patient Satisfaction; D015995:Prevalence; D020377:Self Efficacy
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin