Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth-Australia
Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth-Australia
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DOI：
10.1002/eat.22746
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发表时间：
2017-10-01
影响因子：
5.5
通讯作者：
King, Ross M.
中科院分区：
文献类型：
--
作者：
Araia, Emanuala;Hendrieckx, Christel;King, Ross M.
目的：探讨青少年1型糖尿病患者饮食行为障碍（DEB）和身体不满意度的性别差异。虽然有证据表明，与没有糖尿病的同龄人相比，患有1型糖尿病的女性青年更容易患DEB，但对男性青少年知之甚少。方法：在一项全国性的在线调查中，患有1型糖尿病的青少年（13-19岁）完成了糖尿病饮食问题调查-修订版（DEPS-R），身体质量指数轮廓匹配测试（BMI-SMT）以及关于暴饮暴食和胰岛素遗漏的项目。结果：大约477名青少年（平均年龄16岁; 62%的女性）完成了DEPS-R和431 BMI-SMT。女性的DEPS-R总分高于男性，女性的得分随年龄增加而增加。BMI、HbA 1c、胰岛素遗漏和暴饮暴食频率与两种性别的DEPS-R中度相关。在BMI-SMT上，88%的女性希望更瘦。在男性中，76%的人对身体不满意;然而，只有43%的人表示希望瘦，其余的人希望体型更大。DEPS-R与男女的实际和理想体型之间的差异呈正相关。讨论内容：很大一部分青少年1型糖尿病患者，特别是女性，报告从事DEB。同样，身体不满意的高利率的报告，虽然理想的身体形状的偏好不同的性别。鉴于高水平的自我报告的DEB和基于性别的模式的身体不满，未来的研究需要检查的有效性，常规筛查的DEB，并考虑实施阶梯式护理方法。
Objective: To examine gender differences in disordered eating behaviors (DEB) and body dissatisfaction in adolescents with type 1 diabetes. While evidence shows that female youth with type 1 diabetes are more prone to DEB compared to their peers without diabetes, little is known about male adolescents. Method: In a national online survey, adolescents (13-19 years) with type 1 diabetes for similar to 1 year completed the Diabetes Eating Problem Survey-Revised (DEPS-R), and the Body Mass Index Silhouette Matching Test (BMI-SMT) and items on binge eating and insulin omission. Results: About 477 adolescents (mean age 16 years; 62% females) completed the DEPS-R and 431 the BMI-SMT. The DEPS-R total score was higher for females than males, with scores for females increasing with age. BMI, HbA1c, insulin omission, and binge-eating frequency were associated moderately with DEPS-R for both genders. On the BMI-SMT, 88% of females wanted to be thinner. Of the males, 76% reported body dissatisfaction; however, only 43% expressed a desire for thinness with the remainder desiring a larger body size. DEPS-R was positively associated with the discrepancy between perceived actual and ideal body size for both genders. Discussion: A large proportion of adolescents with type 1 diabetes, particularly females reported engaging in DEB. Similarly, high rates of body dissatisfaction were reported, though ideal body shape preferences differed by gender. Given the high levels of self-reported DEB and gender-based patterns of body dissatisfaction, future research needs to examine the effectiveness of routine screening of DEB and consider implementation of stepped care approaches.