The Association between Body Mass Index and Physical Activity, and Body Image, Self Esteem and Social Support in Adolescents with Type 1 Diabetes

Purpose: The purpose of this study was to verify the mediating effects of body dissatisfaction, selfesteem, and depression on the association between the body mass index (BMI) and eating disorders in adolescents with type 1 diabetes.Methods: Secondary data were analyzed in this study. The original analysis was conducted using data from 136 adolescents aged 13–18 years with type 1 diabetes. The results of testing for mediating effects were analyzed using a serial-multiple mediation model (model 6) using the PROCESS macro in SPSS ver. 3.3.Results: The direct effect of the BMI on eating disorders was not statistically significant (effect=0.22; 95 % confidence interval [CI], -0.20 to 0.64), but the indirect effects were statistically significant (effect=0.28; 95% CI, 0.05–0.63). In detail, the indirect effect of BMI on eating disorders mediated by body dissatisfaction was statistically significant (effect=0.28; 95% CI, 0.10–0.61); by body dissatisfaction and depression was statistically significant (effect=0.06; 95% CI, 0.01–0.15); and by body dissatisfaction, self-esteem, and depression was statistically significant (effect=0.05; 95% CI, 0.01–0.11).Conclusion: Individual interventions according to BMI are required to prevent the development of eating disorders in adolescents with type 1 diabetes. Adolescents with type 1 diabetes require intervention programs that may positively change their attitudes toward themselves, increasing self-esteem and lowering depression.

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The role of physical activity, body mass index and maturity status in body-related perceptions and self-esteem of adolescents

Annals of Human Biology ◽

10.3109/03014460.2013.857721 ◽

2013 ◽

Vol 41 (5) ◽

pp. 395-402 ◽

Cited By ~ 15

Author(s):

A. Altıntaş ◽

F. H. Aşçı ◽

A. Kin-İşler ◽

B. Güven-Karahan ◽

S. Kelecek ◽

...

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Body Mass ◽

Self Esteem

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Relationship between hypoglycaemia, body mass index and quality of life among patients with type 1 diabetes: Observations from the DEPICT clinical trial programme

Diabetes Obesity and Metabolism ◽

10.1111/dom.13972 ◽

2020 ◽

Vol 22 (5) ◽

pp. 857-865

Author(s):

Jason Gordon ◽

Lee Beresford‐Hulme ◽

Hayley Bennett ◽

Amarjeet Tank ◽

Christopher Edmonds ◽

...

Keyword(s):

Quality Of Life ◽

Clinical Trial ◽

Body Mass Index ◽

Type 1 Diabetes ◽

Body Mass ◽

Clinical Trial Programme

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INVESTIGATION OF THE RELATIONSHIP OF BODY IMAGE, SELF ESTEEM, AGE AND BODY MASS INDEX IN DIETING FEMALES

Ulakbilge Dergisi ◽

10.7816/ulakbilge-05-13-11 ◽

2017 ◽

Vol 5 (13) ◽

pp. 1171-1181

Author(s):

Sultan Okumusoglu ◽

Keyword(s):

Body Mass Index ◽

Body Image ◽

Body Mass ◽

Self Esteem ◽

Relationship Of ◽

The Relationship

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The Relationship of Perceived Body Image, Body Mass Index and Physical Activity with Weight Status among Students at King Abdulaziz University Hospital

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i49b33358 ◽

2021 ◽

pp. 218-227

Author(s):

Futoon S. Alobiri ◽

Roaa A. Alharbi ◽

Mohammed R. Algethami ◽

Raghdah H. Ateeq ◽

Aseel M. Badurayq ◽

...

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Body Image ◽

Body Weight ◽

Body Mass ◽

Body Satisfaction ◽

Weight Status ◽

Rating Scale ◽

Significant Difference ◽

King Abdulaziz University

Aim: Identify the relation between poor esteem for body image and weight-related behaviors. The results will help increase awareness and improve students’ lifestyles to have a better body image and achieve ideal body weight. Methods: A cross-sectional study was conducted among King Abdulaziz University medical students (n= 460) between July to the end of August 2019. Data was collected using the International physical activity questionnaire (IPAQ), figure rating scale (FRS) and analyzed using SPSS software. Result: The results showed that the average Body Mass Index (BMI) was 24.80 ± 11.89. Participant sex was an important factor influencing the prevalence of obesity; male students were more obese than female students with a significant difference (p<0.001). The level of body satisfaction was also affected by gender. Students in preclinical years were more likely to gain weight more than clinical years students. Conclusion: The results show a significant relationship between body satisfaction and gender (P<0.0001) despite having diverse BMIs. Overweight and obese males and females' participants had the lowest body satisfaction. Females who were too thin and had low BMIs described themselves as normal, while males describe themselves as too thin. Conversely, females with high BMIs described themselves as too fat, while males described themselves as normal. This could be due to different factors. Also, underweight females and males have high body satisfaction, which can lead to dangerous behaviors to maintain low body weight which cause negative health consequences.

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Effects of Metformin Added to Insulin in Adolescents with Type 1 Diabetes: An Exploratory Crossover Randomized Trial

Journal of Diabetes Research ◽

10.1155/2020/7419345 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Daizhi Yang ◽

Jinhua Yan ◽

Hongrong Deng ◽

Xubin Yang ◽

Sihui Luo ◽

...

Keyword(s):

Body Mass Index ◽

Heart Rate ◽

Heart Rate Variability ◽

Type 1 Diabetes ◽

Insulin Sensitivity ◽

Body Mass ◽

Autonomic Function ◽

Insulin Dose ◽

Glucose Variability

Background. To comprehensively assess the effects of metformin added to insulin on metabolic control, insulin sensitivity, and cardiovascular autonomic function in adolescents with type 1 diabetes. Materials and Methods. This was an exploratory, crossover, randomized trial conducted in adolescents with type 1 diabetes aged 12-18 years old. Participants were randomly received metformin (≤1000 mg/d) added to insulin for 24 weeks followed by insulin monotherapy for a subsequent 24 weeks or vice versa. Blood pressure, body mass index, insulin dose, estimated insulin sensitivity, glycated hemoglobin A1c (HbA1c), and lipid profiles were measured, with a 72-hour continuous glucose monitoring and 24-hour Holter monitoring performed at baseline, 24, and 50 weeks for the assessments of glucose variability and heart rate variability. Results. Seventeen patients with mean ± SD age 14.4 ± 2.3 years , body mass index 18.17 ± 1.81 kg / m 2 , median (IQR) diabetes duration 4.50 (3.58, 6.92) years, and HbA1c 9.0% (8.5%, 9.4%) were enrolled. The between-group difference in HbA1c of 0.28% (95% CI -0.39 to 0.95%) was not significant ( P = 0.40 ). Changes in body mass index, insulin dose, blood pressure, lipid profiles, and estimated insulin sensitivity were similar for metformin add-on vs. insulin monotherapy. Glucose variability also did not differ. Compared with insulin monotherapy, metformin add-on significantly increased multiple heart rate variability parameters. Conclusions. Metformin added to insulin did not improve metabolic control or glucose variability in lean/normal-weight adolescents with type 1 diabetes. However, metformin added to insulin significantly increased heart rate variability, suggesting that metformin might improve cardiovascular autonomic function in this population.

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