Clinical features of the diabetes eating problem survey–revised Turkish version in children and adolescent with type 1 diabetes
-
Elif Sagsak
,
Asan Onder
,
Havva Nur Peltek Kendirci
,
Metin Yıldız
,
Derya Karaman Aksakal
,
Umran Karayurt
,
Alperen Bıkmazer
,
Süleyman Çakıroğlu
und
Mehmet Sertçelik
Abstract
Objectives
We aim to delineate clinical characteristics that place individuals with type 1 diabetes (T1DM) at risk of developing eating problems by using Turkish version of diabetes eating problem survey-revised (DEPS-R).
Methods
The patients aged 9–18 years with T1DM who came to the pediatric endocrine outpatient clinic for control between February and December 2019 completed Turkish version of DEPS-R. Clinical and laboratory findings were obtained from patient files. Cases with a questionnaire score ≥20 were considered to be at risk for eating disorders (ED). Parents were informed when the results of the screening were positive, and were offered to child psychiatrist.
Results
The median scores obtained with the Turkish version of DEPS-R for the total sample, for females and males were 15, 16, and 13 respectively. The score was significantly higher among females compared to males (p<0.001). DEPS‐R score positive group had higher age (mean [SD]=14.6 [2.7], p=0.009), BMI (mean [SD]=21.4 [3.2], p<0.001), HbA1c % (mean [SD]=9.37[2.3], p<0.001) and year of diabetes duration (mean [SD]=5.5 [3.6], p<0.001) compared to the negative group.
Conclusions
Early recognition and adequate treatment of ED in T1DM is essential. DEPS-R is sensitive in identifying young people with ED.
Research funding: The authors declared that this study received no financial support.
Authorship contributions: Surgical and Medical Practices: Elif Sağsak, Aşan Önder, Havva Nur Peltek Kendirci, Metin Yıldız, Alperen Bıkmazer, Süleyman Çakıroğlu, Ahmet Sertçelik, Concept: Elif Sağsak, Aşan Önder, Havva Nur Peltek Kendirci, Design: Elif Sağsak, Aşan Önder, Havva Nur Peltek Kendirci, Data Collection or Processing: Elif Sağsak, Aşan Önder, Havva Nur Peltek Kendirci, Metin Yıldız, Ümran Karayurt, Derya Karaman Aksakal, Literature Search: Elif Sağsak, Aşan Önder, Havva Nur Peltek Kendirci, Alperen Bıkmazer, Süleyman Çakıroğlu, Ahmet Sertçelik, Writing: Elif Sağsak.
Competing interests: Authors state no conflict of interest.
Informed consent: Written informed consent was obtained from patients and parents for the study.
Ethical approval: The study was approved by Gaziosmapasa Training and Research Hospital Ethics Committee (approval number: 82/2019).
References
1. Polivy, J, Herman, CP. Causes of eating disorders. Annu Rev Psychol 2003;53:187–213. https://doi.org/10.1146/annurev.psych.53.100901.135103.Suche in Google Scholar PubMed
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5, 5th ed. Arlington, VA: American Psychiatric Association; 2013.10.1176/appi.books.9780890425596Suche in Google Scholar
3. Young, V, Eiser, C, Johnson, B, Brierley, S, Epton, T, Elliott, J, et al. Eating problems in adolescents with type 1 diabetes: a systematic review with meta-analysis. Diabet Med 2013;30:189–98. https://doi.org/10.1111/j.1464-5491.2012.03771.x.Suche in Google Scholar PubMed
4. Striegel-Moore, RH, Bulik, CM. Risk factors for eating disorders. Am Psychol 2007;62:181–98. https://doi.org/10.1037/0003-066x.62.3.181.Suche in Google Scholar PubMed
5. The Diabetes Control and Complications Trial Research Group. Influence of intensive diabetes treatment on body weight and composition of adults with type 1 diabetes in the diabetes control and complications trial. Diabetes Care 2001;24:1711–21. https://doi.org/10.2337/diacare.24.10.1711.Suche in Google Scholar PubMed PubMed Central
6. Peveler, RC, Bryden, KS, Andrew Neil, H, Fairburn, CG, Mayou, RA, Dunger, DB, et al. The relationship of disordered eating habits and attitudes to clinical outcomes in young adult females with type 1 diabetes. Diabetes Care 2005;28:84–8. https://doi.org/10.2337/diacare.28.1.84.Suche in Google Scholar PubMed
7. Goebel‐Fabbri, AE, Fikkan, J, Franko, DL, Pearson, K, Anderson, BJ, Weinger, K. Insulin restriction and associated morbidity and mortality in women with type 1 diabetes. Diabetes Care 2008;31:415–9. https://doi.org/10.2337/dc07-2026.Suche in Google Scholar PubMed
8. Atik Altınok, Y, Özgür, S, Meseri, R, Özen, S, Darcan, Ş, Gökşen, D. Reliability and validity of the diabetes eating problem survey in Turkish children and adolescents with type 1 diabetes mellitus. J Clin Res Pediatr Endocrinol 2017;9:323–8. https://doi.org/10.4274/jcrpe.4219.Suche in Google Scholar PubMed PubMed Central
