Evidence map›Paper›PMID 42578745›Full record

Observational studyEating behaviors2025

Fear of hypoglycemia and disordered eating behavior in type 1 diabetes.

Max Z Roberts, Caitrin Murphy, Ashley A Moskovich, Francesca A Scheiber, Rhonda M Merwin

Abstract readObservational Study
In one paragraph

Observational study in Eating behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Max Z RobertsDuke University School of Medicine, Department of Psychiatry and Behavioral Sciences, 2400 Pratt St., Durham, NC, 27705, United States of America. Electronic address: Max.Roberts@duke.edu.
Caitrin MurphyDuke University, Department of Statistical Science, 214 Old Chemistry, Durham, NC, 27708, United States of America.
Ashley A MoskovichDuke University School of Medicine, Department of Psychiatry and Behavioral Sciences, 2400 Pratt St., Durham, NC, 27705, United States of America.
Francesca A ScheiberDuke University School of Medicine, Department of Psychiatry and Behavioral Sciences, 2400 Pratt St., Durham, NC, 27705, United States of America.
Rhonda M MerwinDuke University School of Medicine, Department of Psychiatry and Behavioral Sciences, 2400 Pratt St., Durham, NC, 27705, United States of America. Electronic address: Rhonda.Merwin@duke.edu.

Funding

Eating Disorders in Type 1 Diabetes: Mechanisms of ComorbidityR01DK089329 · NIDDK · DUKE UNIVERSITY · PI MERWIN, RHONDA M · 2011 to 2013
$1.1M
NIDDK NIH HHS R01 DK089329
6 · The paper itself

Abstract

Individuals with type 1 diabetes (T1D) are at elevated risk for disordered eating behaviors (DEBs). When DEBs occur in someone with T1D, they have severe consequences, including increased risk of diabetes-related medical complications and early mortality related to poor glycemic control. Fear of hypoglycemia (FoH) is a diabetes-specific factor that is assumed to play a role in DEBs in T1D, but this has not been adequately tested. The current study examined FoH as a predictor of DEBs in the natural environment in adults with T1D who met criteria for clinically significant DEBs. Participants (n = 59) completed the 18 item FoH worry subscale of the Hypoglycemia Fear Survey II and reported on their eating behavior over three days of ecological momentary assessment. A total of 737 eating episodes were reported; 235 (31.89%) eating episodes involved DEBs (overeating or binge eating). The proportion of eating episodes that involved DEBs was regressed on FoH, controlling for age. Every one-point increase in the FoH worry subscale score was associated with a 2% increase in the odds of DEB (OR = 1.02; 95% CI [1.01, 1.03], p < .001). Results suggest that FoH may be an important clinical factor when addressing DEBs in T1D.

Indexed as

Diabetes Mellitus, Type 1FearFeeding and Eating DisordersFeeding BehaviorHypoglycemiaAdolescentAdultAgedEcological Momentary AssessmentFemaleHumansMaleMiddle AgedRisk FactorsYoung AdultBinge eatingDisordered eating behaviorEating disordersFear of hypoglycemiaLoss of controlOvereatingType 1 diabetes

Identifiers

PMID42578745
PMCPMC13460772

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.