Disturbed eating behaviors in adolescents with type 1 diabetes. How to screen for yellow flags in clinical practice?
| Autor: | Eilander, Minke Ma, de Wit, Maartje, Rotteveel, Joost, Aanstoot, Henk Jan, Bakker-van Waarde, Willie M, Houdijk, Euphemia Cam, Nuboer, Roos, Winterdijk, Per, Snoek, Frank J |
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| Přispěvatelé: | Medical psychology, Amsterdam Reproduction & Development (AR&D), APH - Mental Health, Pediatric surgery, AGEM - Endocrinology, metabolism and nutrition, ACS - Diabetes & metabolism, APH - Health Behaviors & Chronic Diseases, Medical Psychology, ARD - Amsterdam Reproduction and Development, Faculteit Medische Wetenschappen/UMCG, Youth and Lifestyle |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Type 1/complications
Male Parents disturbed eating behavior WEIGHT CONTROL Adolescent type 1 diabetes DISORDERS Child Behavior Netherlands/epidemiology MELLITUS Cost of Illness SDG 3 - Good Health and Well-being QUALITY-OF-LIFE Risk Factors Diabetes Mellitus Prevalence Humans adolescents ATTITUDES Longitudinal Studies Parent-Child Relations Body Dysmorphic Disorders/complications Child Psychiatric Status Rating Scales OUTCOMES Physician-Patient Relations Feeding and Eating Disorders of Childhood/complications Feeding and Eating Disorders/complications Self-Management WOMEN INSULIN Self Concept Cross-Sectional Studies Early Diagnosis quality of life Adolescent Behavior DINO study Diabetes Mellitus Type 1/complications Patient Compliance Female FEMALES PSYCHOEDUCATION |
| Zdroj: | Pediatric Diabetes, 18(5), 376-383. Blackwell Munksgaard Eilander, M M A, de Wit, M, Rotteveel, J, Aanstoot, H J, Bakker-van Waarde, W M, Houdijk, E C A M, Nuboer, R, Winterdijk, P & Snoek, F J 2017, ' Disturbed eating behaviors in adolescents with type 1 diabetes. How to screen for yellow flags in clinical practice? ', Pediatric Diabetes, vol. 18, no. 5, pp. 376-383 . https://doi.org/10.1111/pedi.12400 Pediatric diabetes, 18(5), 376-383. Blackwell Munksgaard Pediatric Diabetes, 18(5), 376-383. Wiley Eilander, M M, de Wit, M, Rotteveel, J, Aanstoot, H J, Bakker-van Waarde, W M, Houdijk, E C, Nuboer, R, Winterdijk, P & Snoek, F J 2017, ' Disturbed eating behaviors in adolescents with type 1 diabetes. How to screen for yellow flags in clinical practice? ', Pediatric Diabetes, vol. 18, no. 5, pp. 376-383 . https://doi.org/10.1111/pedi.12400 |
| ISSN: | 1399-543X |
| DOI: | 10.1111/pedi.12400 |
| Popis: | BACKGROUND: Adolescents with type 1 diabetes are at an increased risk of disturbed eating behaviors (DEBs).OBJECTIVE: The aims of this study are to (i) explore the prevalence of DEBs and associated 'yellow flags', and (ii) establish concordance between adolescents-parents and adolescents-clinicians with respect to DEBs.METHODS: Adolescents (11-16 yr) and parents completed questionnaires. A stepwise approach was used to assess DEBs: only adolescents whose answers raised psychological yellow flags for DEBs completed the Diabetes Eating Problems Scale - Revised and questions from the AHEAD study. Parents and clinicians shared their observations regarding possible DEBs. Kruskal-Wallis tests, post hoc Mann-Whitney U test, and chi-squared tests were utilized to examine clinical yellow flags. Cohen's kappa was used to assess concordance.RESULTS: Of 103 adolescents participated (51.5% girls), answers of 47 (46.5%) raised psychological yellow flags, indicating body and weight concerns. A total of 8% scored above cut-off for DEBs. Clinical yellow flags were elevated glycated hemoglobin A1c (p = 0.004), older age (p = 0.034), dieting frequency (p = 0.001), reduced quality of life (p = 0.007), less diabetes self-confidence (p = 0.015), worsened diabetes management (p DISCUSSION: Half of the adolescents reported body and weight concerns, less than 1 in 10 reported DEBs. Screening for yellow flags for DEBs as a part of clinical routine using a stepwise approach and early assistance is recommended to prevent onset or deterioration of DEBs. |
| Databáze: | OpenAIRE |
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