Evaluating the risk of eating disorders in adolescent girls and women with diabetes mellitus – assessment tools
Authors:
L. Sikorová; T. Valiašková
Authors place of work:
Ostravská univerzita v Ostravě Lékařská fakulta Ústav ošetřovatelství a porodní asistence Vedoucí: prof. PhDr. Darja Jarošová, Ph. D.
Published in the journal:
Prakt. Lék. 2019; 99(3): 110-114
Category:
Of different specialties
Summary
Foreign studies have confirmed a higher incidence of eating disorders among adolescent girls with diabetes mellitus compared to those without the condition. The most common way of avoiding weight gain or lowering body weight used by diabetic girls is insulin manipulation. This practice poses great risk and increases the likelihood of later diabetic complications, in particular the development of diabetic retinopathy and earlier death. Diabetes care should involve prevention of eating disorders and subsequent education of the population at risk. It is essential to notice the risk and warning signs suggesting eating disorders including disordered eating attitudes. As no screening instrument for identifying this risk in diabetics is available in the Czech cultural environment. The aim was to describe instruments for assessing the risk of eating disorders in diabetic girls and young women. The method is the analysis and interpretation of articles on the use of assessment instruments to evaluate the risk of eating disorders in adolescent girls with diabetes mellitus. The instruments were searched in the following databases: PubMed, ScienceDirect and Web of Science. The inclusion criteria were: primary quantitative studies and secondary studies using instruments for assessing the risk of eating disorders in adolescents and women with diabetes mellitus. The exclusion criteria were: qualitative studies, instruments assessing factors influencing the development of eating disorders, studies focusing on treatment and quality of life. There were four instruments specifically developed for adolescents and young adults with diabetes mellitus. Clinical practice emphasizes the use of specific tools whose validation for the Czech population of individuals with diabetes mellitus. DEPS-R a SEEDS was found to be the most specific and available tools with a high degree of internal consistency.
Keywords:
eating disorders – assessment tools
Zdroje
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