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The importance of factors early in life for development of eating disorders in young people, with some focus on type 1 diabetes
Linköping University, Department of Biomedical and Clinical Sciences, Division of Children's and Women's Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus.ORCID iD: 0000-0003-1695-5234
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-0723-139X
2024 (English)In: Eating and Weight Disorders, ISSN 1124-4909, E-ISSN 1590-1262, Vol. 29, no 1, article id 5Article in journal (Refereed) Published
Abstract [en]

AimEating disorders have a serious impact on quality of life, especially when combined with Type 1 diabetes. We investigated eating disorders in relation to factors early in life with some focus on Type 1 diabetes.MethodsOut of 21,700 children born 1st of Oct 1997-1st of Oct 1999 17,055 (78.6%) were included in ABIS (All Babies in southeast Sweden) and 16,415 had adequate questionnaires. ICD-10 diagnosis from The National Patient Register was merged with the ABIS data.ResultsIn total 247 individuals, 19 boys (7.7%) and 219 girls (92.3%) out of 16,415 (1.5%) developed eating disorders (EDs), 167 (1.0%) Type 1 diabetes of whom 7 (4.2%) also got eating disorders (ED) (OR 3.25 (1.47-7.28); p = 0.04), all of them years after diagnosis of Type 1 diabetes. EDs was associated with high parental education especially in fathers (OR 1.65 (1.09-2.50); p = 0.02) and to at birth anxiety, and depression among mothers. There was no association with the duration of breastfeeding.ConclusionsEating disorders are common in girls, with increased risk in high-educated but psychologically vulnerable families. Prevalence is increased in type 1 diabetes. Even modern diabetes treatment needs to be completed with psychological support.Level of evidenceLevel III: Evidence obtained from well-designed cohort or case-control analytic studies.

Place, publisher, year, edition, pages
SPRINGER , 2024. Vol. 29, no 1, article id 5
Keywords [en]
Eating disorders; Early life; Type 1 diabetes; Celiac disease; ABIS
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-200367DOI: 10.1007/s40519-023-01633-5ISI: 001140587000001PubMedID: 38198020OAI: oai:DiVA.org:liu-200367DiVA, id: diva2:1830668
Note

Funding Agencies|Barndiabetesfonden ( The Swedish Child Diabetes Foundation)

Available from: 2024-01-23 Created: 2024-01-23 Last updated: 2024-01-23

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Ludvigsson, JohnnyOlsen Faresjö, Åshild
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Division of Children's and Women's HealthFaculty of Medicine and Health SciencesH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhusDivision of Society and Health
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Eating and Weight Disorders
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