Ercolino Gabriella T, Sprinkles Jessica, Fruik Angela, Muthukkumar Rashmi, Gopisetty Nikhita, Qu Xiaorui, Young Laura A, Mayer-Davis Elizabeth J, Sarteau Angelica Cristello, Kahkoska Anna R
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Division of Endocrinology and Metabolism, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Diabet Med. 2025 May;42(5):e15504. doi: 10.1111/dme.15504. Epub 2024 Dec 22.
We explored the prevalence of disordered eating behaviours (DEBs) and attitudes among older adults with type 1 diabetes (T1D) and associations with demographic and clinical variables.
Adults aged ≥65 years with T1D from a university-affiliated hospital system completed an electronic survey (September to November 2023) including the Diabetes Eating Problem Survey-Revised (DEPS-R). Clinical data were extracted from medical records.
Seventy-seven older adults (mean [SD] age: 71.8 [4.1]; mean [SD] HbA1c [mmol/mol]: 51 [12]; BMI [kg/m]: 27.3 [4.7]) with T1D completed the DEPS-R. Mean DEPS-R score was 11.5 (6.0), with 5.2% (n = 4) having clinically significant DEBs (score ≥ 20). We found a positive linear association between DEPS-R score and BMI (adjusted p = 0.002). There was no significant association with HbA1c.
Older adults with T1D endorsed variable degrees of DEBs. Greater DEBs were associated with higher BMI; more research is needed to characterise this relationship.
我们探讨了1型糖尿病（T1D）老年患者中饮食失调行为（DEB）和态度的患病率，以及与人口统计学和临床变量的关联。
来自大学附属医院系统的年龄≥65岁的T1D成年患者完成了一项电子调查（2023年9月至11月），包括糖尿病饮食问题调查修订版（DEPS-R）。临床数据从病历中提取。
77名患有T1D的老年患者（平均[标准差]年龄：71.8[4.1]；平均[标准差]糖化血红蛋白[mmol/mol]：51[12]；体重指数[kg/m]：27.3[4.7]）完成了DEPS-R。DEPS-R平均得分为11.5（6.0），5.2%（n = 4）的患者有临床显著的DEB（得分≥20）。我们发现DEPS-R得分与体重指数之间存在正线性关联（校正p = 0.002）。与糖化血红蛋白无显著关联。
患有T1D的老年患者认可不同程度的DEB。较高的DEB与较高的体重指数相关；需要更多研究来描述这种关系。
