Eating problems in adolescents with Type 1 diabetes: a systematic review with meta‐analysis. Issue 2 (21st January 2013)

• Record Type: Journal Article
• Authors: Young, V.; Eiser, C.; Johnson, B.; Brierley, S.; Epton, T.; Elliott, J.; Heller, S.
• Is Part Of: Diabetic medicine. Volume 30:Issue 2(2013:Feb.)
• Page Start: 189
• Page End: 198
• Publication Date: 2013-01-21
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/j.1464-5491.2012.03771.x
• Languages: English
• ISSNs: 0742-3071

Abstract

<abstract abstract-type="main" xml:lang="en"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="sec-sum-1" sec-type="section"> <p>Diabet. Med. 30, 189–198 (2013)</p> </sec> <sec id="abs1-1" sec-type="section"> <title>Abstract</title> <p> <bold>Aims </bold> We report a systematic review to determine (1) prevalence of eating problems compared with peers and (2) the association between eating problems and glycaemic control in young adults with Type 1 diabetes.</p> <p> <bold>Method </bold> We conducted a systematic literature search via electronic databases and meta‐analysis. Cohen's <italic>d</italic> (the mean difference score between Type 1 diabetes and comparison groups) was calculated for 13 studies that met inclusion criteria.</p> <p> <bold>Results </bold> Eating problems [both disordered eating behaviour (39.3 and 32.5%; <italic>d</italic> = 0.52, 95% CI 0.10–0.94) and eating disorders (7.0 and 2.8%; <italic>d </italic>= 0.46, 95% CI 0.10–0.81)] were more common in adolescents with Type 1 diabetes compared with peers and both were associated with poorer glycaemic control (<italic>d </italic>= 0.40, 95% CI 0.17–0.64). In restricted analyses involving measures adapted for diabetes, associations between eating problems and poorer glycaemic control remained (<italic>d </italic>= 0.54, 95% CI 0.32–0.76). Disordered eating behaviour (51.8 and 48.1%; <italic>d </italic>= 0.06, 95% CI −0.05 to 0.21) and eating disorders (6.4 and 3.0%; <italic>d </italic>= 0.43, 95% CI −0.06 to 0.91) were more common in adolescents with Type 1 diabetes compared with peers, but differences were non‐significant.</p> <p> <bold>Conclusions </bold> Eating problems are common among this age group. Future work in populations with Type 1 diabetes should develop sensitive measures of eating problems and interventions, and establish predictors of eating problems. Screening in clinics is recommended.</p> </sec> </abstract>