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CC BY-NC-ND 4.0 · Experimental and Clinical Endocrinology & Diabetes Reports 2017; 04(01): e7-e9
DOI: 10.1055/s-0043-103347
Short Communication
Eigentümer und Copyright ©Georg Thieme Verlag KG 2018

Prevalence of Eating Disorders in Individuals with Type 2 Diabetes: A Cohort Comparison of Patients and Controls

Ricardo V. García-Mayor
1   South Galicia Biomedical Foundation, University Hospital of Vigo, Vigo, Spain
,
Francisco Javier García-Soidán
2   Porriño Primary Care Centre, Vigo, Spain
,
Angel Salgado Barreira
3   Research Unit, University Hospital of Vigo, Vigo, Spain
,
on behalf of the TRACONAL STUDY GROUP › Institutsangaben
Weitere Informationen

Publikationsverlauf

received 05. April 2016
revised 08. Dezember 2016

accepted 08. Februar 2017

Publikationsdatum:
13. April 2017 (online)

   Lizenzen und Reprints

Abstract

Aims

To determine the prevalence of eating disorders (ED) in a cohort of patients with type 2 diabetes (T2DM), to identify the more predominant forms of ED, and to clarify if ED is associated with impaired metabolic control.

Methods

A cohort of 517 patients with T2DM aged≥40 years and a control cohort of 304 patients without diabetes, age and gender matched, were enrolled from 3 primary care centres. All subjects completed the Questionnaire of Eating and Weight Patterns-Revised (QEWP-R), followed by a structured interview (EDE 17th version).

Results

The overall prevalence of ED in patients with T2DM and control cohorts was 32.5% and 19.7%, respectively (p<0.001). The frequency of ED in the patients with T2DM cohort was significantly higher in male than in female: 61.9% vs. 38.1% of the ED, respectively (p<0.001). The most prevalent form was unspecified feeding or eating disorder, mainly uncontrolled picking at food in 24.6% of subjects, which is significantly more prevalent in the patients with T2DM cohort than in controls, 24.6% vs. 14.5% (p<0.001). Mean HbA1c was 7.15%±1.1% (55 mmol/mol, 159 mg/dL) and 6.84%±1.1% (51 mmol/mol,150 mg/dL) in patients with T2DM with ED and without ED, respectively (p=0.047).

Conclusions

ED have a high prevalence in patients with T2DM, and the coexistence of type 2 diabetes and ED significantly affects metabolic control in these patients.

Key words

diabetes - alimentation - obesity
 

  • References

  • 1 Stanton AL, Collins CA, Sworowski LA. Adjustment to chronic illniess: Theory and research. In: Handbook of health psychology. Baum A, Revenon TA, Singer JS. (eds.). pp 387-403 Mahway Nk: Erlbaum; 2001
    Google Scholar
  • 2 UK Prospective Diabetes Study Group. Intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risk complications in patients with type 2 diabetes. Lancet 1998; 352: 837-853
    CrossrefPubMedGoogle Scholar
  • 3 Gavard J, Lustman P, Clouse R. Prevalence of depression in adults with diabetes: an epidemiological evaluation. Diabetes Care 1993; 16: 1167-1178
    CrossrefPubMedGoogle Scholar
  • 4 de Groot M, Jacobson A, Samson J. et al. Glycemic control an major depression in patients with type 1 and type 2 diabetes mellitus. J Psychosom 1999; 46: 425-435 1999
    CrossrefPubMedGoogle Scholar
  • 5 Kenardy J, Mensch M, Bowen K. et al. A comparison of eating behaviours in newly diagnosed NIDDM patients and case-matched control subjects. Diabetes Care 1994; 17: 1197-1199
    CrossrefPubMedGoogle Scholar
  • 6 Larrañaga A, Garcia-Mayor RV. Disordered eating behaviors in type 1 diabetics. WJD 2011; 2: 189-195
    CrossrefPubMedGoogle Scholar
  • 7 Young V, Eiser C, Johnson B. et al. Eating problems in adolescents with type 1 diabetes: A systematic review with meta-analysis. Diabet Med 2013; 30: 189-198
    CrossrefPubMedGoogle Scholar
  • 8 Fairburn CG, Cooper Z, O’Connor ME. Eating disorder examination, edition 17.OD. The Center for Research in Dissemination at Oxford April 2014. Available at: http://www.credo-oxford.com/pdfs/EDE_17.0D.pdf
    PubMed
  • 9 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th Ed. Arlington, VA: American Psychiatric Publishing; 2013
    Google Scholar
  • 10 Herpertz S, Albus C, Lichtblau K. et al. Relationship of weight and eating disorders in type 2 diabetic patients: A multicentre study. Int J Eat Disrod 2000; 28: 68-77
    PubMedGoogle Scholar
  • 11 Crow S, Kendall D, Praus B. et al. Binge eating and other psychopathology in patients with type II diabetes mellitus. Int J Eat Disord 2001; 30: 222-226
    CrossrefPubMedGoogle Scholar
  • 12 Mannucci E, Tesi F, Ricca V. et al. Eating behaviour in obese patients with and without type 2 diabetes mellitus. Int J Obes Relat Metab Disord 2002; 26: 848-853
    CrossrefPubMedGoogle Scholar
  • 13 Menneghini LF, Spadola J, Florez H. Prevalence and associations of Binge Eating Disorder in a Multiethnic population with type 2 diabetes. Diabetes Care 2006; 29: 2760
    PubMedGoogle Scholar
  • 14 TODAY study. Binge eating, mood and quality of life in youth with type 2 diabetes. Diabetes Care 2011; 34: 858-860
    CrossrefPubMedGoogle Scholar
  • 15 Kenardy J, Mensch M, Bowen K. et al. Disordered eating in type 2 diabetes. Eating Behav 2001; 2: 183-192
    CrossrefPubMedGoogle Scholar
  • 16 Allison K, Crow SJ, Reeves RR. et al. Binge eating disorder and Nigth Eating Syndrome in adults with type 2 diabetes. Obesity 2007; 15: 1287-1293
    CrossrefPubMedGoogle Scholar
  • 17 Wing RR, Marcus MD, Epstein LH. et al. Binge eating in obese patients with type 2 diabetes. Int J Eat Disord 1989; 8: 671-679
    CrossrefPubMedGoogle Scholar