Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus
Background: Diabulimia is associated with “resistance to treatment”, impaired glycemic control, and increased risk of diabetic complications. The aim of this study was to explore the possible lifestyle and diet factors associated with diabulimia using the “Diabetes Eating Problem Survey-Revised” (DE...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Dietetics |
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| Online Access: | https://www.mdpi.com/2674-0311/2/1/3 |
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| author | Kiriaki Apergi Maria Romanidou Hesham Abdelkhalek Fragiskos Gonidakis |
| author_facet | Kiriaki Apergi Maria Romanidou Hesham Abdelkhalek Fragiskos Gonidakis |
| author_sort | Kiriaki Apergi |
| collection | DOAJ |
| description | Background: Diabulimia is associated with “resistance to treatment”, impaired glycemic control, and increased risk of diabetic complications. The aim of this study was to explore the possible lifestyle and diet factors associated with diabulimia using the “Diabetes Eating Problem Survey-Revised” (DEPS-R), a questionnaire assessing the risk of diabulimia in patients with T1DM. Methods: 100 outpatients with a diagnosis of T1DM for over a year, from two hospitals in Athens, Greece were asked to complete a questionnaire about their medical history and lifestyle behaviors along with the Eating Attitudes Test (EAT-26), the Beck Depression Scale (BDI-II) and the DEPS-R. Results: Multivariate linear regression analysis showed statistically significant associations between DEPS-R score and HbA1c% levels (b = 4.447, 95% CI 3.220–5.675), sex (male) (b = −4.413, 95% CI −8.778–−0.047, weight perception higher than normal (b = 9.896, 95% CI 5.266–14.526), time spent walking minutes per week (b= −0.019, 95% CI −0.031–−0.006), having received diabetes nutritional education (b = −5.128, 95%CI −10.141–−0.115), eating breakfast (b = −6.441, 95% CI −11.047–−1.835) and having a first relative diagnosed with an eating disorder (b = 6.164, 95%CI 0.030–12.298). The presence of these factors could help highlight the profile of potential individuals at risk of diabulimia and enhance preventive interventions. |
| first_indexed | 2024-03-11T06:40:40Z |
| format | Article |
| id | doaj.art-38d45c05ed4d41a997217da2f6aad623 |
| institution | Directory Open Access Journal |
| issn | 2674-0311 |
| language | English |
| last_indexed | 2024-03-11T06:40:40Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dietetics |
| spelling | doaj.art-38d45c05ed4d41a997217da2f6aad6232023-11-17T10:35:52ZengMDPI AGDietetics2674-03112023-01-0121344410.3390/dietetics2010003Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes MellitusKiriaki Apergi0Maria Romanidou1Hesham Abdelkhalek2Fragiskos Gonidakis31st Department of Propaedeutic and Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, Goudi, 11527 Athens, GreeceEssex Partnership University NHS Foundation Trust, Lodge, Runwell, Wickford SS11 7XX, UKEssex Partnership University NHS Foundation Trust, Lodge, Runwell, Wickford SS11 7XX, UK1st Department of Psychiatry, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Vasilissis Sophias 72, 11528 Athens, GreeceBackground: Diabulimia is associated with “resistance to treatment”, impaired glycemic control, and increased risk of diabetic complications. The aim of this study was to explore the possible lifestyle and diet factors associated with diabulimia using the “Diabetes Eating Problem Survey-Revised” (DEPS-R), a questionnaire assessing the risk of diabulimia in patients with T1DM. Methods: 100 outpatients with a diagnosis of T1DM for over a year, from two hospitals in Athens, Greece were asked to complete a questionnaire about their medical history and lifestyle behaviors along with the Eating Attitudes Test (EAT-26), the Beck Depression Scale (BDI-II) and the DEPS-R. Results: Multivariate linear regression analysis showed statistically significant associations between DEPS-R score and HbA1c% levels (b = 4.447, 95% CI 3.220–5.675), sex (male) (b = −4.413, 95% CI −8.778–−0.047, weight perception higher than normal (b = 9.896, 95% CI 5.266–14.526), time spent walking minutes per week (b= −0.019, 95% CI −0.031–−0.006), having received diabetes nutritional education (b = −5.128, 95%CI −10.141–−0.115), eating breakfast (b = −6.441, 95% CI −11.047–−1.835) and having a first relative diagnosed with an eating disorder (b = 6.164, 95%CI 0.030–12.298). The presence of these factors could help highlight the profile of potential individuals at risk of diabulimia and enhance preventive interventions.https://www.mdpi.com/2674-0311/2/1/3diabulimiaeating disordersdiabetes mellitusdiabetes mellitus type 1 |
| spellingShingle | Kiriaki Apergi Maria Romanidou Hesham Abdelkhalek Fragiskos Gonidakis Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus Dietetics diabulimia eating disorders diabetes mellitus diabetes mellitus type 1 |
| title | Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus |
| title_full | Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus |
| title_fullStr | Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus |
| title_full_unstemmed | Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus |
| title_short | Factors Associated with Risk of Diabulimia in Greek Adult Population with Type 1 Diabetes Mellitus |
| title_sort | factors associated with risk of diabulimia in greek adult population with type 1 diabetes mellitus |
| topic | diabulimia eating disorders diabetes mellitus diabetes mellitus type 1 |
| url | https://www.mdpi.com/2674-0311/2/1/3 |
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