Startseite Can having a sibling with type 1 diabetes cause disordered eating behaviors?
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Can having a sibling with type 1 diabetes cause disordered eating behaviors?

  • Sinem Akgül EMAIL logo , Ayfer Alikaşifoğlu , Alev Özon , Nazlı Gönç , Yasemin Düzçeker , Sine Örs , Orhan Derman und Nuray Kanbur
Veröffentlicht/Copyright: 6. Juni 2018

Abstract

Background

Adolescents with type 1 diabetes mellitus (T1DM) are at an increased risk of eating disturbances. The aim of this study was to evaluate whether the risk of a disordered eating behavior (DEB) also applies to the well sibling sharing the same environment.

Methods

Well siblings were included if they were 10–18 years old, had a sibling with a T1DM diagnosis for at least 6 months and lived with the sibling during the illness. The control group was comprised of healthy participants recruited from the outpatient clinic with no family history of T1DM. Participants completed a four-part questionnaire concerning their eating behaviors that was developed by the study team. This survey aimed to evaluate the dietary habits and eating patterns. All participants completed the Eating Attitudes Test-26 (EAT-26) and a 24-h food dietary recall. Any participant with a high EAT-26 score or that seemed to be at risk according to the questionnaire was re-evaluated.

Results

Eight cases (33.3%) in the well sibling group had either a total and/or subgroup pathological score. Three of them were found to have DEB and one case was diagnosed with anorexia nervosa (AN). In the control group, five cases (17.2%) had either a total and/or subgroup pathological score. Three of these cases were found to have DEB, no cases were diagnosed with an eating disorder. There were no statistically significant differences in the EAT-26 scores between the groups.

Conclusions

Although a direct relationship was not observed, the probability of having a pathologic EAT-26 score was higher in the group with a sibling with T1DM.


Corresponding author: Sinem Akgül, MD, PhD, Associate Professor, Department of Pediatrics, Division of Adolescent Medicine, Hacettepe University, Ihsan Doğramacı Childrens Hospital, 06100 Ankara, Turkey, Phone: +90 (312) 3051160

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2017-12-18
Accepted: 2018-04-16
Published Online: 2018-06-06
Published in Print: 2018-07-26

©2018 Walter de Gruyter GmbH, Berlin/Boston

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