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. 2022 Sep 21;35(11):1385-1393.
doi: 10.1515/jpem-2022-0336. Print 2022 Nov 25.

Disordered eating and behaviors among young Egyptians with type 1 diabetes: risk factors and comorbidities

Safinaz Adel Elhabashy  1 , Mariam William Abd ElMalak  2 , Hanan Hany Elrassas  3 , Rasha Adel Thabet  1
Affiliations

Disordered eating and behaviors among young Egyptians with type 1 diabetes: risk factors and comorbidities

Safinaz Adel Elhabashy et al. J Pediatr Endocrinol Metab. .

Abstract

Objectives: The study aimed to assess occurrence of eating disorders and its nature, associated risk factors, and comorbidities in a cohort of adolescents with type 1 diabetes (T1D).

Methods: In this cross-sectional study, 138 patients were recruited to complete three questionnaires for assessment of eating disorder (ED); Eating Attitude Test (EAT-26) and Eat Behavior questionnaire (ORTO-15) and Eating Disorder Examination Questionnaire version 6 (EDE-Q6) to assess diabetes-related medical outcomes.

Results: Patients were categorized as having an ED according to predetermined cutoff value for each questionnaire. Of the 138 patients, 24 (17.4%) had risk for EDs by EAT-26 score, 53 (38.4%) have got orthorexia nervosa by ORTO-15 and 45 (32.6%) were having a disordered eating behavior by EDE-Q6. Patients with risk of EDs had lower mean ORTO-15 score (p=0.01), and higher mean Global EDE-Q6 (p<0.001). A positive correlation was found between EAT-26 scores and both age (p<0.0001) and body mass index (p<0.0001). ORTO-15 score was correlated with duration of diabetes (p=0.0418). Diabetic ketoacidosis, peripheral neuropathy, and microalbuminuria occurred frequently in patients with ED high score. Hypoglycemic episodes were reported more in those with high EAT-26 or Global EDE-Q6 scores.

Conclusions: Subclinical EDs and abnormal eating behaviors are common in Egyptian adolescents with T1D.

Keywords: adolescents; diabetes mellitus; eating disorders; orthorexia.

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