Archive | 2021
Do we care about eating problems sufficiently in adolescent Type 1 Diabetes?
Abstract
\n Background\n\nEating problems have been shown to be common in adolescents with T1DM. We aimed to examine the association of eating problems with emotional problems, behavioral attitudes towards treatment and diet adherence.\nMethod:\n\nThe study was conducted with 132 participants, of them 72 were with T1DM (T1DM group) and 60 were healthy controls group. Participants were evaluated using a data form and self-report scales which were Children s Depression Scale (CDI), Screen for Child Anxiety Related Disorders (SCARED) and the Eating Attitude Test (EAT).\nResults\n\nRates of having significant scores for CDI, SCARED and EAT in the T1DM group (52.8%, 36.1%, 30.6%, respectively) were higher than control group (21.7%, 8.3%, 3.4,) (p\u2009<\u20090.01). Patients with separate parents, lower parental education, irregular outpatient follow-up, hospitalization in the previous 3 months, diabetes complications and history of refusing insulin injections had higher rates of having significant scores for CDI and/or SCARED (p\u2009<\u20090.05). Having significant scores for EAT was related to person who makes the insulin injections (p\u2009<\u20090.05) and the child s diet adherence (p\u2009<\u20090.01). There was a positive correlation between EAT and CDI scores (r\u2009=\u20090.309; p\u2009=\u20090.008; p\u2009<\u20090.01).\nConclusion\n\nAdolescents with T1DM have an increased risk of eating and emotional problems. Increasing age, low parental educational level, not taking the responsibility of insulin treatment, strict adherence to diabetic diet and depressive symptomatology were associated with increased risk for eating problems. Identifing the risky cases for eating problems will improve the clinical outcome.\nLevel of Evidence:\n\nLevel II, Prospective Cross-sectional Clinical Study