Disordered eating behaviors in youths with type 1 diabetes during COVID-19 lockdown: an exploratory study

Autor: Crescenzo Cascella, Serena Rollato, Angela Zanfardino, Francesca Casaburo, Alda Troncone, Veronica Testa, Antonietta Chianese, Anna Borriello, Alessia Piscopo, Dario Iafusco
Přispěvatelé: Troncone, A., Chianese, A., Zanfardino, A., Cascella, C., Piscopo, A., Borriello, A., Rollato, S., Casaburo, F., Testa, V., Iafusco, D.
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Eating Disorders, Vol 8, Iss 1, Pp 1-12 (2020)
Journal of Eating Disorders
ISSN: 2050-2974
Popis: Background Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed to explore the prevalence of DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls during the COVID-19 lockdown. Methods In a cross-sectional study, 138 children and adolescents with T1D (aged 8.01–19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed an online survey about eating behaviors (ChEAT and EAT-26), anthropometric characteristics, and clinical characteristics. Results 8.69% (N = 12) of participants with T1D and 13.4% (N = 37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients—whether children (total ChEAT score F(1, 157) = .104, p = .748) or adolescents (total EAT-26 score F(1, 255) = .135, p = .731)—and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p p = .110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138) = 20.411, p 2 = .132, controls: F(1, 276) = 18.271, p 2 = .063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores. Conclusions This exploratory study suggested that children and adolescents with T1D did not experience more DEB symptoms during the COVID-19 lockdown compared to healthy controls. Results revealed DEBs as more of a female adolescent developmental issue rather than a result of the challenges of living with a chronic illness under quarantine measures. Possible effects of parental pressure on their children’s eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.
Databáze: OpenAIRE
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