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

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.

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

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.

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

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
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.

scholarly journals Childhood life events and disturbed eating behaviors in a population-based cohort in the Netherlands

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Thomas ◽  
E Diemer ◽  
R Siliquini ◽  
P W Jansen
Keyword(s):  
Eating Disorders ◽  
Early Detection ◽  
Disordered Eating ◽  
Life Events ◽  
Eating Behavior ◽  
Eating Behaviors ◽  
Population Based ◽  
Restrained Eating ◽  
Disordered Eating Behaviors ◽  
Adjusted Model

Abstract Background Adversities such as maltreatment and physical and emotional abuse are recognized risk factors for eating disorders (EDs) in adolescents and adults, but whether such adversities are also associated with eating behaviors in childhood has been less explored. Our aim was to examine whether a wide range of life events can predict emotional overeating and restrained eating in childhood, which are potential precursors of EDs. Methods The study is embedded in Generation R, a prospective population-based cohort. The sample included 4653 children aged 10 years. Emotional overeating was assessed with the Children’s Eating Behavior Questionnaire, and restrained eating with the Dutch Eating Behavior Questionnaire. Mothers reported the occurrence of 24 adverse events in their offspring’s childhood. Regression analyses were conducted, both unadjusted and adjusted for gender, ethnicity, and parental education and psychopathology. Results Unadjusted models showed that a higher number of life events is associated with more emotional overeating and more restrained eating; effect estimates attenuated slightly in the adjusted model, but remained significant (per 1 more life event: B = 0.05, 95%CI 0.02-0.08; B = 0.04, 95%CI 0.02-0.07, respectively). Particularly, participants who experienced at least 3 life events had high levels of emotional overeating and restrained eating (adjusted model: B = 0.20, 95%CI 0.06-0.33; B = 0.21, 95%CI 0.08-0.33, respectively). The specific maltreatment related life events were not significantly associated with eating behaviors, probably due to low prevalence of these events (n = 149). Conclusions This novel, population-based study shows that early life adversities may predict disordered eating behaviors in childhood. The results are in line with clinical studies on life events and EDs. If the studied eating behaviors are indeed precursors of EDs, these results may offer potential for prevention and early intervention to avoid the development of full-blown EDs. Key messages Eating disorders account for more than 2% of the global disease burden, thus representing a major Public Mental Health topic in the EU; more and new measures are required for early detection purposes. Life adversities predict disordered eating behaviors in childhood, which are considered precursors of eating disorders: early detection of this association may avoid development of eating disorders.

Eating disorders and disordered eating behaviors among women: Associations with sexual risk

2019 ◽  
Vol 52 (11) ◽  
pp. 1310-1315 ◽  
Author(s):  
Kirkpatrick B. Fergus ◽  
Hillary L. Copp ◽  
Jennifer L. Tabler ◽  
Jason M. Nagata
Keyword(s):  
Eating Disorders ◽  
Disordered Eating ◽  
Sexual Risk ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors

scholarly journals Variables associated with disordered eating behaviors among freshman students from Mexico City

10.21149/8000 ◽  
2017 ◽  
Vol 59 (3, may-jun) ◽  
pp. 258 ◽  
Author(s):  
Concepción Díaz de León-Vázquez ◽  
José Alberto Rivera-Márquez ◽  
Letza Bojorquez-Chapela ◽  
Claudia Unikel-Santoncini
Keyword(s):  
Eating Disorders ◽  
Disordered Eating ◽  
Mexico City ◽  
Eating Behaviors ◽  
Self Esteem ◽  
Thin Ideal ◽  
Drive For Muscularity ◽  
Disordered Eating Behaviors ◽  
Increased Risk ◽  
Freshman Students

Objective. To estimate the prevalence of disordered eating behaviors (DEB) and identify their associations with demographic and psychological variables among freshman students at a public university in Mexico City. Materials and methods. A sample of 892 subjects participated in the study. Bivariate and multinomial models were performed to determine associations between DEB and covariates. Results. Of those surveyed, 6.8% of the women and 4.1% of the men exhibited DEB (p<0.05). The variables increasing the risk of eating disorders (ED) for women were internal­ization of the aesthetic thin ideal (IATI), body mass index (BMI), self-esteem and physical activity, while for men they were IATI, drive for muscularity, and self-esteem. Conclu­sions. The frequency of DEB among women and men and the internalization of the thin ideal in both sexes suggest the possibility of a change in the precursor conditions for eating disorders, particularly for men, who exhibit increased risk of such behaviors.

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