Çelik Zehra Margot, Bayram Hatice Merve
Faculty of Health Sciences, Department of Nutrition and Dietetics, Marmara University, Istanbul, Türkiye.
Faculty of Health Sciences, Department of Nutrition and Dietetics, Istanbul Gelişim University, Istanbul, Türkiye.
Nutr Health. 2025 Sep;31(3):1281-1287. doi: 10.1177/02601060241310639. Epub 2025 Jan 19.
BackgroundDespite the significant health risks associated with it, diabulimia, which involves the omission of insulin for the purpose of weight control in individuals with type 1 diabetes, remains underrecognized.AimThis study assessed diabulimia knowledge in third- and fourth-year nutrition and dietetics students and its relationship with health literacy.MethodsThis cross-sectional study included 231 students (90.5% female) in the third (38.5%) and fourth (61.5%) years of the Nutrition and Dietetics Departments at two universities and was carried out between June and July 2024. A questionnaire covering demographic characteristics, Diabulimia Knowledge Level Scale (DKLS) and Turkish Health Literacy Scale (THLS-32) was administered to the students in person. Data analysis was performed using SPSS 28.0.ResultsDKLS scores of third-year students were lower than those of the fourth-year students ( = 0.014). Similarly, THLS-32 scores were higher in fourth-year students ( = 0.012). However, there was no statistical significance in DKLS, THLS-32 scores and THLS-32 classification between the universities ( = 0.307, = 0.137, and = 0.491, respectively). No relationship between age, DKLS and THLS-32 was found.ConclusionFourth-year students demonstrated higher diabulimia knowledge and health literacy scores, highlighting the impact of advanced education. However, no differences were found between the universities. These findings underscore the need for further research to explore the factors contributing to knowledge and health literacy development, including curriculum design, teaching methods, and clinical training. Additionally, expanding this investigation to include other healthcare professionals could provide a broader perspective of existing gaps in diabulimia awareness and health literacy.
尽管与糖尿病饮食失调（diabulimia）相关的健康风险很大，但在1型糖尿病患者中，为控制体重而故意不注射胰岛素的糖尿病饮食失调现象仍未得到充分认识。
本研究评估了营养与饮食学专业三、四年级学生对糖尿病饮食失调的认知及其与健康素养的关系。
这项横断面研究纳入了两所大学营养与饮食学系三年级（38.5%）和四年级（61.5%）的231名学生（90.5%为女性），研究于2024年6月至7月进行。向学生亲自发放了一份涵盖人口统计学特征、糖尿病饮食失调知识水平量表（DKLS）和土耳其健康素养量表（THLS - 32）的问卷。使用SPSS 28.0进行数据分析。
三年级学生的DKLS得分低于四年级学生（P = 0.014）。同样，四年级学生的THLS - 32得分更高（P = 0.012）。然而，两所大学之间在DKLS、THLS - 32得分及THLS - 32分类方面无统计学意义（分别为P = 0.307、P = 0.137和P = 0.491）。未发现年龄、DKLS和THLS - 32之间存在关联。
四年级学生表现出更高的糖尿病饮食失调知识和健康素养得分，凸显了高等教育的影响。然而，两所大学之间未发现差异。这些发现强调需要进一步研究以探索影响知识和健康素养发展的因素，包括课程设计、教学方法和临床培训。此外，将这项调查扩展到其他医疗保健专业人员可以更全面地了解糖尿病饮食失调认知和健康素养方面存在的差距。
