Disturbed eating behaviors in Taiwanese adolescents with type 1 diabetes mellitus: A comparative study

Yu Yun Alice Hsu, Bai Hsium Chen, Mei Chih Huang, Shio Jean Lin, Mei Feng Lin

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)


Objectives: This study aimed to (i) compare disturbed eating behaviors in adolescents with type 1 diabetes mellitus (T1D) with a matched group of adolescents in Taiwan and (ii) examine the relationships of disturbed eating behaviors to body mass index (BMI) and metabolic control among adolescents with T1D. Methods: A cross-sectional study was conducted in southern Taiwan. Seventy-one adolescents with T1D (aged 10 - 22 yr; 41 females and 29 males) were matched to a group of non-diabetic adolescents. Adolescents completed two self-reported measures of eating behavior, the Bulimic Investigatory Test, Edinburgh and the Eating Attitude Test-26. Metabolic control was assessed by glycosylated hemoglobin A1c levels. Results: Both adolescent females and males with T1D had more symptoms of bulimia and bulimic behaviors than their non-diabetic peers. There were no group differences in the proportion of subthreshold eating disorders. BMI and metabolic control were significant factors predicting disturbed eating behaviors. Conclusions: Both adolescent females and males with T1D exhibited a higher level of disturbed eating behaviors than their non-diabetic adolescent counterparts. Preventive programs that address disturbed eating behaviors should be provided for adolescents with T1D, particularly for adolescents with a high BMI and poor metabolic control.

Original languageEnglish
Pages (from-to)74-81
Number of pages8
JournalPediatric Diabetes
Issue number1
Publication statusPublished - 2009

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism


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