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Int J Eat Disord. 2017 Oct;50(10):1183-1193. doi: 10.1002/eat.22746. Epub 2017 Aug 30.
2
Disordered Eating Behaviors in Emerging Adults With Type 1 Diabetes: A Common Problem for Both Men and Women.1型糖尿病青少年成人的饮食失调行为：男性和女性的共同问题
J Pediatr Health Care. 2017 May-Jun;31(3):327-333. doi: 10.1016/j.pedhc.2016.10.004. Epub 2016 Nov 11.
3
[Prevalence of Disturbed Eating Behavior in Children and Adolescents with Type 1 Diabetes: Assessment and Comparison to Healthy Peers--Results of a Multicenter Questionnaire-based Study].[1型糖尿病儿童和青少年中饮食紊乱行为的患病率：评估及与健康同龄人比较——一项基于多中心问卷调查的研究结果]
Psychother Psychosom Med Psychol. 2016 Mar;66(3-4):128-35. doi: 10.1055/s-0042-103324. Epub 2016 Apr 1.
4
Disturbed eating behavior and omission of insulin in adolescents receiving intensified insulin treatment: a nationwide population-based study.接受强化胰岛素治疗的青少年的饮食行为紊乱与胰岛素漏用：一项基于全国人口的研究。
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5
Psychometric properties, norms, and factor structure of the diabetes eating problem survey-revised in a large sample of children and adolescents with type 1 diabetes.在大型 1 型糖尿病儿童和青少年样本中，糖尿病饮食问题调查修订版的心理测量特性、常模和因子结构。
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6
Depression, disturbed eating behavior, and metabolic control in teenage girls with type 1 diabetes.青少年 1 型糖尿病女性中抑郁、饮食行为紊乱与代谢控制。
Pediatr Diabetes. 2013 Aug;14(5):372-6. doi: 10.1111/pedi.12016. Epub 2013 Feb 19.
7
Brief screening tool for disordered eating in diabetes: internal consistency and external validity in a contemporary sample of pediatric patients with type 1 diabetes.用于糖尿病饮食失调的简易筛查工具：1 型糖尿病儿科患者当代样本中的内部一致性和外部有效性。
Diabetes Care. 2010 Mar;33(3):495-500. doi: 10.2337/dc09-1890. Epub 2009 Dec 23.
8
Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes.1型糖尿病青春期女孩饮食紊乱行为发作的预测
Diabetes Care. 2008 Oct;31(10):1978-82. doi: 10.2337/dc08-0333. Epub 2008 Jul 15.
9
Disordered eating and body dissatisfaction in adolescents with type 1 diabetes and a population-based comparison sample: comparative prevalence and clinical implications.1型糖尿病青少年的饮食失调和身体不满与基于人群的对照样本：比较患病率及临床意义
Pediatr Diabetes. 2008 Jul 28;9(4 Pt 1):312-9. doi: 10.1111/j.1399-5448.2008.00392.x. Epub 2008 May 7.
10
Eating disorders in adolescent females with and without type 1 diabetes: cross sectional study.患有和未患有1型糖尿病的青春期女性的饮食失调：横断面研究。
BMJ. 2000 Jun 10;320(7249):1563-6.

[1型糖尿病青少年饮食失调的预测因素]

[Predictors of Eating Disorders in Adolescents with Type 1 Diabetes].

作者信息

Park Hye-Ryeon, Ju Hyeon Ok, Yoo Jae-Ho

出版信息

Child Health Nurs Res. 2019 Oct;25(4):449-457. doi: 10.4094/chnr.2019.25.4.449. Epub 2019 Oct 31.

DOI:10.4094/chnr.2019.25.4.449
PMID:35004436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8650990/
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, 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]=1.559.65), depression (OR=2.87, 95% CI=1.137.28), female gender (OR=2.67, 95% CI=1.096.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.101.97).

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.

摘要

目的

本研究旨在确定1型糖尿病青少年饮食失调的预测因素，目的是提供数据以支持护理干预措施来改善他们的健康状况。

方法

共有136名年龄在13 - 18岁的1型糖尿病青少年使用结构化的自我报告问卷完成了糖尿病饮食问题调查修订版、罗森伯格自尊量表和贝克抑郁量表第二版。使用适用于Windows的SPSS 23.0软件对收集的数据进行t检验、检验和二项逻辑回归分析。

结果

1型糖尿病青少年饮食失调的患病率为39%。确定了饮食失调的四个重要预测因素：对身体不满意（优势比[OR]=3.87，95%置信区间[CI]=1.559.65）、抑郁（OR=2.87，95% CI=1.137.28）、女性（OR=2.67，95% CI=1.096.54）和糖化血红蛋白A1c水平（OR=1.47，95% CI=1.101.97）。

结论

为了预防1型糖尿病青少年的饮食失调，应制定管理青少年抑郁和提高他们身体满意度的项目。此外，应更加关注旨在预防女性青少年饮食失调的项目。