阐明1型糖尿病青少年的饮食障碍:见解和影响
Sohier Yahia1, Nanees A Salem2,3, Salwa Tobar4
1Department of Pediatrics, Genetics Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
European journal of pediatrics
|March 31, 2025
概括
饮食障碍 (EDs) 在1型糖尿病 (T1DM) 的青少年中很普遍,与糖尿病持续时间较长和血糖控制不佳有关. 在T1DM患者中早期查ED对于更好的健康结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
背景情况:
- 1型糖尿病 (T1DM) 为青少年带来了独特的挑战,增加了对饮食障碍 (ED) 的脆弱性.
- 在T1DM中,ED与不良的代谢控制和糖尿病相关并发症的风险增加有关.
研究的目的:
- 确定患有T1DM的青少年中EDs的患病率.
- 调查EDs与糖尿病持续时间,青春期阶段,血糖控制和并发症等因素之间的关联.
- 在这个人群中确定ED的预测因素.
主要方法:
- 一项涉及350名患有T1DM的青少年 (12-18岁) 的横截面研究.
- 使用糖尿病饮食问题调查修订 (DEPS-R) 进行查,并进行临床采访以诊断.
- 分析了临床数据 (HbA1c,BMI,身体组成),并评估了社会经济地位和家庭因素.
主要成果:
- 勃起障碍的患病率为22.6%,OSFED是最常见的类型.
- 勃起障碍的重要预测因素包括糖尿病持续时间更长 (OR=1.75) 和HbA1c水平更高 (OR=5.94).
- 患有ED的青少年报告了更高的社会经济地位,更多的家庭冲突,更长的糖尿病持续时间,以及更高的糖尿病病率.
结论:
- 在患有T1DM的青少年中,EDs很常见,并且与较差的血糖控制和糖尿病并发症增加有关.
- 在这个群体中,DEPS-R和DSM-V标准是查和诊断ED的有效工具.
- 建议在13岁左右的T1DM青少年中对ED进行查,Tanner阶段3,T1DM持续时间>5年,或HbA1c>7.5%.
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