Evidence map›Paper›PMID 42605330›Full record

ArticleMalaysian family physician : the official journal of the Academy of Family Physicians of Malaysia2026

Disordered eating behaviours and their associated factors in adults with type 2 diabetes: A multicentre cross-sectional study.

Yong Xian Goo, Cheau Foong Fam, Vithiyasri Nithiyanandan, Siti Noorul Ain Abdul Jalil, Norshafika Norlaili, Khausar Hazman, Yen Sue Quay, Subashini Ambigapathy, Siew Mooi Ching, Hooi Min Lim

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Article in Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yong Xian GooDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Cheau Foong FamBandar Botanic Health Clinic, Ministry of Health Malaysia, Klang, Selangor, Malaysia.
Vithiyasri NithiyanandanBandar Botanic Health Clinic, Ministry of Health Malaysia, Klang, Selangor, Malaysia.
Siti Noorul Ain Abdul JalilSeksyen 19 Health Clinic, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia.
Norshafika NorlailiJenjarom Health Clinic, Ministry of Health Malaysia, Jenjarom, Selangor, Malaysia.
Khausar HazmanJenjarom Health Clinic, Ministry of Health Malaysia, Jenjarom, Selangor, Malaysia.
Yen Sue QuaySungai Bertek Health Clinic, Ministry of Health Malaysia, Klang, Selangor, Malaysia.
Subashini AmbigapathyBuntong Health Clinic, Ministry of Health Malaysia, Ipoh, Perak, Malaysia.
Siew Mooi ChingDepartment of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Hooi Min LimDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Dietary and weight control in type 2 diabetes (T2D) can place psychological strain on patients, increasing the risk of disordered eating behaviours (DEBs). This study aimed to determine the level of DEBs using the validated Eating Disorder Examination Questionnaire (EDE-Q) and its associated sociodemographic, clinical and mental health factors in adults with type 2 diabetes in Malaysia. Methods: We conducted a multicentre cross-sectional study in four government primary care clinics among 412 patients with T2D. DEBs were assessed using the Malay EDE-Q 6.0, while depression and anxiety were evaluated using the Patient Health Questionnaire-9 and Generalised Anxiety Disorder-7 (GAD-7), respectively. Multivariable linear regression was performed on the square-root transformed EDE-Q global score to identify independent associated factors. Results: The mean EDE-Q global score was 1.01±1.09, with shape concern being the highest- scoring subscale. Higher DEB levels were associated with younger age (B=-0.01, 95% confidence interval [CI]=-0.02 to -0.01, P<0.001), higher body mass index (BMI) (B=0.02, 95% CI=0.02 to 0.03, P<0.001), higher GAD-7 score (B=0.05, 95% CI=0.03 to 0.08, P<0.001) and higher educational level (secondary [B=0.21, 95% CI=0.07 to 0.35, P=0.003] and tertiary education [B=0.31, 95% CI=0.13 to 0.48, P<0.001]). The Chinese participants had lower EDE-Q scores than the Malay participants (B=-0.18, 95% CI=-0.31 to -0.04, P=0.012). Conclusion: Overall DEB level is low, however, risks are higher among patients who are younger, are more educated, have a higher BMI and have greater anxiety. Targeted identification of these high-risk groups facilitates early interventions to prevent adverse complications.

Indexed as

AnxietyDiabetes MellitusEating BehaviorFeeding and Eating DisordersType 2

Identifiers

PMID42605330
PMCPMC13477599

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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.