9. Delamater, AM. ISPAD clinical practice consensus guidelines 2009 compendium. Psychological care of children and adolescents with diabetes. Pediatr Diabetes 2009;10:175–84. https://doi.org/10.1111/j.1399-5448.2009.00580.x.Suche in Google Scholar PubMed
10. 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;320:1563–66. https://doi.org/10.1136/bmj.320.7249.1563.Suche in Google Scholar
11. Markowitz, JT, Butler, DA, Volkening, LK, Antisdel, JE, Anderson, BJ, Laffel, LM. Brief screening tool for disordered eating in diabetes: internal consistency and external validity in a contemporary sample of pediatric patients with type 1 diabetes. Diabetes Care 2010;33:495–500. https://doi.org/10.2337/dc09-1890.Suche in Google Scholar PubMed PubMed Central
12. Markowitz, JT, Deborah, A, Lisa, K, Antisdel, M, Jeanne, E. Brief screening tool for disordered eating in diabetes internal. Diabetes Care 2010;33:495–500. https://doi.org/10.2337/dc09-1890.Suche in Google Scholar
13. Wisting, L, Frøisland, DH, Skrivarhaug, T, Dahl‐Jørgensen, K, Ro, Ø. Psychometric properties, norms, and factor structure of the diabetes eating problem survey‐revised in a large sample of children and adolescents with type 1 diabetes. Diabetes Care 2013;36:2198–202. https://doi.org/10.2337/dc12-2282.Suche in Google Scholar PubMed PubMed Central
14. Saßmann, H, Albrecht, C, Busse‐Widmann, P, Hevelke, LK, Kranz, J, Markowitz, JT, et al. Psychometric properties of the German version of the diabetes eating problem survey‐revised: additional benefit of disease‐specific screening in adolescents with type 1 diabetes. Diabet Med 2015;32:1641–47. https://doi.org/10.1111/dme.12788.Suche in Google Scholar PubMed
15. Ünal, F, Öktem, F, Çuhadaroglu, F, Çengel Kültür, SE, Akdemir, D, Foto Özdemir, D, et al. Reliability and validity of the schedule for affective disorders and schizophrenia for school-age children-present and lifetime version, DSM-5 November 2016-Turkish adaptation. Turk Psikiyatri Derg 2019;30:42–50. https://doi.org/10.5080/u23408.Suche in Google Scholar
16. Neyzi, O, Bundak, R, Gökçay, G, Günöz, H, Furman, A, Darendeliler, F, et al. Reference values for weight, height, head circumference, and body mass index in Turkish children. J Clin Res Pediatr Endocrinol 2015;7:280–93. https://doi.org/10.4274/jcrpe.2183.Suche in Google Scholar PubMed PubMed Central
17. Gonçalves, S, Barros, V, Rui, GA. Eating‐disordered behaviour in adolescents with type 1 diabetes. Can J Diabetes 2016;40:152–7. https://doi.org/10.1016/j.jcjd.2015.09.011.Suche in Google Scholar PubMed
18. Colton, PA, Olmsted, MP, Daneman, D, Rydall, AC, Rodin, GM. Natural history and predictors of disturbed eating behaviour in girls with type 1 diabetes. Diabet Med 2007;24:424–9. https://doi.org/10.1111/j.1464-5491.2007.02099.x.Suche in Google Scholar PubMed
19. Olmsted, MP, Colton, PA, Daneman, D, Rydall, AC, Rodin, GM. Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes. Diabetes Care 2008;31:1978–82. https://doi.org/10.2337/dc08-0333.Suche in Google Scholar PubMed PubMed Central
20. Markowitz, JT, Alleyn, CA, Phillips, R, Muir, A, Young-Hyman, D, Laffel, LM. Disordered eating behaviors in youth with type 1 diabetes: prospective pilot assessment following initiation of insulin pump therapy. Diabetes Technol Therapeut 2013;15:428–33. https://doi.org/10.1089/dia.2013.0008.Suche in Google Scholar PubMed PubMed Central
21. Weinert, LS, Scheffel, RS, Severo, MD, Cioffi, AP, Teló, GH, Boschi, A, et al. Precipitating factors of diabetic ketoacidosis at a public hospital in a middle-income country. Diabetes Res Clin Pract 2012;96:29–34. https://doi.org/10.1016/j.diabres.2011.11.006.Suche in Google Scholar PubMed
22. Colton, P, Rodin, G, Bergenstal, R, Parkin, C. Eating disorders and diabetes: introduction and overview. Diabetes Spectr 2009;22:138–42. https://doi.org/10.2337/diaspect.22.3.138.Suche in Google Scholar
23. Scheuing, N, Bartus, B, Berger, G, Haberland, H, Icks, A, Knauth, B, et al. Clinical characteristics and outcome of 467 patients with a clinically recognized eating disorder identified among 52,215 patients with type 1 diabetes: a multicenter German/Austrian study. Diabetes Care 2014;37:1581–89. https://doi.org/10.2337/dc13-2156.Suche in Google Scholar PubMed
24. Bächle, C, Lange, K, Stahl‐Pehe, A, Castillo, K, Scheuing, N, Holl, RW, et al. Symptoms of eating disorders and depression in emerging adults with early‐onset, long‐duration type 1 diabetes and their association with metabolic control. PloS One 2015;10:1–16. https://doi.org/10.1371/journal.pone.0131027.Suche in Google Scholar PubMed PubMed Central
