Conclusions of the Book: Risks and Benefits of Digital Technology in Eating Behaviors and Eating Disorders

AbstractLeptin is an adipocyte-derived hormone, which is involved predominantly in the long-term regulation of body weight and energy balance by acting as a hunger suppressant signal to the brain. Leptin is also involved in the modulation of reproduction, immune function, physical activity, and some endogenous endocrine axes. Since anorexia nervosa (AN) and bulimia nervosa (BN) are characterized by abnormal eating behaviors, dysregulation of endogenous endocrine axes, alterations of reproductive and immune functions, and increased physical activity, extensive research has been carried out in the last decade in order to ascertain a role of this hormone in the pathophysiology of these syndromes. In this article, we review the available data on leptin physiology in patients with eating disorders. These data support the idea that leptin is not directly involved in the etiology of AN or BN. However, malnutrition-induced alterations in its physiology may contribute to the genesis and/or the maintenance of some clinical manifestations of AN and BN and may have an impact on the prognosis of AN.

Download Full-text

Association and Familial Coaggregation of Type 1 Diabetes and Eating Disorders: A Register-Based Cohort Study in Denmark and Sweden

10.2337/figshare.14040212 ◽

2021 ◽

Author(s):

Ashley E. Tate ◽

Shengxin Liu ◽

Ruyue Zhang ◽

Zeynep Yilmaz ◽

Janne T. Larsen ◽

...

Keyword(s):

Eating Disorders ◽

Type 1 Diabetes ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Eating Behaviors ◽

Diabetes Diagnosis ◽

Disordered Eating Behaviors ◽

Increased Risk ◽

Clinical Diagnoses

OBJECTIVE To ascertain the association and co-aggregation of eating disorders and childhood-onset type 1 diabetes in families. RESEARCH DESIGN AND METHODS Using population samples from national registers in Sweden (n= 2 517 277) and Demark (n= 1 825 920) we investigated the within-individual association between type 1 diabetes and EDs, and their familial co-aggregation among full siblings, half-siblings, full cousins, and half-cousins. Based on clinical diagnoses we classified eating disorders (EDs) into: any eating disorder (AED), anorexia nervosa and atypical anorexia nervosa (AN), and other eating disorder (OED). Associations were determined with hazard ratios (HR) with confidence intervals (CI) from Cox regressions. RESULTS <pre>Swedish and Danish individuals with a type 1 diabetes diagnosis had a greater risk of receiving an ED diagnosis (HR [95% CI] Sweden: AED 2.02 [1.80 – 2.27], AN 1.63 [1.36 – 1.96], OED 2.34 [2.07 – 2.63]; Denmark: AED 2.19 [1.84 – 2.61], AN 1.78 [1.36 – 2.33], OED 2.65 [2.20 – 3.21]). We also meta-analyzed the results: AED 2.07 [1.88 – 2.28], AN 1.68 [1.44 – 1.95], OED 2.44 [2.17 – 2.72]. There was an increased risk of receiving an ED diagnosis in full siblings in the Swedish cohort (AED 1.25 [1.07 – 1.46], AN 1.28 [1.04 – 1.57], OED 1.28 [1.07 – 1.52]), these results were non-significant in the Danish cohort.</pre> CONCLUSION Patients with 1 diabetes are at a higher risk of subsequent EDs; however, there is conflicting support for the relationship between having a sibling with type 1 diabetes and ED diagnosis. Diabetes healthcare teams should be vigilant for disordered eating behaviors in children and adolescents with type 1 diabetes.

