High prevalence of disordered eating behavior in Danish children and adolescents with type 1 diabetes.

Nilsson, Franciska; Madsen, Jens Otto Broby; Jensen, Andreas Kryger; Olsen, Birthe Susanne; Johannesen, Jesper

OBJECTIVE A higher prevalence of disordered eating behavior (DEB) has been demonstrated in children and adolescents with type 1 diabetes (T1D) compared to healthy aged-matched peers. DEB is associated with higher HbA1c levels and increased risk of developing complications to T1D. The aim of this study was to determine the prevalence of DEB in a Danish cohort of children and adolescents with T1D aged 11-19 years and to characterize them regarding metabolic control and relevant clinical data. RESEARCH DESIGN & METHODS In a cross-sectional study, we determined the prevalence of DEB using the revised Diabetes Eating Problem Survey (DEPS-R) questionnaire. HbA1c and relevant clinical data were obtained at the time they filled in the questionnaire. RESULTS 192 children and adolescents (46% girls) aged 11-19 years with T1D were included from the pediatric diabetes outpatient clinic. A total of 40 participants (21%) had DEB. The prevalence was higher amongst girls compared with boys (34.1% vs 8.9%) and those who had DEB were older (16.7 vs 15.0 years, P < 0.001), had longer duration of T1D (7.5 vs 4.9 years, P < 0.001), higher BMI Z-scores (1.2 vs 0.3, P < 0.001), higher HbA1c (72.8 (8.8%) vs 62.0 (7.8%) mmol/mol, P < 0.001), higher total cholesterol (4.6 mmoL/L vs 4.2 mmoL/L, P = 0.0048) and LDL (2.7 vs 2.3, P = 0.001) compared with those with no signs of DEB. CONCLUSION As in other countries, the prevalence of DEB is high in Danish adolescents with T1D. Early detection of DEB is essential to prevent short- and long-term complications to T1D. This article is protected by copyright. All rights reserved.