25. Young-Hyman, DL, Davis, CL, Castillo, K, Scheuing, N, Holl, RW, et al. Disordered eating behavior in individuals with diabetes: importance of context, evaluation, and classification. Diabetes Care 2010;33:683–9. https://doi.org/10.2337/dc08-1077.Suche in Google Scholar PubMed PubMed Central
26. Bernstein, CM, Stockwell, MS, Gallagher, MP, Rosenthal, SL, Soren, K. Mental health issues in adolescents and young adults with type 1 diabetes: prevalence and impact on glycemic control. Clin Pediatr 2013;52:10–5. https://doi.org/10.1177/0009922812459950.Suche in Google Scholar PubMed
© 2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Research Articles
- Analysis of the alpha galactosidase gene: mutation profile and description of two novel mutations with extensive literature review in Turkish population
- Cascade screening and treatment of children with familial hypercholesterolemia in Turkey
- Risk of adrenal insufficiency following intra-articular or periarticular corticosteroid injections among children with chronic arthritis
- Vitamin D status is related to severity at onset of diabetes and worse glycemic control
- Reassessing vitamin D supplementation in preterm infants: a prospective study and review of the literature
- Mutations in PMM2 gene in four unrelated Spanish families with polycystic kidney disease and hyperinsulinemic hypoglycemia
- Liraglutide pharmacokinetics and exposure-response in pediatric patients with type 2 diabetes
- Identification of nucleotide polymorphism within the NeuroD1 candidate gene and its association with type 1 diabetes susceptibility in Iranian people by polymerase chain reaction-restriction fragment length polymorphism
- Prevalence of autoantibodies in type 1 diabetes mellitus pediatrics in Mazandaran, North of Iran
- Clinical features of the diabetes eating problem survey–revised Turkish version in children and adolescent with type 1 diabetes
- Ambulatory blood pressure profile in office normotensive obese children: prevalence of masked hypertension and impact of parental hypertension
- Glycogen storage disease type VI can progress to cirrhosis: ten Chinese patients with GSD VI and a literature review
- Short Communication
- Screening for imprinting disorders in 58 patients with clinically diagnosed idiopathic short stature
- Case Reports
- ROHHAD syndrome – A still unrecognized cause of childhood obesity: report of three cases
- Carbonic anhydrase VA deficiency: a very rare case of hyperammonemic encephalopathy
- Idiopathic infantile hypercalcemia: mutations in SLC34A1 and CYP24A1 in two siblings and fathers
- GCK-MODY in a child with cystic fibrosis: the doubt of the treatment plan
Artikel in diesem Heft
- Frontmatter
- Research Articles
- Analysis of the alpha galactosidase gene: mutation profile and description of two novel mutations with extensive literature review in Turkish population
- Cascade screening and treatment of children with familial hypercholesterolemia in Turkey
- Risk of adrenal insufficiency following intra-articular or periarticular corticosteroid injections among children with chronic arthritis
- Vitamin D status is related to severity at onset of diabetes and worse glycemic control
- Reassessing vitamin D supplementation in preterm infants: a prospective study and review of the literature
- Mutations in PMM2 gene in four unrelated Spanish families with polycystic kidney disease and hyperinsulinemic hypoglycemia
- Liraglutide pharmacokinetics and exposure-response in pediatric patients with type 2 diabetes
- Identification of nucleotide polymorphism within the NeuroD1 candidate gene and its association with type 1 diabetes susceptibility in Iranian people by polymerase chain reaction-restriction fragment length polymorphism
- Prevalence of autoantibodies in type 1 diabetes mellitus pediatrics in Mazandaran, North of Iran
- Clinical features of the diabetes eating problem survey–revised Turkish version in children and adolescent with type 1 diabetes
- Ambulatory blood pressure profile in office normotensive obese children: prevalence of masked hypertension and impact of parental hypertension
- Glycogen storage disease type VI can progress to cirrhosis: ten Chinese patients with GSD VI and a literature review
- Short Communication
- Screening for imprinting disorders in 58 patients with clinically diagnosed idiopathic short stature
- Case Reports
- ROHHAD syndrome – A still unrecognized cause of childhood obesity: report of three cases
- Carbonic anhydrase VA deficiency: a very rare case of hyperammonemic encephalopathy
- Idiopathic infantile hypercalcemia: mutations in SLC34A1 and CYP24A1 in two siblings and fathers
- GCK-MODY in a child with cystic fibrosis: the doubt of the treatment plan
