Child Health Nurs Res.  2019 Oct;25(4):449-457. 10.4094/chnr.2019.25.4.449.

Predictors of Eating Disorders in Adolescents with Type 1 Diabetes

• Park HR
• Ju HO
• Yoo JH

• KMID: 2464949
• DOI: http://doi.org/10.4094/chnr.2019.25.4.449

Abstract

PURPOSE
The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.
METHODS
A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, χ² test, and binominal logistic regression with SPSS version 23.0 for Windows.
RESULTS
The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).
CONCLUSION
In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents' depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.

Keyword

Type 1 diabetes mellitus; Adolescent; Eating disorder; Body image; Depression

MeSH Terms

Adolescent*
Body Image
Depression
Diabetes Mellitus, Type 1
Eating*
Female
Hemoglobin A, Glycosylated
Humans
Logistic Models
Nursing
Prevalence