SynthesisEndocrinology, diabetes & metabolism2024
Association Between Type 1 Diabetes Mellitus and Eating Disorders: A Systematic Review and Meta-Analysis.
Synthesis in Endocrinology, diabetes & metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 27 citations in OpenAlex.
- Can the Diabetes Eating Problem Survey-Revised (DEPS-R) reliably identify eating disorder diagnosis in women with type 1 diabetes?Diabetic medicine : a journal of the British Diabetic Association · 2026Trial
- Diabetes body project eating disorder prevention program-Descriptive content analysis of participant and facilitator feedback in a multinational randomized controlled trial.Diabetic medicine : a journal of the British Diabetic Association · 2025Trial
- Implementing Diabetes Eating Problem Survey - Revised in pediatric type 1 diabetes care: Clinician reflections on systematic screening and multidisciplinary management.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Assessing eating disorders in adults with type 1 diabetes: An item response theory analysis of the Diabetes Eating Problems Survey-Revised (DEPS-R).Psychological assessment · 2026Article
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- Validation of the Turkish parent-reported Diabetes Eating Problem Survey-Revised (DEPS-R) for screening disordered eating behaviors in adolescents with Type 1 diabetes.Journal of eating disorders · 2026Article
- Insulin-Related Disordered Eating Behaviour: A Scoping Review of Evidence.Current diabetes reports · 2026Article
- The psychological burden of diabetes: common mental health disorders, their impact on disease outcomes and strategies for intervention.Journal of diabetes and metabolic disorders · 2026Review
- Associations Between Diabetes-Specific Disordered Eating Behaviors, Social Anxiety, Social Appearance Anxiety, and Psychological Resilience in Adolescents with Type 1 Diabetes.Children (Basel, Switzerland) · 2026Article
- Intentional Insulin Omission (Diabulimia) in Patients with Insulin-Dependent Diabetes: An Eating Disorder? A Systematic Review.Journal of clinical medicine · 2026Review
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- Factor Structure and Measurement Invariance Across Gender of the Eating Disorder Examination Questionnaire-Short Form in Italian Workers.European journal of investigation in health, psychology and education · 2026Article
- Efficacy of interventions to prevent eating disorders in people with type 1 diabetes: a systematic review.Journal of eating disorders · 2026Review
- 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes-2026.Diabetes care · 2026Review
- Disordered eating behaviours and their associated factors in adults with type 2 diabetes: A multicentre cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026Article
- Diagnosis of type 1 diabetes mellitus triples the odds of screening positive for eating disorders: A case-control study.World journal of clinical pediatrics · 2025Article
- Psychometric Properties of the Diabetes Eating Problem Survey-Revised in Arab Adolescents with Type 1 Diabetes: A Cross-Cultural Validation Study.Behavioral sciences (Basel, Switzerland) · 2025Article
- Adapting and Accepting Type 1 Diabetes: A Qualitative Exploration of the Perspectives from People with Type 1 Diabetes from 13 Countries.Healthcare (Basel, Switzerland) · 2025Article
- Correspondence between the Diabetes Eating Problems Survey-Revised and eating disorder diagnosis: Examining the current cut-off for clinically significant eating disorder symptoms.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
Corrections and comments
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Authors and funding
23 authors at 16 institutions in 10 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious meta-analyses have shown mixed results regarding the association between eating disorders (EDs) and type 1 diabetes mellitus (T1DM). Our paper aimed to analyse different EDs and disordered eating behaviours that may be practiced by patients with T1DM.
methodsA literature search of PubMed, Scopus and Web of Science was conducted on 17 January 2023, using the key terms "T1DM," "Eating Disorders" and "Bulimia." Only observational controlled studies were included. The Revman software (version 5.4) was used for the analysis.
resultsT1DM was associated with increased risk of ED compared with nondiabetic individuals (RR = 2.47, 95% CI = 1.84-3.32, p-value < 0.00001), especially bulimia nervosa (RR = 2.80, 95% CI = 1.18-6.65, p-value = 0.02) and binge eating (RR = 1.53, 95% CI = 1.18-1.98, p-value = 0.001). Our analysis has shown that increased risk of ED among T1DM persisted regardless of the questionnaire used to diagnose ED; DM-validated questionnaires (RR = 2.80, 95% CI = 1.91-4.12, p-value < 0.00001) and generic questionnaires (RR = 2.03, 95% CI = 1.27-3.23, p-value = 0.003). Prevalence of insulin omission/misuse was 10.3%; diabetic females demonstrated a significantly higher risk of insulin omission and insulin misuse than diabetic males.
conclusionOur study establishes a significant and clear connection between EDs and T1DM, particularly bulimia and binge eating, with T1DM. Moreover, female diabetics are at higher risk of insulin misuse/omission. Early proactive screening is essential and tailored; comprehensive interventions combining diabetes and ED components are recommended for this population, with referral to a specialised psychiatrist.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.