Vila G, Nollet-Clemencon C, Vera L, Crosnier H, Robert J J, Mouren-Simeoni M C
Service de psychiatrie de l'enfant et de l'adolescent, Hôpital des Enfants Malades, Paris, France.
Can J Psychiatry. 1993 Nov;38(9):606-10. doi: 10.1177/070674379303800908.
The existence of a relationship between Insulin-Dependent Diabetes and eating disorders has recently been observed, but its prevalence and impact on somatic functioning remain poorly understood. These dimensions were evaluated in a population of 52 insulin-dependent diabetic adolescent girls and compared with evaluations of matched subjects from the general population. Results showed that the occurrence of anorexia nervosa is rare, the occurrence of unspecified eating disorders is frequent (35%) and the occurrence of bulimia nervosa is nearly six percent. Poor metabolic control as reflected in blood levels of glycosylated hemoglobin (HBA1C) was found in bulimic subjects and a tendency to be overweight was found in subjects with an unspecified eating disorder. Since such disorders frequently involve dietary restrictions, the role of a restrictive pattern in the occurrence of eating disorders is raised.
最近观察到胰岛素依赖型糖尿病与饮食失调之间存在关联,但其患病率以及对躯体功能的影响仍知之甚少。在52名胰岛素依赖型糖尿病青春期女孩群体中对这些方面进行了评估,并与来自普通人群的匹配受试者的评估结果进行了比较。结果显示,神经性厌食症的发生率较低,未特定的饮食失调发生率较高(35%),神经性贪食症的发生率近6%。在患有神经性贪食症的受试者中发现糖化血红蛋白(HBA1C)血液水平反映出的代谢控制不佳,在患有未特定饮食失调的受试者中发现有超重倾向。由于此类失调常常涉及饮食限制,因此提出了限制模式在饮食失调发生中的作用。