(29-09-12) Eating problems in adolescents with Type1 diabetes: a systematic review with meta-analysis.

Diabet Med. 2012 Aug 22. doi: 10.1111/j.1464-5491.2012.03771.x. [Epub ahead of
print]

Young V, Eiser C, Johnson B, Brierley S, Epton T, Elliott J, Heller S.
Source
Department of Psychology, University of Sheffield, Sheffield, UK NIHR CLAHRC
for South Yorkshire and Sheffield, UK Academic Unit of Diabetes, Endocrinology
and Metabolism, Medical School, University of Sheffield, Sheffield, UK.
Abstract
We report a systematic review to determine Aims: (1) prevalence of eating
problems compared with peers and (2) the association between eating problems
and glycaemic control in young adults We 1 diabetes. Method: with Type
conducted a systematic literature search via electronic databases and meta-
analysis. Cohen's d (the mean difference 1 diabetes and score between Type
comparison groups) was calculated for 13 studies that met inclusion criteria.
Eating problems [both Results:  disordered eating behaviour (39.3 and 32.5%; d
CI 0.10-0.94) and 0.52, 95% = CI 0.46, 95% = eating disorders (7.0 and 2.8%; d
0.10-0.81)] were more 1 diabetes compared with common in adolescents with Type
peers and both were CI 0.40, 95% = associated with poorer glycaemic control (d
0.17-0.64). In restricted analyses involving measures adapted for diabetes,
associations  = between eating problems and poorer glycaemic control remained (d
0.54, 0.06, = CI 0.32-0.76). Disordered eating behaviour (51.8 and 48.1%; d 95%
CI 0.43, 95% = CI -0.05 to 0.21) and eating disorders (6.4 and 3.0%; d 95%
1 diabetes compared -0.06 to 0.91) were more common in adolescents with Type
Eating with peers, but differences were non-significant. Conclusions: problems
are common among this age group. Future work in populations with 1 Type
diabetes should develop sensitive measures of eating problems and
interventions, and establish predictors of eating problems. Screening in
clinics is recommended.

Source: ? 2012 The Authors. Diabetic Medicine ? 2012 Diabetes
UK.

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