Hennekes Mareille H C L, Haugvik Severina, de Wit Maartje, Toschi Elena, Desjardins Christopher D, Skrivarhaug Torild, Dahl-Jørgensen Knut, Stice Eric, Wisting Line
Medical Psychology, Amsterdam UMC, Amsterdam, the Netherlands.
Amsterdam Public Health, Mental Health, Amsterdam, the Netherlands.
Diabetes Care. 2025 Feb 1;48(2):220-225. doi: 10.2337/dc24-1599.
Young women with type 1 diabetes are at risk to develop eating disorders (ED). We evaluated a novel ED prevention program in a multinational randomized controlled trial.
Women (14-35 years old) with type 1 diabetes were randomized to virtual Diabetes Body Project groups or educational control. Outcomes were assessed at pretest and posttest (1-2 weeks after intervention).
Compared with educational controls (n = 146), participants in the Diabetes Body Project (n = 147) showed significant improvements (all P < 0.05), with small Cohen's d effect sizes for ED symptoms (d = -0.30, 95% CI -0.06, -0.69) (primary outcome), diabetes distress (d = -0.42), quality of life (d = 0.39) and dietary restraint (d = -0.31), and medium effect sizes for diabetes-specific disordered eating behaviors (d = -0.70), body dissatisfaction (d = -0.59), and pursuit of thin appearance ideal (d = -0.56).
The Diabetes Body Project produced significantly larger acute effects with small to medium effect sizes compared with educational controls and has potential for broad implementation.
1型糖尿病年轻女性有患饮食失调症（ED）的风险。我们在一项多国随机对照试验中评估了一项新型的ED预防计划。
将1型糖尿病女性（14 - 35岁）随机分为虚拟糖尿病身体项目组或教育对照组。在干预前和干预后（干预后1 - 2周）评估结果。
与教育对照组（n = 146）相比，糖尿病身体项目组（n = 147）的参与者有显著改善（所有P < 0.05），饮食失调症状（d = -0.30，95%CI -0.06，-0.69）（主要结局）、糖尿病困扰（d = -0.42）、生活质量（d = 0.39）和饮食限制（d = -0.31）的科恩d效应量较小，糖尿病特异性紊乱饮食行为（d = -0.70）、身体不满（d = -0.59）和追求瘦的外表理想（d = -0.56）的效应量为中等。
与教育对照组相比，糖尿病身体项目产生了显著更大的急性效应，效应量小至中等，具有广泛实施的潜力。
