Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life
Abstract Background Eating disorders (ED) and disordered eating behaviours (DEB) have been found to be common in people with diabetes mellitus (DM). However, findings have been inconsistent. Objective This study investigated the association between self-reported diabetes (Type 1 or 2) with ED/DEB (b...
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doaj-ebe01d07033f43389a16abab0efe00d62020-11-25T03:56:54ZengBMCJournal of Eating Disorders2050-29742019-11-01711910.1186/s40337-019-0266-yAssociations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of lifeDanilo Dias Santana0Deborah Mitchison1David Gonzalez-Chica2Stephen Touyz3Nigel Stocks4Jose Carlos Appolinario5Gloria Valeria da Veiga6Phillipa Hay7Josué de Castro Institute of Nutrition, Federal University of Rio de JaneiroTranslational Health Research Institute, School of Medicine, Western Sydney UniversityDiscipline of General Practice, Adelaide Medical School, University of AdelaideSchool of Psychology, University of SydneyAdelaide Rural Clinical School, University of AdelaideGroup of Obesity and Eating Disorders, Institute of Psychiatry, Federal University of Rio de JaneiroJosué de Castro Institute of Nutrition, Federal University of Rio de JaneiroTranslational Health Research Institute, School of Medicine, Western Sydney UniversityAbstract Background Eating disorders (ED) and disordered eating behaviours (DEB) have been found to be common in people with diabetes mellitus (DM). However, findings have been inconsistent. Objective This study investigated the association between self-reported diabetes (Type 1 or 2) with ED/DEB (binge eating, subjective binge eating or loss of control overeating, severe dieting and purging) weight/shape overvaluation, and health-related quality of life (HRQoL) in a household survey in South Australia. Method In 2017 2977 people aged ≥15 years, who were representative of the general population, were interviewed. Participants reported their gender, age, household income, highest educational attainment, area of residence, presence of DM, ED/DEB, level of overvaluation, current HRQoL and height and weight. For the analyses between ED/DEB, self-reported DM and HRQoL, a grouping variable was created: 1) people without ED/DEB or self-reported DM; 2) people without ED/DEB and with self-reported DM; 3) people with ED/DEB and without self-reported DM; and 4) people with ED/DEB and self-reported DM. Analyses were stratified by sex and age group. Results Subjective binge eating prevalence was higher in people with self-reported DM (6.6% vs 2.8%, p = 0.016), and overvaluation was lower in those with DM (36% vs 43.8%, p = 0.007). In analyses stratified by sex and age group, subjective binge eating was higher in women and in people over 45 years with self-reported DM and overvaluation was lower in men and in people over 45 years with self-reported DM. However, these differences were not significant on tests of gender and age interaction. People in both DM groups scored significantly lower than people without DM groups on physical HRQoL. In contrast, people in both ED/DEB groups scored lower than people without ED/BEB on mental HRQoL. Conclusion People with self-reported DM had a higher prevalence of subjective binge eating, a lower prevalence of overvaluation and there were no significant effects of age or gender. Furthermore, participants with self-reported DM and comorbid ED or DEB had impairments of both mental and physical HRQoL. Assessing an individual’s sense of control over eating along with other DEB is likely important for identification of these mental health problems.http://link.springer.com/article/10.1186/s40337-019-0266-yDiabetes mellitusDisordered eating behaviorsWeight/shape overvaluationHealth-related quality of lifeEpidemiology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Danilo Dias Santana Deborah Mitchison David Gonzalez-Chica Stephen Touyz Nigel Stocks Jose Carlos Appolinario Gloria Valeria da Veiga Phillipa Hay |
spellingShingle |
Danilo Dias Santana Deborah Mitchison David Gonzalez-Chica Stephen Touyz Nigel Stocks Jose Carlos Appolinario Gloria Valeria da Veiga Phillipa Hay Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life Journal of Eating Disorders Diabetes mellitus Disordered eating behaviors Weight/shape overvaluation Health-related quality of life Epidemiology |
author_facet |
Danilo Dias Santana Deborah Mitchison David Gonzalez-Chica Stephen Touyz Nigel Stocks Jose Carlos Appolinario Gloria Valeria da Veiga Phillipa Hay |
author_sort |
Danilo Dias Santana |
title |
Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life |
title_short |
Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life |
title_full |
Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life |
title_fullStr |
Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life |
title_full_unstemmed |
Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life |
title_sort |
associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation, and health-related quality of life |
publisher |
BMC |
series |
Journal of Eating Disorders |
issn |
2050-2974 |
publishDate |
2019-11-01 |
description |
Abstract Background Eating disorders (ED) and disordered eating behaviours (DEB) have been found to be common in people with diabetes mellitus (DM). However, findings have been inconsistent. Objective This study investigated the association between self-reported diabetes (Type 1 or 2) with ED/DEB (binge eating, subjective binge eating or loss of control overeating, severe dieting and purging) weight/shape overvaluation, and health-related quality of life (HRQoL) in a household survey in South Australia. Method In 2017 2977 people aged ≥15 years, who were representative of the general population, were interviewed. Participants reported their gender, age, household income, highest educational attainment, area of residence, presence of DM, ED/DEB, level of overvaluation, current HRQoL and height and weight. For the analyses between ED/DEB, self-reported DM and HRQoL, a grouping variable was created: 1) people without ED/DEB or self-reported DM; 2) people without ED/DEB and with self-reported DM; 3) people with ED/DEB and without self-reported DM; and 4) people with ED/DEB and self-reported DM. Analyses were stratified by sex and age group. Results Subjective binge eating prevalence was higher in people with self-reported DM (6.6% vs 2.8%, p = 0.016), and overvaluation was lower in those with DM (36% vs 43.8%, p = 0.007). In analyses stratified by sex and age group, subjective binge eating was higher in women and in people over 45 years with self-reported DM and overvaluation was lower in men and in people over 45 years with self-reported DM. However, these differences were not significant on tests of gender and age interaction. People in both DM groups scored significantly lower than people without DM groups on physical HRQoL. In contrast, people in both ED/DEB groups scored lower than people without ED/BEB on mental HRQoL. Conclusion People with self-reported DM had a higher prevalence of subjective binge eating, a lower prevalence of overvaluation and there were no significant effects of age or gender. Furthermore, participants with self-reported DM and comorbid ED or DEB had impairments of both mental and physical HRQoL. Assessing an individual’s sense of control over eating along with other DEB is likely important for identification of these mental health problems. |
topic |
Diabetes mellitus Disordered eating behaviors Weight/shape overvaluation Health-related quality of life Epidemiology |
url |
http://link.springer.com/article/10.1186/s40337-019-0266-y |
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