Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2023 Mar 31;15(7):1721.
doi: 10.3390/nu15071721.

A Risk Profile for Disordered Eating Behaviors in Adolescents with Type 1 Diabetes: A Latent Class Analysis Study

Giada Boccolini  1 , Monica Marino  1 , Valentina Tiberi  1 , Antonio Iannilli  1 , Giulia Landi  2 , Silvana Grandi  2 , Eliana Tossani  2 , Isped Study Group, Valentino Cherubini  1
Affiliations
Multicenter Study

A Risk Profile for Disordered Eating Behaviors in Adolescents with Type 1 Diabetes: A Latent Class Analysis Study

Giada Boccolini et al. Nutrients. .

Abstract

(1) Background: This multi-center study aimed to identify a risk profile for disordered eating behaviors (DEBs) in youth with type 1 diabetes (T1D) based on their dietary intake, lipid profile, body mass index (BMI-SDS), and glycometabolic control. (2) Methods: Adolescents aged 11 to 18 years from five centers across Italy were recruited. Lipid profile, HbA1c, BMI-SDS, and dietary intake data were collected. The risk for developing DEBs was assessed via the Diabetes Eating Problems Survey-R (DEPS-R) questionnaire. A latent class analysis (LCA) was performed using a person-centered approach. (3) Results: Overall, 148 participants aged 11-18 (12.1, ±3.34), 52% males with a mean diabetes duration of 7.2 (±3.4), were enrolled. Based on the results of the DEBS-R score, LCA allowed us to highlight two different classes of patients which were defined as "at-risk" and "not at-risk" for DEB. The risk profile for developing DEBs is characterized by higher BMI-SDS (23.9 vs. 18.6), higher HbA1c (7.9 vs. 7.1%), higher LDL cholesterol (99.9 vs. 88.8 mg/dL), lower HDL cholesterol (57.9 vs. 61.3 mg/dL), higher proteins (18.2 vs. 16.1%), and lower carbohydrates (43.9 vs. 45.3%). Adolescents included in the "at-risk" class were significantly older (p = 0.000), and their parents' SES was significantly lower (p = 0.041). (4) Conclusions: This study allowed us to characterize a risk profile for DEBs based on dietary behavior and clinical parameters. Early identification of the risk for DEBs allows timely intervention and prevention of behavior disorders.

Keywords: adolescents; disordered eating behaviors; latent class analysis; nutritional habits; type 1 diabetes.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A flowchart of participants’ enrollment and inclusion.
Figure 2
Figure 2
A latent class analyses graphical representation of class differences (divided for units of measurements).
Figure 2
Figure 2
A latent class analyses graphical representation of class differences (divided for units of measurements).
Figure 3
Figure 3
Characteristics of the “At—risk” profile for DEBs.
See this image and copyright information in PMC

References

    1. Colton P.A., Olmsted M.P., Daneman D., Rydall A.C., Rodin G.M. Five-Year Prevalence and Persistence of Disturbed Eating Behavior and Eating Disorders in Girls With Type 1 Diabetes. Diabetes Care. 2007;30:2861–2862. doi: 10.2337/dc07-1057. - DOI - PubMed
    1. Markowitz J.T., Butler D.A., Volkening L.K., Antisdel J.E., Anderson B.J., Laffel L.M. Brief Screening Tool for Disordered Eating in Diabetes. Diabetes Care. 2010;33:495–500. doi: 10.2337/dc09-1890. - DOI - PMC - PubMed
    1. Affenito S.G., Backstrand J.R., Welch G.W., Lammi-Keefe C.J., Rodriguez N.R., Adams C.H. Subclinical and Clinical Eating Disorders in IDDM Negatively Affect Metabolic Control. Diabetes Care. 1997;20:182–184. doi: 10.2337/diacare.20.2.182. - DOI - PubMed
    1. Troncone A., Affuso G., Cascella C., Chianese A., Pizzini B., Zanfardino A., Iafusco D., Diabetes Study Group of Italian Society of Paediatric Endocrinology and Diabetology Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study. Int. J. Eat. Disord. 2022;55:1108–1119. doi: 10.1002/eat.23764. - DOI - PMC - PubMed
    1. Elhabashy S.A., Abd ElMalak M.W., Elrassas H.H., Thabet R.A. Disordered eating and behaviors among young Egyptians with type 1 diabetes: Risk factors and comorbidities. J. Pediatr. Endocrinol. Metab. 2022;35:1385–1393. doi: 10.1515/jpem-2022-0336. - DOI - PubMed

Publication types