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Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes.

Publication ,  Journal Article
Neumark-Sztainer, D; Patterson, J; Mellin, A; Ackard, DM; Utter, J; Story, M; Sockalosky, J
Published in: Diabetes Care
August 2002

OBJECTIVE: This study examines the prevalence of specific weight control practices/disordered eating behaviors and associations with sociodemographic characteristics, BMI and weight perceptions, family functioning, and metabolic control among adolescent females and males with type 1 diabetes. RESEARCH DESIGN AND METHODS: The study population included 70 adolescent females and 73 adolescent males with type 1 diabetes who completed the AHEAD (Assessing Health and Eating among Adolescents with Diabetes) survey. Data on BMI and glycosylated hemoglobin (HbA(1c)) were drawn from medical records. RESULTS: Unhealthy weight control practices were reported by 37.9% of the females and by 15.9% of the males. Among the females, 10.3% reported skipping insulin and 7.4% reported taking less insulin to control their weight. Only one male reported doing either of these behaviors. Weight control/disordered eating behaviors were not associated with age, parental level of education, family structure, or race/ethnicity. Higher levels of weight dissatisfaction tended to be associated with unhealthy weight control/disordered eating; associations with BMI were inconsistent. Family cohesion was negatively associated with disordered eating among females (r = -0.52; P < 0.001) and males (r = -0.41; P < 0.001), but correlations with other measures of family environment (control, independence, and responsibility for diabetes management) were not significant. Correlations between disordered eating and HbA(1c) levels were significant among females (r = 0.33; P < 0.01) and males (r = 0.26; P < 0.05). CONCLUSIONS: Special attention is needed for youth with weight concerns and those from less cohesive families to assist in the development of healthy diabetes management behaviors.

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Published In

Diabetes Care

DOI

ISSN

0149-5992

Publication Date

August 2002

Volume

25

Issue

8

Start / End Page

1289 / 1296

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Prevalence
  • Patient Satisfaction
  • Male
  • Humans
  • Health Behavior
  • Glycated Hemoglobin
  • Female
  • Feeding and Eating Disorders
  • Feeding Behavior
 

Citation

APA
Chicago
ICMJE
MLA
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Neumark-Sztainer, D., Patterson, J., Mellin, A., Ackard, D. M., Utter, J., Story, M., & Sockalosky, J. (2002). Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes. Diabetes Care, 25(8), 1289–1296. https://doi.org/10.2337/diacare.25.8.1289
Neumark-Sztainer, Dianne, Joan Patterson, Alison Mellin, Diann M. Ackard, Jennifer Utter, Mary Story, and Joseph Sockalosky. “Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes.Diabetes Care 25, no. 8 (August 2002): 1289–96. https://doi.org/10.2337/diacare.25.8.1289.

Published In

Diabetes Care

DOI

ISSN

0149-5992

Publication Date

August 2002

Volume

25

Issue

8

Start / End Page

1289 / 1296

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Prevalence
  • Patient Satisfaction
  • Male
  • Humans
  • Health Behavior
  • Glycated Hemoglobin
  • Female
  • Feeding and Eating Disorders
  • Feeding Behavior