Published online Oct 28, 2022. doi: 10.13105/wjma.v10.i5.244
Peer-review started: June 26, 2022
First decision: July 13, 2022
Revised: July 26, 2022
Accepted: October 12, 2022
Article in press: October 12, 2022
Published online: October 28, 2022
Type 1 diabetes (DT1) in adolescents brings behavioural changes, altered nutritional habits, and eating disorders.
To identify and analyze the validated instruments that examine the disordered eating behaviour and eating disorders among adolescents with DT1.
An integrative review was accomplished based on the following databases: PubMed, LILACS, CINAHL, Scopus, Web of Science, and Reference Citation Analysis (RCA), including publications in Portuguese, English, or Spanish, without time limit and time published.
The main instruments to evaluate disordered eating behaviour were The Diabetes Eating Problem Survey-Revised, The Diabetes Eating Problem Survey, and the eating attitudes test-26, and for eating disorders the main instruments used were The Bulimic Investigation Test of Edinburgh, The Binge Eating Scale, The Child Eating Disorder Examination, The five questions of the (Sick, Control, One, Fat and Food), and The Mind Youth Questionnaire. These instruments showed an effect in evaluating risks regarding nutritional habits or feeding grievances, with outcomes related to weight control, inadequate use of insulin, and glycaemia unmanageability. We did not identify publication bias.
Around the world, the most used scale to study the risk of disordered eating behaviour or eating disorder is The Diabetes Eating Problem Survey-Revised. International researchers use this scale to identify high scores in adolescents with DT1 and a relationship with poorer glycemic control and psychological problems related to body image.
Core Tip: Adolescents with type 1 diabetes are more vulnerable to disordered eating behaviour.