By age 25 years, cumulative probability of onset of eating disorder is 60 percent.
For girls and young women with type 1 diabetes, eating disorders are common and persistent, according to a study published online April 17 in Diabetes Care.
Patricia A. Colton, M.D., from the University Health Network in Toronto, and colleagues describe the longitudinal course of disturbed eating behavior (DEB) and eating disorders in 126 girls with type 1 diabetes. The girls participated in a series of seven interview-based assessments of eating disorder behavior and psychopathology over a 14-year period.
The researchers found that the mean age was 11.8 and 23.7 years at time 1 and time 7, respectively. At time 7, 32.4 and 8.5 percent of participants met the criteria for a current eating disorder and had a subthreshold eating disorder, respectively. The mean age at eating disorder onset was 22.6 years, and by age 25 years the cumulative probability of onset was 60 percent. There was an average of 4.3 years between onset of eating disorder and subsequent eating disorder remission; by six years after onset, the cumulative probability of remission was 79 percent. There was an average of 6.5 years between remission of eating disorder and subsequent recurrence; by six years after remission, the cumulative probability of recurrence was 53 percent.
“Future research should focus on the development and testing of strategies for the prevention and treatment of DEB and eating disorders in this high-risk group,” the authors write.
Related Online Continuing Education (CE/CEU) Courses:
Nutrition for Eating Disorders is a 3-hour online continuing education (CE/CEU) course that describes the goals of nutrition therapy for the treatment of eating disorders. Effective treatment of eating disorders requires multidimensional and individualized interventions. Education that addresses the normal nutritional needs and the physiologic effects of starvation and refeeding is a critical component of treatment. Management often requires long-term nutritional counseling of the patient which may extend several years. This course will describe the rationale and use of providing Medical Nutrition Therapy (MNT) for the treatment of Anorexia Nervosa, Bulimia Nervosa, Eating Disorder Not Otherwise Specified, and Binge Eating Disorder. Included are: Criteria for Diagnosing Eating Disorders; Role of Dieting in the Development of Eating Disorders; Symptomology; Treatment Overview; Nutrition Therapy; Reconnecting with Hunger and Satiety; Use of Exercise; Working with a Therapist; Pharmacotherapy; In-Patient versus Out-Patient Treatment; Refeeding; Establishing a Dietary/Eating Pattern; Comparing Traditional and Health at Every Size (HAES) Approaches to Health Enhancement; Recovery from Eating Disorders; Nutrition Care Process; and the Core Minimum Guide. Course #30-80 | 2015 | 24 pages | 21 posttest questions
Nutrition Education for Diabetes Mellitus is a 2-hour online continuing education (CE/CEU) course that describes the rationale and goals for providing medical nutrition therapy (MNT) for the treatment and prevention of diabetes mellitus. Diabetes mellitus refers to a group of diseases that affect how the body uses blood sugar (glucose). Glucose is vital to health because it’s an important source of energy for the cells that make up the muscles and tissues. It’s also the brain’s main source of fuel. Chronic diabetes conditions include type 1 diabetes and type 2 diabetes. Potentially reversible diabetes conditions include prediabetes — when your blood sugar levels are higher than normal, but not high enough to be classified as diabetes — and gestational diabetes, which occurs during pregnancy but may resolve after the baby is delivered. This course describes the rationale and goals for providing medical nutrition therapy (MNT) for the treatment and prevention of diabetes mellitus. Included are: recommendations for specific nutrient modifications; nutrition assessment, diagnosis, intervention, monitoring and evaluation; exercise and stress; gastropathy; enteral nutrition; testing and classifications; medications and insulin; blood glucose meters; and methods of meal planning. Nutrition education tools and handouts are provided to assist the dietitian in counseling clients. Course #21-08 | 2015 | 26 pages | 14 posttest questions
Professional Development Resources is a CPE Accredited Provider with the Commission on Dietetic Registration (CDR #PR001). CPE accreditation does not constitute endorsement by CDR of provider programs or materials. Professional Development Resources is also a provider with the Florida Council of Dietetics and Nutrition (#50-1635) and is CE Broker compliant (all courses are reported within 1 week of completion).