Peveler R C, Fairburn C G, Boller I, Dunger D
University Department of Psychiatry, Warneford Hospital, Oxford, UK.
Diabetes Care. 1992 Oct;15(10):1356-60. doi: 10.2337/diacare.15.10.1356.
To determine the prevalence of clinical eating disorders and lesser degrees of disturbed eating in adolescents with IDDM and a matched sample of nondiabetic control subjects.
A cross-sectional survey of eating habits and attitudes conducted in 76 adolescents with IDDM, and age- and sex-matched nondiabetic control subjects. Eating disorder features were assessed by standardized research interview adapted for use with patients with diabetes (EDE). Glycemic control was assessed by GHb assay.
Adolescent girls with IDDM were heavier than nondiabetic female control subjects and were dieting more intensively to control their shape and weight. However, clinical eating disorders were no more common among adolescent girls with IDDM than among nondiabetic control subjects. Nine percent of the IDDM girls met diagnostic criteria for an operational version of "Eating disorder not otherwise specified." Fifteen percent had omitted or reduced their dose of insulin to influence their shape and weight. Eating disorder features and insulin misuse for shape and weight control were not found in IDDM or nondiabetic boys, and these two groups did not differ in their body weight.
Adolescent girls with IDDM are heavier than their nondiabetic counterparts and diet more intensively to control their shape and weight. Disordered eating habits and weight control behavior are common, but no more so in IDDM than in nondiabetic subjects. Insulin misuse for the purpose of shape and weight control is not restricted to subjects with a clinical eating disorder. Disordered eating is associated with impaired glycemic control.
确定患有胰岛素依赖型糖尿病（IDDM）的青少年以及与之匹配的非糖尿病对照受试者中临床饮食失调及较轻程度饮食紊乱的患病率。
对76名患有IDDM的青少年以及年龄和性别匹配的非糖尿病对照受试者进行饮食习惯和态度的横断面调查。通过适用于糖尿病患者的标准化研究访谈（饮食失调检查问卷，EDE）评估饮食失调特征。通过糖化血红蛋白（GHb）测定评估血糖控制情况。
患有IDDM的青春期女孩比非糖尿病女性对照受试者体重更重，并且为控制体型和体重而更严格地节食。然而，患有IDDM的青春期女孩中临床饮食失调并不比非糖尿病对照受试者更常见。9%的IDDM女孩符合“未另行规定的饮食失调”操作版本的诊断标准。15%的女孩曾减少或停用胰岛素剂量以影响体型和体重。在患有IDDM的男孩或非糖尿病男孩中未发现饮食失调特征以及为控制体型和体重而滥用胰岛素的情况，且这两组在体重方面没有差异。
患有IDDM的青春期女孩比非糖尿病同龄人更重，并且为控制体型和体重而更严格地节食。饮食习惯紊乱和体重控制行为很常见，但在患有IDDM的人群中并不比非糖尿病受试者更常见。为控制体型和体重而滥用胰岛素并不局限于患有临床饮食失调的受试者。饮食紊乱与血糖控制受损有关。