Download Full-text

Cognitive Mapping: Its Use as an Assessment Tool for Disordered Eating

Women in Sport and Physical Activity Journal ◽

10.1123/wspaj.8.2.63 ◽

1999 ◽

Vol 8 (2) ◽

pp. 63-72

Author(s):

Kristin L. Wiginton ◽

Deborah Rhea

Keyword(s):

Eating Disorders ◽

Disordered Eating ◽

Eating Behaviors ◽

Cognitive Mapping ◽

Female Athletes ◽

Assessment Tool ◽

Mental Representations ◽

Disordered Eating Behaviors ◽

Preventive Practices ◽

The Impact

The incidence of eating disorders among female athletes continues to increase, presenting intervention challenges to athletic trainers. Additionally, a number of female athletes have disordered eating behaviors that do not yet constitute an eating disorder diagnosis, but have similar characteristics to those athletes diagonised with eating disorders. However, each athlete exhibits individual mental representations of disordered eating and the impact of those representations on important aspects of her life. The athletic trainer has the potential to offer comprehensive preventive education when all aspects of the athlete’s own understanding of disordered eating are assessed. Cognitive mapping is an assessment technique that can be used in addition to other preventive practices and can be useful in determining an athlete’s current mental representations of disordered eating.

Download Full-text

Clinical features in insulin-treated diabetes with comorbid diabulimia, disordered eating behaviors and eating disorders

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.029 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S81-S81

Author(s):

V. Deiana ◽

E. Diana ◽

F. Pinna ◽

M.G. Atzeni ◽

F. Medda ◽

...

Keyword(s):

Eating Disorders ◽

Disordered Eating ◽

Clinical Features ◽

Eating Behaviors ◽

Blood Glucose Control ◽

Diabetic Patients ◽

Disordered Eating Behaviors ◽

Dsm 5 ◽

Combining Data ◽

Diet Pills

Adherence to self-management and medication regimens is required to achieve blood glucose control in diabetic patients. Therefore, diabulimia, the deliberate insulin restriction/omission to lose weight, and other disordered eating behaviors (DEBs) or eating disorders (EDs), place these patients at risk of complications.We aimed to establish the frequency of diabulimia, DEBs and EDs among patients with type 1 and 2 diabetes (T1DM and T2DM) and their association with other clinical features.A total of 211 insulin-treated diabetic patients (13–55 years old) answered the Diabetes Eating Problem Survey-Revised (DEPS-R), a diabetes-specific screening tool for DEBs, and the Eating Disorders Inventory-3 (EDI-3). SCID-I modified according to DSM-5 criteria was used to diagnose EDs.At the DEPS-R, 20.8% of the sample scored above the cutoff, more frequently females (P = 0.005), patients with T1DM (P = 0.045), with a diagnosis of ED (P < 0.001), positive to the EDI-3 (P ≤ 0.001), with physical comorbidities (P = 0.003), with HbA1c > 7% (P = 0.020). Combining data from the interview with the results at the DEPS-R, 60.2% of the sample presented diabulimia. Dividing the sample by gender, we found that diabulimic females more frequently used diet pills (P = 0.006), had significantly higher HbA1c (P = 0.019) and STAI-Y1 scores (P = 0.004). Other DEBs comprised dietary restraint (51.8% of the sample), binge eating (42.2%), vomiting (6.2%), diet pills (7.1%) or laxatives (1.9%) or diuretics use (4.3%). Overall, 21.8% of the sample, mostly females (P < 0.001) met criteria for at least one DSM-5 diagnosis of ED.Diabetic patients, especially women, should be carefully monitored for the presence of diabulimia, BEDs and EDs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Relationship between Peer Pressure and Risk of Eating Disorders among Adolescents in Jordan

Journal of Obesity ◽

10.1155/2018/7309878 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Nihaya A. Al-sheyab ◽

Tamer Gharaibeh ◽

Khalid Kheirallah

Keyword(s):

Eating Disorders ◽

Disordered Eating ◽

Peer Influence ◽

Eating Behaviors ◽

Peer Pressure ◽

Sampling Technique ◽

Cluster Sampling ◽

Online Questionnaire ◽

Cross Sectional ◽

Disordered Eating Behaviors

Background. The prevalence of disordered eating behaviors (DEBs) have increased worldwide. It is estimated that about 31.6% of Jordanian adolescents developed DEB. Engaging in peer groups is a prominent event in which adolescents try to belong to peers as part of exploring their social identity. Purpose. To assess the relationship between risk of eating disorders and peer pressure among adolescents. Methods. A descriptive, correlational, cross-sectional design utilized multistage cluster sampling technique was used to recruit students from 8th to 10th grades from both sexes from schools in northern Jordan. Data were collected from a self-administered, online questionnaire which was given to 738 participants. Results. The difference in overall mean of the Inventory of Peer Influence on Eating Concerns (I-PIEC) between adolescents with disordered eating behaviors and normal eating behaviors states was statistically significant. Scores for interaction peer pressure means were statistically higher for girls than for boys; conversely, likeability mean scores were statistically higher for boys than girls. Conclusions. The current findings suggest that healthcare professionals are encouraged to conduct appropriate school-based primary prevention for disordered eating behaviors.

