Pediatric, Adolescent, and Young Adult Section, Joslin Diabetes Center, Boston, MA 02215, USA.
Diabet Med. 2009 Nov;26(11):1165-71. doi: 10.1111/j.1464-5491.2009.02844.x.
Increased body weight and disordered eating attitudes/behaviours are common in adolescent girls with Type 1 diabetes (T1D). Disordered eating increases risks for diabetes-related complications. This study aimed to identify a rapid screening approach for disordered eating attitudes and behaviours in adolescent girls with T1D and to examine the relationship between disordered eating and body weight in this population.
Ninety adolescent girls, aged 12-19 years, provided a self-assessment of weight status. Participants also completed questionnaires to assess attitudes/behaviours toward food and eating, appetitive responsiveness to the food environment, disinhibition in eating and weight history.
Forty-three per cent of participants reported a history of overweight. Compared with participants who reported never being overweight, those who reported ever being overweight were significantly older, scored significantly higher on all measures of disordered eating attitudes/behaviours (P < or = 0.009) and were 4.8 times more likely to be currently overweight or obese (P < 0.001). Glycated haemoglobin (HbA(1c)) was similar between those who did and did not report ever being overweight.
Because of the ill-health effects of disordered eating and the higher rate of overweight in adolescent girls with T1D, effective screening tools are warranted. The single question 'Have you ever been overweight?' may be sufficient as a first question to screen for those at high risk for disordered eating attitudes/behaviours and to provide early intervention and prevention.
在 1 型糖尿病（T1D）青少年女性中，体重增加和饮食失调态度/行为很常见。饮食失调会增加与糖尿病相关并发症的风险。本研究旨在为 T1D 青少年女性确定一种快速筛查饮食失调态度和行为的方法，并研究该人群中饮食失调与体重之间的关系。
90 名 12-19 岁的青少年女性对自己的体重状况进行了自我评估。参与者还完成了评估食物和饮食态度/行为、对食物环境的食欲反应、饮食抑制和体重史的问卷。
43%的参与者报告有超重史。与从未超重的参与者相比，那些报告曾经超重的参与者年龄更大，在所有饮食失调态度/行为的测量指标上得分显著更高（P < or = 0.009），并且目前超重或肥胖的可能性高出 4.8 倍（P < 0.001）。糖化血红蛋白（HbA1c）在曾经和从未超重的参与者之间相似。
由于饮食失调对健康的不良影响以及 T1D 青少年女性超重的比率较高，因此需要有效的筛查工具。“你曾经超重过吗？”这个问题可能足以作为筛查那些有饮食失调态度/行为高风险的人的第一个问题，并提供早期干预和预防。
