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. 2025 Dec 9;14(4):109619.
doi: 10.5409/wjcp.v14.i4.109619.

Diagnosis of type 1 diabetes mellitus triples the odds of screening positive for eating disorders: A case-control study

Ilektra Toulia  1 , Maria G Grammatikopoulou  1   2 , Alexandra Foscolou  3 , Aristea Gioxari  3 , Eleni G Paschalidou  1 , Eirini Karagiannopoulou  1 , Efstratia Daskalou  4 , Odysseas Androutsos  5 , Dimitrios G Goulis  6 , Kyriaki Tsiroukidou  1
Affiliations

Diagnosis of type 1 diabetes mellitus triples the odds of screening positive for eating disorders: A case-control study

Ilektra Toulia et al. World J Clin Pediatr. .

Abstract

Background: A diagnosis of a chronic disease has been shown to predispose patients to the development of feeding and eating disorders (FEDs).

Aim: To screen children and adolescents with type 1 diabetes mellitus (T1DM) for FEDs and compare them to their counterparts with short stature.

Methods: A total of 110 children and adolescents (55 with T1DM and 55 with short stature) were enrolled in the study. The SCOFF questionnaire was used to screen for possible FEDs, while anthropometric and dietary data were also collected.

Results: Approximately 60% of the children with T1DM screened positive for FEDs compared to 30.9% of the children with short stature. Having a T1DM tripled the chances of screening positive for FEDs and halved the annual growth rate of children with T1DM. No differences were noted in the dietary intake between groups.

Conclusion: The results necessitate the education of pediatric endocrinologists and diabetologists on proper screening and identification of children at risk for developing FEDs. A prompt diagnosis might help children catch up growth and attain their genetically predisposed height.

Keywords: Disordered eating; Eating disorders; Growth; Growth hormone deficiency; Insulin; Short stature.

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Conflict of interest statement

Conflict-of-interest statement: No conflicts of interest declared.

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