Predictors of Eating Disorders in Adolescents with Type 1 Diabetes
10.4094/chnr.2019.25.4.449
- Author:
Hye Ryeon PARK
1
;
Hyeon Ok JU
;
Jae Ho YOO
Author Information
1. Doctoral Candidate, Department of Nursing, Dong-A University, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Type 1 diabetes mellitus;
Adolescent;
Eating disorder;
Body image;
Depression
- MeSH:
Adolescent;
Body Image;
Depression;
Diabetes Mellitus, Type 1;
Eating;
Female;
Hemoglobin A, Glycosylated;
Humans;
Logistic Models;
Nursing;
Prevalence
- From:Child Health Nursing Research
2019;25(4):449-457
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.METHODS: A total of 136 adolescents aged 13–18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, χ² test, and binominal logistic regression with SPSS version 23.0 for Windows.RESULTS: The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).CONCLUSION: In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents' depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.
