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Eating disorders in patients with Type 1 diabetes: A meta-analysis

Abstract

A meta-analysis of controlled studies on prevalence of eating disorders in Type 1 diabetes was performed in order to assess differences between diabetic and non-diabetic female subjects. All controlled studies using the Diagnostic and Statistical Manual of Mental Disorders Third Edition Revised (DSM III-R) or the DSM Fourth Edition (DSM IV) criteria for interview-based diagnosis were included in the analysis. The total sample was composed of 748 and 1587 female subjects with and without diabetes, respectively. The prevalence of anorexia nervosa (AN) in Type 1 diabetic subjects was not significantly different from that of controls (0.27 vs 0.06%), while that of bulimia nervosa and of the two conditions combined was significantly higher in diabetic patients (1.73 vs 0.69%, and 2.00 vs 0.75%, respectively; both p<0.05). Type 1 diabetes is associated with a higher prevalence of bulimia nervosa in females.

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References

  1. 1.

    Hudson JI, Wentworth SM, Hudson MS, Pope HG Jr. Prevalence of anorexia nervosa and bulimia among young diabetic women. J Clin Psychiatry 1985, 46: 88–9.

    CAS  PubMed  Google Scholar 

  2. 2.

    Rodin GM, Craven JL, Littlefield C. Eating disorders and intentional insulin under-treatment in adolescent females with diabetes. Psychosomatics 1991, 32: 171–6.

    CAS  PubMed  Article  Google Scholar 

  3. 3.

    American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 3rd Ed., Revised (DSM-III-R). Washington, DC: APA Press. 1987.

    Google Scholar 

  4. 4.

    American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th Ed. (DSM-IV). Washington, DC: APA Press. 1994.

    Google Scholar 

  5. 5.

    American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 3rd Ed. (DSM-III). Washington, DC: APA Press. 1983.

    Google Scholar 

  6. 6.

    Fairburn CG, Peveler RC, Davies B, Mann JI, Mayou RA. Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study. BMJ 1991, 303: 17–20.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  7. 7.

    Peveler RC, Fairburn CG, Boller I, Dunger D. Eating disorder in adolescent with IDDM: a controlled study. Diabetes Care 1992, 15: 1356–60.

    CAS  PubMed  Article  Google Scholar 

  8. 8.

    Striegel-Moore RH, Nicholson TJ, Tamborlane WV. Prevalence of eating disorder symptoms in preadolescent and adolescent girls with IDDM. Diabetes Care 1992, 15: 1361–8.

    CAS  PubMed  Article  Google Scholar 

  9. 9.

    Vila G, Robert JJ, Nollet-Clemencon D, et al. Eating and emotional disorders in adolescent obese girls with insulin-dependent diabetes mellitus. Eur Child Adolesc Psychiatry 1995, 4: 270–9.

    CAS  PubMed  Article  Google Scholar 

  10. 10.

    Mannucci E, Ricca V, Mezzani B, et al. Eating attitudes and behavior in IDDM Patients: a case controlled study. Diabetes Care 1995, 18: 1503–4.

    CAS  PubMed  Google Scholar 

  11. 11.

    Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord 2003, 34: 383–96.

    PubMed  Article  Google Scholar 

  12. 12.

    Hunter JE, Schmidt FL. Methods of meta-analysis: Correcting error and bias in research findings. Newbury Park: Sage. 1990.

    Google Scholar 

  13. 13.

    Viswesvaran C, Schmidt FL. A meta-analytic comparison of the effectiveness of smoking cessation methods. J Appl Psychol 1992, 77: 554–61.

    CAS  PubMed  Article  Google Scholar 

  14. 14.

    Robertson P, Rosevinge JH. Insulin-dependent diabetes mellitus: a risk factor in anorexia nervosa or bulimia nervosa? An empirical study of 116 women. J Psychosom Res 1990, 34: 535–41.

    CAS  PubMed  Article  Google Scholar 

  15. 15.

    Engström I, Kroon M, Arvidsson CG, Segnestam K, Snell-man K, Aman J. Eating disorders in adolescent girls with insulin-dependent diabetes mellitus: a population-based case-control study. Acta Paediatr 1999, 88: 175–80.

    PubMed  Article  Google Scholar 

  16. 16.

    Jones JM, Lawson ML, Daneman D, Olmsted MP, Rodin G. Eating disorders in adolescent females with and without type 1 diabetes: cross sectional study. BMJ 2000, 320: 1563–6.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  17. 17.

    Rodin GM, Daneman D. Eating disorders and IDDM. A problematic association. Diabetes Care 1992, 15: 1402–12.

    CAS  Article  Google Scholar 

  18. 18.

    Karlson B, Agardh CD. Burden of illness, metabolic control, and complications in relation to depressive symptoms in IDDM patients. Diabet Med 1997, 14: 1066–72.

    CAS  PubMed  Article  Google Scholar 

  19. 19.

    Stice E, Agras WS. Subtyping bulimic women along dietary restraint and negative affect dimension. J Consult Clin Psychol 1999, 67: 460–9.

    CAS  PubMed  Article  Google Scholar 

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Correspondence to C. M. Rotella MD.

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Mannucci, E., Rotella, F., Ricca, V. et al. Eating disorders in patients with Type 1 diabetes: A meta-analysis. J Endocrinol Invest 28, 417–419 (2005). https://doi.org/10.1007/BF03347221

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Key-words

  • Type 1 diabetes
  • anorexia nervosa
  • bulimia nervosa
  • eating behavior
  • meta-analysis