Abstract
Aims
Data regarding the prevalence of eating disorders (ED) and their influence on clinical outcomes among patients with type 2 diabetes (T2DM) are scarce. Our aim is to investigate the frequency of positive screening for ED, specifically binge eating disorder (BED), in a T2DM sample and analyze whether there are any differences among T2DM subjects with a positive screening for ED or BED.
Methods
Three hundred and twenty subjects with T2DM were recruited randomly. All participants were evaluated for the presence of ED by completing the “Eating Attitudes Test-26” (EAT-26). In addition, the “Questionnaire of Eating and Weight Patterns–Revised” (QEWP-R) for the screening of BED was also implemented. Sociodemographic, clinical and biochemical parameters were also recorded.
Results
According to EAT-26, 14 % of subjects screened positive for ED. Regarding QEWP-R, 16 % had a positive screening for ED, with BED having a frequency of 12.2 %, being the most prevalent one. There was a positive correlation between the scores obtained with the EAT-26 and the Beck Depression Inventory (p = 0.0014). Patients with BED were younger (57.5 ± 11.1 vs 63.3 ± 10.3 years; p = 0.004), with a lesser T2DM duration (8.5 ± 6.1 vs 12.1 ± 9.6 years; p = 0.002). Weight and BMI among subjects with BED were greater (89.1 ± 1.3 vs 82.4 ± 16.7 kg; p = 0.04 and 39.4 ± 10.3 vs 30.7 ± 5.5 kg/m2; p = 0.01). The frequency of subjects with one admission related to T2DM or any other condition during the last year was higher (10 vs 3 %; p = 0.04 and 33 vs 21 %; p = 0.01).
Conclusions
ED among T2DM are frequent. Due to their deleterious effect on different metabolic and psychological outcomes, they should be diagnosed promptly, especially BED.
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References
Fairburn CG, Peveler RC, Davies B, Mann JI, Mayou RA (1992) Eating disorders in young adults with insulin-dependent diabetes mellitus: a controlled study. Br Med J 303:17–20
Mannucci E, Ricca V, Mezzani B, Di Bernardo M, Piani F, Vannini R, Cabras PL, Rotella CM (1995) Eating attitude and behavior in patients with IDDM: a case-controlled study. Diabetes Care 18:1503–1504
Rosmark B, Berne C, Holmgren S, Lago C, Renholm G, Sohlberg S (1986) Eating disorders inpatients with insulin-dependent diabetes mellitus. J Clin Psychiat 47:547–550
Wing RR, Novalk MP, Marcus MD, Koeske R, Finegold D (1986) Subclinical eating disorders and glycemic control in adolescents with type 1 diabetes. Diabetes Care 9:162–167
De Vries L, Bar-Niv M, Lebenthal Y, Tenenbaum A, Shalitin S, Lazar L et al (2014) Changes in weight and adolescents. Acta Diabetol 51:395–402
Martyn-Nemeth P, Quinn L, Hacker E, Park H, Kujath A (2014) Diabetes distress may adversely affect the eating styles of women with type 1 diabetes. Acta Diabetol 51:683–686
Young V, Eiser C, Johnson B, Brierley S, Epton T, Elliott J, Heller S (2013) Eating problems in adolescents with type 1 diabetes: a systematic review with meta-analysis. Diabet Med 30:189–198
Steel JM, Young RJ, Lloyd CG, McIntyre CCA (1989) Abnormal eating attitudes in young insulin-dependent diabetics. Br J Psychiat 155:515–521
Affenito SG, Backstrand JR, Welch GW, Lamni-Keefe CJ, Rodriguez NR, Adams CH (1997) Subclinical and clinical eating disorders in IDDM negatively affect metabolic control. Diabetes Care 20:182–184
Wing RR, Marcus MD, Epstein LH, Blair EH, Burton LR (1989) Binge eating in obese patients with type II diabetes. Int J Eat Disord 8:671–679
Crow S, Kendall D, Praus B, Thuras P (2001) Binge eating and other psychopathology in patients with type II diabetes mellitus. Int J Eat Disord 30:222–226
Kenardy J, Mensch M, Bowen K, Green B, Walton J, Dalton M (2001) Disordered eating behaviours in women with type 2 diabetes mellitus. Eat Behav 2:183–192
Herpertz S, Albus C, Lichtblau K, Köhle K, Mann K, Senf W (2000) Relationship of weight and eating disorders in type 2 diabetic patients: a multicenter study. Int J Eat Disord 28:68–77
