title: [Prevalence of Disturbed Eating Behavior in Children and Adolescents with Type 1 Diabetes: Assessment and Comparison to Healthy Peers--Results of a Multicenter Questionnaire-based Study].
abstract: BACKGROUND
  Published data on prevalence of disturbed eating behavior in youth with type 1 diabetes are heterogeneous. This study assesses the prevalence rate of disturbed eating behavior in a representative German sample of children and adolescents with type 1 diabetes. The prevalence rate is compared to the one published for a national sample of healthy peers. Furthermore prospects as well as limits of a generic screening tool used to identify disturbed eating behavior are compared to those of a diabetes specific screening tool.
  
  
  METHODS
  A total of 246 children and adolescents (age: 11-19 years) with type 1 diabetes, from 6 pediatric diabetes centers in Germany, completed the generic SCOFF questionnaire and the diabetes specific Diabetes Eating Problem Survey-Revised (DEPS-R) to assess their eating behavior. Prevalence data were compared to representative data from a nationwide survey in Germany (KiGGS-study).
  
  
  RESULTS
  A total of 16.3% of the children and adolescents with type 1 diabetes scored above the SCOFF cut-off (≥ 2) (24.2% of the girls and 8.9% of the boys). The percentages in the healthy controls were 28.9% for girls and 15.2% for boys. Compared to this the prevalence of disturbed eating behavior was lower in the diabetes group (p=0.017 and p<0.001). According to the diabetes specific DEPS-R 11.2% of the boys and 13.2% of the girls with type 1 diabetes practiced insulin-purging. The association between SCOFF-scores and the items referring to insulin-purging in DEPS-R, was stronger for girls than for boys (r=0.437 vs. r=0.144). Among the young people with type 1 diabetes DEPS-R-scores showed stronger associations to the quality of metabolic control (HbA1c) than the SCOFF (boys: r=0.357 vs. r=0.217 and girls: r=0.368 vs. r=0.131).
  
  
  CONCLUSIONS
  Children and adolescents with type 1 diabetes are not more frequently affected by disturbed eating behavior than their healthy peers. Particularly boys with type 1 diabetes practicing insulin-purging, are not reliably detected by a generic screening tool.
  
  
  CONCLUSIONS
  As part of long-term care a diabetes specific screening tool should be used to identify adolescents with type 1 diabetes and disturbed eating behavior more reliably.
authors.affiliation: Medizinische Psychologie, Medizinische Hochschule Hannover.
authors.forename: Linnea Kristiina
authors.initials: LK
authors.lastname: Hevelke
authors.affiliation: Klinik für Kinder und Jugendliche, Bunter Kreis gGmbH, Klinikum Augsburg.
authors.forename: Carmen
authors.initials: C
authors.lastname: Albrecht
authors.affiliation: Klinik für Kinder- und Jugendmedizin, Klinikum Dritter Orden München.
authors.forename: Petra
authors.initials: P
authors.lastname: Busse-Widmann
authors.affiliation: Klinik für Kinder- und Jugendmedizin, Universität Tübingen.
authors.forename: Julia
authors.initials: J
authors.lastname: Kranz
authors.affiliation: Medizinische Psychologie, Medizinische Hochschule Hannover.
authors.forename: Karin
authors.initials: K
authors.lastname: Lange
authors.affiliation: Joslin Diabetes Center, Pediatric, Adolescent, and Young Adult Section, Boston, United States.
authors.forename: Jessica T
authors.initials: JT
authors.lastname: Markowitz
authors.affiliation: Klinik für Kinder- und Jugendmedizin, UKSH Lübeck.
authors.forename: Louise F
authors.initials: LF
authors.lastname: Marshall
authors.affiliation: Sozialpädiatrisches Zentrum, Kinderklinik Passau Dritter Orden, Passau.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Meurs
authors.affiliation: Kinderklinik, Klinikum Nürnberg Süd.
authors.forename: Ilka H
authors.initials: IH
authors.lastname: de Soye
authors.affiliation: Medizinische Psychologie, Medizinische Hochschule Hannover.
authors.forename: Heike
authors.initials: H
authors.lastname: Saßmann
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000453:epidemiology*; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000453:epidemiology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006306:Health Surveys; D006801:Humans; D008297:Male; D015995:Prevalence; D011795:Surveys and Questionnaires; D055815:Young Adult