Five-Year Prevalence and Persistence of Disturbed Eating Behavior and Eating Disorders in Girls With Type 1 Diabetes

  1. Patricia A. Colton, MD, FRCPC12,
  2. Marion P. Olmsted, PHD1,
  3. Denis Daneman, MB, FRCPC3,
  4. Anne C. Rydall, MSC1 and
  5. Gary M. Rodin, MD, FRCPC1
  1. 1University Health Network, Toronto, Ontario, Canada
  2. 2Centre for Addiction and Mental Health, Toronto, Ontario, Canada
  3. 3Hospital for Sick Children, Toronto, Ontario, Canada
  1. Address correspondence and reprint requests to Dr. P. Colton, Toronto General Hospital, 200 Elizabeth St., 7 ES-409, Toronto, ON M5G 2C4, Canada. E-mail: p.colton{at}

Disturbed eating behavior (DEB), which includes subthreshold and full-syndrome eating disorders (EDs) as well as milder eating disturbances, is more common in girls and women with type 1 diabetes than in their nondiabetic peers (1,2). DEB is associated with poorer metabolic control (1,3) and increased hospitalizations and diabetes-related medical complications (4–7). At baseline of the present study, there were higher rates of DEB in girls with type 1 diabetes 9–13 years of age than in a nondiabetic control group (8 vs. 1%) (8), and baseline DEB persisted in one-half of individuals 1 year later (9). The current brief report summarizes data from baseline to 5-year follow-up.


See Colton et al. (8) for a description of methodology. Participants were classified as normal weight, overweight, or obese using the International Obesity Task Force cutoffs for children and adolescents (10), which extrapolate BMI values of 25 and 30 kg/m2 into the pediatric age range. Rates of DEB and ED were organized by age (in years) at the time of each assessment (Table 1). Point prevalence was calculated as all “cases” of DEB in participants of a particular age/total number assessed at that age. Similar calculations were carried out for point …

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  1. Diabetes Care vol. 30 no. 11 2861-2862
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