Eating disorders and diabetes: A meta-analysis
Introduction Diabetic patients are asked to focus on their eating habits and calories intake. Together with individual factors, this could increase the risk of developing Eating Disorders (ED) associated with diabetes. A score of 20 points at the Diabetes Eating Problem Survey-Revised (DEPS-R) sca...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821009639/type/journal_article |
| _version_ | 1797616452450123776 |
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| author | T. Mastellari M. Speciani F.F. Gelati D. De Ronchi F. Panariello A.R. Atti |
| author_facet | T. Mastellari M. Speciani F.F. Gelati D. De Ronchi F. Panariello A.R. Atti |
| author_sort | T. Mastellari |
| collection | DOAJ |
| description |
Introduction
Diabetic patients are asked to focus on their eating habits and calories intake. Together with individual factors, this could increase the risk of developing Eating Disorders (ED) associated with diabetes. A score of 20 points at the Diabetes Eating Problem Survey-Revised (DEPS-R) scale is considered as a valid threshold to identify Disordered Eating Behaviours (DEB) in diabetic patients. DEB can be considered as altered eating behaviours not fully meeting criteria for ED. As DEB are not formally recognised as specific ED in DSM-5, there is a great risk of not detecting them, thus underestimate their consequences.
Objectives
To meta-analyse literature on ED and DEB, when in comorbidity with Type 1 and Type 2 Diabetes Mellitus, focusing on pathological medical consequences.
Methods
PRISMA guidelines were followed for this meta-analysis. Articles were identified in literature by searching into PubMed, PsycINFO and Embase.
Results
1141 records were identified through database search. Figure 1 shows six studies comparing HbA1c % values for 2857 diabetic patients versus 752 diabetic patients with DEB. HbA1c % levels appear to be higher in patients with DEPS-R ≥ 20, compared to those with DESP-R scores below 20.
Conclusions
Routine screening for DEB using DEPS-R scale could favour early identification of diabetic individuals, at risk for progression into a proper ED. Clinicians should be vigilant about potential DEB when patients show poor long-term glycaemic control; similarly, patients with a DEPS-R score over 20 points may require more frequent glycaemic checks. This could help prevent serious medical complications.
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| first_indexed | 2024-03-11T07:41:28Z |
| format | Article |
| id | doaj.art-a62f15af8c34409e81e830a61187083e |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:41:28Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a62f15af8c34409e81e830a61187083e2023-11-17T05:08:31ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S359S36010.1192/j.eurpsy.2021.963Eating disorders and diabetes: A meta-analysisT. Mastellari0M. Speciani1F.F. Gelati2D. De Ronchi3F. Panariello4A.R. Atti5Faculté De Médecine Henri Warembourg, University of Lille, Lille, FranceDepartment Of Biomedical And Neuromotor Sciences, University Of Bologna, Italy., University of Bologna, Bologna, ItalyDepartment Of Biomedical And Neuromotor Sciences, University Of Bologna, Italy., University of Bologna, Bologna, ItalyDepartment Of Biomedical And Neuromotor Sciences, University Of Bologna, Italy., University of Bologna, Bologna, ItalyMental Health, AUSL Bologna, Bologna, ItalyDepartment Of Biomedical And Neuromotor Sciences, University Of Bologna, Italy., University of Bologna, Bologna, Italy Introduction Diabetic patients are asked to focus on their eating habits and calories intake. Together with individual factors, this could increase the risk of developing Eating Disorders (ED) associated with diabetes. A score of 20 points at the Diabetes Eating Problem Survey-Revised (DEPS-R) scale is considered as a valid threshold to identify Disordered Eating Behaviours (DEB) in diabetic patients. DEB can be considered as altered eating behaviours not fully meeting criteria for ED. As DEB are not formally recognised as specific ED in DSM-5, there is a great risk of not detecting them, thus underestimate their consequences. Objectives To meta-analyse literature on ED and DEB, when in comorbidity with Type 1 and Type 2 Diabetes Mellitus, focusing on pathological medical consequences. Methods PRISMA guidelines were followed for this meta-analysis. Articles were identified in literature by searching into PubMed, PsycINFO and Embase. Results 1141 records were identified through database search. Figure 1 shows six studies comparing HbA1c % values for 2857 diabetic patients versus 752 diabetic patients with DEB. HbA1c % levels appear to be higher in patients with DEPS-R ≥ 20, compared to those with DESP-R scores below 20. Conclusions Routine screening for DEB using DEPS-R scale could favour early identification of diabetic individuals, at risk for progression into a proper ED. Clinicians should be vigilant about potential DEB when patients show poor long-term glycaemic control; similarly, patients with a DEPS-R score over 20 points may require more frequent glycaemic checks. This could help prevent serious medical complications. https://www.cambridge.org/core/product/identifier/S0924933821009639/type/journal_articleeating disordersdisordered eating behavioursdiabetes |
| spellingShingle | T. Mastellari M. Speciani F.F. Gelati D. De Ronchi F. Panariello A.R. Atti Eating disorders and diabetes: A meta-analysis European Psychiatry eating disorders disordered eating behaviours diabetes |
| title | Eating disorders and diabetes: A meta-analysis |
| title_full | Eating disorders and diabetes: A meta-analysis |
| title_fullStr | Eating disorders and diabetes: A meta-analysis |
| title_full_unstemmed | Eating disorders and diabetes: A meta-analysis |
| title_short | Eating disorders and diabetes: A meta-analysis |
| title_sort | eating disorders and diabetes a meta analysis |
| topic | eating disorders disordered eating behaviours diabetes |
| url | https://www.cambridge.org/core/product/identifier/S0924933821009639/type/journal_article |
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