Download Full-text

Parental alcohol abuse and eating behaviors in adolescents

Polish Journal of Public Health ◽

10.1515/pjph-2015-0053 ◽

2015 ◽

Vol 125 (4) ◽

pp. 194-196

Author(s):

Anna Cur ◽

Kinga Szymona ◽

Marek Domański ◽

Aneta Opolska ◽

Mariusz Jojczuk

Keyword(s):

Eating Disorders ◽

Alcohol Abuse ◽

Eating Behaviors ◽

Mental Health Problems ◽

Preventive Measures ◽

Problem Drinking ◽

Eating Disorder Inventory ◽

The Family ◽

Future Work ◽

Parental Alcohol

AbstractIntroduction.Parental alcohol abuse hinders a child’s development, which means that these children are more exposed to mental health problems.Aim.The aim of this study was to analyze the link between the intensity of eating disorders in youngsters and family alcoholism.Material and methods.The study was conducted among adolescents in the Lubelskie province. 1766 students, aged 12 to 22 were participants in the study. The authors used a method called Eating Disorder Inventory, as well as a self-designed questionnaire that included assessing the characteristics of every family.Results.The findings of this study show that increased symptoms of eating disorders in children and teenagers correlates with alcohol dependency in the family. Adolescent children of alcoholics have higher levels of conflict identifying feelings and emotions (hunger, security) correctly. They were more likely to deem their actions as ineffective, as well as they were more frequently prone to binge eating than individuals who were not affected by drinking parents.Conclusions.There is a need for some future work and preventive measures to be taken in families affected by problem drinking.

Download Full-text

Violence Against Women in Adulthood Is Associated with Increased Disordered Eating Behaviors and Risk of Eating Disorders: A Cross-Sectional Study

Violence and Gender ◽

10.1089/vio.2021.0021 ◽

2021 ◽

Author(s):

Lama Mattar ◽

Joelle Abi Kharma ◽

Nivine Hanach ◽

Farah Al Mashharawi ◽

Nadine Zeeni

Keyword(s):

Eating Disorders ◽

Disordered Eating ◽

Violence Against Women ◽

Eating Behaviors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Disordered Eating Behaviors

Download Full-text

Eating Disorders and Type 1 Diabetes: a perspective

Endocrine Metabolic & Immune Disorders - Drug Targets ◽

10.2174/1871530321666211109152353 ◽

2021 ◽

Vol 21 ◽

Author(s):

Simonetta Marucci ◽

Giulia De Iaco ◽

Giuseppe Lisco ◽

Francesco Mariano ◽

Vito Angelo Giagulli ◽

...

Keyword(s):

Eating Disorders ◽

Type 1 Diabetes ◽

Management Strategy ◽

Eating Behaviors ◽

Psychosocial Issues ◽

Disordered Eating Behaviors ◽

Clinical Complexity ◽

Poor Outcomes ◽

The Relationship

: Patients with type 1 diabetes (T1D) are at risk of clinical eating disorders (EDs) and disordered eating behaviors (DEBs) than the general population. This burden is related mainly to diabetes-related physical and psychosocial issues especially beginning during childhood. DEBs must be investigated carefully and promptly managed in case of suspicion, as they can evolve into severe clinical EDs over time and are strictly related to poor outcomes. The significant number of scientific articles dealing with the relationship between T1D and DEBs or EDs confirms the complexity of these problems and the difficulties in diagnosis and treatment. This paper examined current scientific literature related to this topic, emphasizing the epidemiological and clinical complexity of the phenomenon and briefly summarizing EDBs management strategy in T1D patients.

Download Full-text