Allison KC, Crow SJ, Reeves RR, West DS, Foreyt JP, DiLillo VG, Wadden TA et al (2007) Binge eating disorder and night eating syndrome in adults with type 2 diabetes. Obesity 15:1287–1293
Gorin AA, Niemeier HM, Hogan P, Coday M, Davis C, DiLillo VG, Gluck ME et al (2008) Binge eating and weight loss outcomes in overweight and obese individuals with type 2 diabetes. Arch Gen Psychiatry 65:1447–1455
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, vol 4th ed. American Psychiatric Association, Washington, DC
Spitzer RL, Devlin M, Walsch BT (1992) Binge eating disorder: a multisite field trial of the diagnostic criteria. Int J Eat Disord 11:191–203
Mannucci E, Tesi F, Ricca V (2002) Eating behaviour in obese patients with and without type 2 diabetes mellitus. Int J Obes Relat Metab Disord 26:848–853
Wing RR, Nowalk MP, Marcus MD, Koeske R, Finegold D (1986) Subclinical eating disorders and glycemic control in adolescents with type 1 diabetes. Diabetes Care 9:162–167
Meneghini LF, Spadola J, Florez H (2006) Prevalence and associations of binge eating disorder in a Multiethnic population with type 2 diabetes. Diabetes Care 29:2760
Beck AT, Steer RA (1994) Beck-depressions-inventar. Huber, Bern
Lustman PJ, Clouse RE, Griffith LS, Carney RM, Freedland KE (1997) Screening for depression in diabetes using the Beck Depression Inventory. Psychosom Med 59:24–31
Brody ML, Walsh BT, Devlin MJ (1994) Binge eating disorder: reliability and validity of a new diagnostic category. J Consult Clin Psychol 62:381–386
Stunkard AJ, Berkowitz R, Wadden T, Tanrikut C, Reiss E, Young L (1996) Binge eating disorder and the night eating syndrome. Int J Obes Relat Metab 20:1–6
Allison KC, Wadden TA, Sarwer DB (2006) Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: prevalence and related features. Obesity 14:77S–82S
Adami GF, Bandolfo P, Bauer B, Scopinaro N (1995) Binge eating in massively obese patients undergoing bariatric surgery. Int J Eat Disord 17:45–50
Wing RR, Marcus MD, Epstein LH, Blair EH, Burton LR (1989) Binge eating in obese patients with type 2 diabetes. Int J Eat Disord 8:671–679
Pinaquy S, Chabrol H, Simon C, Louvet JP, Barbe P (2003) Emotional eating, alexithymia and binge-eating disorder in obese women. Obes Res 11:195–201
Araujo DM, Santos GF, Nardi AE (2010) Binge eating disorder and depression: a systematic review. World J Biol Psychiatry 11:199–207
The TODAY study group (2011) Binge eating, mood, and quality of life in youth with type 2 diabetes. Diabetes Care 34:858–860
Ciechanowski PS, Katon WJ, Russo JE (2000) Depression and diabetes: impact of depressive symptoms on adherence, function and costs. Arch Intern Med 160:3278–3285
Finkelstein EA, Bray JW, Chen H et al (2003) Prevalence and costs of major depression among elderly claimants with diabetes. Diabetes Care 26:415–420
Nichols L, Barton PL, Glazner J (2007) Mc Collum M. Diabetes, minor depression and health care utilization and expenditures: a retrospective database study. Cost Eff Resour Alloc 5:4
Egede LE, Zheng D, Simpson K (2002) Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes. Diabetes Care 25:464–470
Acknowledgments
The study was supported by a grant from Sanofi Aventis.
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The authors declare that they have no conflict of interest.
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The authors have followed the rules of good scientific practice.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
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Informed consent was obtained from all patients for being included in the study.
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Nicolau, J., Simó, R., Sanchís, P. et al. Eating disorders are frequent among type 2 diabetic patients and are associated with worse metabolic and psychological outcomes: results from a cross-sectional study in primary and secondary care settings. Acta Diabetol 52, 1037–1044 (2015). https://doi.org/10.1007/s00592-015-0742-z
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DOI: https://doi.org/10.1007/s00592-015-0742-z