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Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes.

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  • المؤلفون: Olmsted MP;Olmsted MP; Colton PA; Daneman D; Rydall AC; Rodin GM
  • المصدر:
    Diabetes care [Diabetes Care] 2008 Oct; Vol. 31 (10), pp. 1978-82. Date of Electronic Publication: 2008 Jul 15.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: American Diabetes Association Country of Publication: United States NLM ID: 7805975 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1935-5548 (Electronic) Linking ISSN: 01495992 NLM ISO Abbreviation: Diabetes Care Subsets: MEDLINE
    • بيانات النشر:
      Publication: Alexandria Va : American Diabetes Association
      Original Publication: New York, American Diabetes Assn.
    • الموضوع:
    • نبذة مختصرة :
      Objective: The purpose of this study was to identify predictors of the onset of disturbed eating behavior (DEB) in adolescent girls with type 1 diabetes.
      Research Design and Methods: In this prospective study, participants completed the Children's Eating Disorder Examination interview and self-report measures at baseline and at four follow-up assessments over 5 years. Participants were 126 girls with type 1 diabetes, aged 9-13 years at baseline. Of the 101 girls who did not have DEB at baseline, 45 developed DEB during the follow-up period; the 38 for whom data were available for the assessment before onset of DEB were compared with 38 age-matched girls who did not develop DEB. DEB was defined as dieting for weight control, binge eating, self-induced vomiting, or the use of diuretics, laxatives, insulin omission, or intense exercise for weight control.
      Results: Logistic regression indicated that a model including BMI percentile, weight and shape concern, global and physical appearance-based self-worth, and depression was significantly associated with DEB onset (chi(2) = 46.0, 5 d.f., P < 0.0001) and accounted for 48.2% of the variance.
      Conclusions: Even though scores on the measures were within the published normal range, the onset of DEB was predicted by higher depression and weight and shape concerns and lower global and physical appearance-based self-worth as well as higher BMI percentile 1-2 years earlier compared with those not developing DEB. Early interventions focused on helping girls with diabetes develop positive feelings about themselves, their weight and shape, and their physical appearance may have protective value.
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    • الرقم المعرف:
      0 (Glycated Hemoglobin A)
    • الموضوع:
      Date Created: 20080717 Date Completed: 20081118 Latest Revision: 20221207
    • الموضوع:
      20240104
    • الرقم المعرف:
      PMC2551638
    • الرقم المعرف:
      10.2337/dc08-0333
    • الرقم المعرف:
      18628570