Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth - Australia
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Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes : Results from diabetes MILES youth - Australia. / Araia, E; Hendrieckx, Crystal; Skinner, Timothy Charles; Pouwer, Frans; Speight, Jane; King, R.
I: International Journal of Eating Disorders, Bind 50, Nr. 10, 2017, s. 1183-1193.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes
T2 - Results from diabetes MILES youth - Australia
AU - Araia, E
AU - Hendrieckx, Crystal
AU - Skinner, Timothy Charles
AU - Pouwer, Frans
AU - Speight, Jane
AU - King, R
PY - 2017
Y1 - 2017
N2 - ObjectiveTo examine gender differences in disordered eating behaviors (DEB) and body dissatisfaction in adolescents with type 1 diabetes. While evidence shows that female youth with type 1 diabetes are more prone to DEB compared to their peers without diabetes, little is known about male adolescents.MethodIn a national online survey, adolescents (13–19 years) with type 1 diabetes for ≥1 year completed the Diabetes Eating Problem Survey‐Revised (DEPS‐R), and the Body Mass Index Silhouette Matching Test (BMI‐SMT) and items on binge eating and insulin omission.ResultsAbout 477 adolescents (mean age 16 years; 62% females) completed the DEPS‐R and 431 the BMI‐SMT. The DEPS‐R total score was higher for females than males, with scores for females increasing with age. BMI, HbA1c, insulin omission, and binge‐eating frequency were associated moderately with DEPS‐R for both genders. On the BMI‐SMT, 88% of females wanted to be thinner. Of the males, 76% reported body dissatisfaction; however, only 43% expressed a desire for thinness with the remainder desiring a larger body size. DEPS‐R was positively associated with the discrepancy between perceived actual and ideal body size for both genders.DiscussionA large proportion of adolescents with type 1 diabetes, particularly females reported engaging in DEB. Similarly, high rates of body dissatisfaction were reported, though ideal body shape preferences differed by gender. Given the high levels of self‐reported DEB and gender‐based patterns of body dissatisfaction, future research needs to examine the effectiveness of routine screening of DEB and consider implementation of stepped care approaches.
AB - ObjectiveTo examine gender differences in disordered eating behaviors (DEB) and body dissatisfaction in adolescents with type 1 diabetes. While evidence shows that female youth with type 1 diabetes are more prone to DEB compared to their peers without diabetes, little is known about male adolescents.MethodIn a national online survey, adolescents (13–19 years) with type 1 diabetes for ≥1 year completed the Diabetes Eating Problem Survey‐Revised (DEPS‐R), and the Body Mass Index Silhouette Matching Test (BMI‐SMT) and items on binge eating and insulin omission.ResultsAbout 477 adolescents (mean age 16 years; 62% females) completed the DEPS‐R and 431 the BMI‐SMT. The DEPS‐R total score was higher for females than males, with scores for females increasing with age. BMI, HbA1c, insulin omission, and binge‐eating frequency were associated moderately with DEPS‐R for both genders. On the BMI‐SMT, 88% of females wanted to be thinner. Of the males, 76% reported body dissatisfaction; however, only 43% expressed a desire for thinness with the remainder desiring a larger body size. DEPS‐R was positively associated with the discrepancy between perceived actual and ideal body size for both genders.DiscussionA large proportion of adolescents with type 1 diabetes, particularly females reported engaging in DEB. Similarly, high rates of body dissatisfaction were reported, though ideal body shape preferences differed by gender. Given the high levels of self‐reported DEB and gender‐based patterns of body dissatisfaction, future research needs to examine the effectiveness of routine screening of DEB and consider implementation of stepped care approaches.
KW - Faculty of Social Sciences
KW - adolescents
KW - body dissatisfaction
KW - disordered eating behaviors
KW - type 1 diabetes
U2 - 10.1002/eat.22746
DO - 10.1002/eat.22746
M3 - Journal article
C2 - 28856699
VL - 50
SP - 1183
EP - 1193
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
SN - 0276-3478
IS - 10
ER -
ID: 189402196