Disturbed eating behaviors in adolescents with type 1 diabetes. How to screen for yellow flags in clinical practice?
| Jazyk: | angličtina |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Type 1/complications
Male Parents Adolescent Child Behavior Netherlands/epidemiology Cost of Illness SDG 3 - Good Health and Well-being Risk Factors Diabetes Mellitus Prevalence Humans Longitudinal Studies Parent-Child Relations Body Dysmorphic Disorders/complications Child Psychiatric Status Rating Scales Physician-Patient Relations Feeding and Eating Disorders of Childhood/complications Feeding and Eating Disorders/complications Self-Management Self Concept Cross-Sectional Studies Early Diagnosis Adolescent Behavior Patient Compliance Female |
| Zdroj: | Pediatric Diabetes. 18(5):376-383 |
| 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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