Binge Eating, Mood, and Quality of Life in Youth With Type 2 Diabetes

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117 citations0/0 files storedDiabetes Care

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Obesity, Physical Activity, Diet

Abstract

OBJECTIVE: The current study examines the prevalence of binge eating and its association with adiposity and psychosocial functioning in a large, diverse sample of youth with type 2 diabetes. RESEARCH DESIGN AND METHODS: In the TODAY study, 678 (mean age 14.0 years; 64.9% girls) of the 704 youth randomized to the study completed a self-report measure of eating disorder symptoms and were categorized as nonovereaters, overeaters, subclinical binge eaters, or clinical binge eaters. RESULTS: Youth with clinical (6%) and subclinical (20%) levels of binge eating had significantly higher levels and rates of extreme obesity, global eating disorder and depressive symptoms, and impaired quality of life. CONCLUSIONS: These findings highlight the importance of evaluating youth with type 2 diabetes for the presence of binge eating. Future research is needed to determine the cumulative effects of disordered eating, obesity, and psychosocial distress on adherence to lifestyle change recommendations and longitudinal response to treatment.

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References

1996Beck Depression Inventory–II 2005The Relationship of Disordered Eating Habits and Attitudes to Clinical Outcomes in Young Adult Females With Type 1 Diabetes 2008Disordered Eating Attitudes and Behaviors in Overweight Youth 2004Disturbed Eating Behavior and Eating Disorders in Preteen and Early Teenage Girls With Type 1 Diabetes 2008Prediction of the Onset of Disturbed Eating Behavior in Adolescent Girls With Type 1 Diabetes 2007Assessment of binge eating in overweight youth using a questionnaire version of the child eating disorder examination with instructions 2007Preventing Excessive Weight Gain in Adolescents: Interpersonal Psychotherapy for Binge Eating

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2018Binge eating disorder and night eating syndrome in adults with type 2 diabetes: a systematic review 2013Opioid system in the medial prefrontal cortex mediates binge‐like eating

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