Systematic Reviews
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World J Meta-Anal. Oct 28, 2022; 10(5): 244-254
Published online Oct 28, 2022. doi: 10.13105/wjma.v10.i5.244
Disordered eating behaviour and eating disorder among adolescents with type 1 diabetes: An integrative review
Maria Conceição Santos Oliveira Cunha, Francisco Clécio Silva Dutra, Laura Martins Mendes Cavaleiro Brito, Rejane Ferreira Costa, Maria Wendiane Gueiros Gaspar, Danilo Ferreira Sousa, Márcio Flávio Moura de Araújo, Maria Veraci Oliveira Queiroz
Maria Conceição Santos Oliveira Cunha, Department of Nursing, West Princess College, Crateús 63700-190, Ceará, Brazil
Francisco Clécio Silva Dutra, Laura Martins Mendes Cavaleiro Brito, Maria Veraci Oliveira Queiroz, Department of Nursing, Ceara State University, Fortaleza 60714-903, Ceará, Brazil
Rejane Ferreira Costa, Márcio Flávio Moura de Araújo, Department of Health Family, Oswaldo Cruz Foundation, Eusébio 61773-272, Ceará, Brazil
Maria Wendiane Gueiros Gaspar, Department of Health Science, University for the International Integration of Afro-Brazilian Lusophony, Redenção 62790-000, Ceará, Brazil
Danilo Ferreira Sousa, Department of Nursing, University for the International Integration of Afro-Brazilian Lusophony, Redenção 62790-000, Brazil
Author contributions: Oliveira Cunha MCS, Queiroz MVO, and Moura de Araújo MF designed the study; Dutra FCS, Cavaleiro Brito LMM, Sousa DF, Gaspar MWG, and Costa RF performed the study equally, contributed to the extraction of the data, analyzed the data, wrote the paper, and approved the manuscript; Oliveira Cunha MCS, Queiroz MVO, and Moura de Araújo MF critically reviewed and approved the final draft and are responsible for the content and similarity index of the manuscript.
Conflict-of-interest statement: All the authors deny any conflict of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist in detail, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Márcio Flávio Moura de Araújo, PhD, RN, Adjunct Associate Professor, Researcher, Department of Health Family, Oswaldo Cruz Foundation, Rua São José SN Bairro Precabura, Eusébio 61773-272, Ceará, Brazil. marcio.moura@fiocruz.br
Received: June 26, 2022
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
Abstract
BACKGROUND

Type 1 diabetes (DT1) in adolescents brings behavioural changes, altered nutritional habits, and eating disorders.

AIM

To identify and analyze the validated instruments that examine the disordered eating behaviour and eating disorders among adolescents with DT1.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

Keywords: Adolescent, Type 1 diabetes mellitus, Validation studies, Nutritional behaviour, Eating disorder, Review

Core Tip: Adolescents with type 1 diabetes are more vulnerable to disordered eating behaviour.