Diabetes Care. 2011 Apr;34(4):858-60. doi: 10.2337/dc10-1704. Epub 2011 Feb 28.
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.
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.
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.
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.
本研究在一个大型的、多样化的 2 型糖尿病青年人群样本中,调查了暴食症的流行情况及其与肥胖和心理社会功能的关系。
在 TODAY 研究中,704 名随机入组的青年中有 678 名(平均年龄 14.0 岁,64.9%为女性)完成了一份饮食失调症状的自我报告测量,并被归类为非暴食者、暴食者、亚临床暴食者或临床暴食者。
有临床(6%)和亚临床(20%)暴食症的青少年,其极端肥胖、整体饮食失调和抑郁症状以及生活质量受损的水平和发生率显著更高。
这些发现强调了评估 2 型糖尿病青少年是否存在暴食症的重要性。未来的研究需要确定饮食失调、肥胖和心理社会困扰对生活方式改变建议的依从性和对治疗的纵向反应的累积影响。