Diabetes Care：饮食紊乱?1型糖尿病女性患者需注意

2015-04-27 徐媛媛译 MedSci原创

患有1型糖尿病的女孩儿或女性发展成饮食紊乱(EDs)的风险很高,而这些疾病与严重的糖尿病并发症相关。本研究描述在队列型1型糖尿病患者中，饮食行为(DEB)和EDs，饮食紊乱行为（DEB）和饮食紊乱的发病病程。总共收纳了126名患有1型糖尿病并在多伦多儿童医院接收糖尿病治疗的女孩儿，在14年研究期间，这些患者参加了从开始到童年后期基于饮食紊乱和行为和精神病理学系列评估的七次采访。第一次评估时

患有1型糖尿病的女孩儿或女性发展成饮食紊乱(EDs)的风险很高,而这些疾病与严重的糖尿病并发症相关。本研究描述在队列型1型糖尿病患者中，饮食行为(DEB)和EDs，饮食紊乱行为（DEB）和饮食紊乱的发病病程。

总共收纳了126名患有1型糖尿病并在多伦多儿童医院接收糖尿病治疗的女孩儿，在14年研究期间，这些患者参加了从开始到童年后期基于饮食紊乱和行为和精神病理学系列评估的七次采访。

第一次评估时，女孩儿平均年龄在11.8 ± 1.5岁，第七次评估时，年龄在23.7 ± 2.1岁。第7次评估时，有32.4%（23/71）符合饮食紊乱的诊断标准，另有8.5%（6/71）临近饮食紊乱的诊断阈值。饮食紊乱平均发病年龄(完整综合症或低于阈值)为22.6岁(95% CI 21.6 - -23.5),到25岁时，发病的累积概率是60%。从饮食紊乱发病到疾病缓解所需的平均时间是4.3年(95% CI 3.1 - -5.5),在发病后6年后缓解的累积概率是79%。从饮食紊乱缓解到复发平均时间为6.5年，缓解后6年的累计复发概率是53%。

在这个纵向研究中，1型糖尿病女性患者发生饮食紊乱（EDs）是常见和持久存在的。新发饮食紊乱一直持续到成年。我们需要进一步的研究来对这种疾病进行预防和防治。

原始出处

Colton PA,Olmsted MP,Daneman D,Farquhar JC,Wong H,Muskat S,Rodin GM.Eating Disorders in Girls and Women With Type 1 Diabetes: A Longitudinal Study of Prevalence, Onset, Remission, and Recurrence.Diabetes Care 2015 Apr 17

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2016-01-25 木头人513

#Diabetes#

28 0
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2015-05-22 仁医06

#BET#

24 0
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2015-11-29 jiangfeng5067

#女性患者#

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2015-12-05 ms9608593228839890

#DIA#

27 0

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