TY - JOUR
T1 - Prevalence, associations and health outcomes of binge eating in adults with type 1 or type 2 diabetes
T2 - Results from Diabetes MILES – The Netherlands
AU - Huisman, Sasja D.
AU - Hendrieckx, Christel
AU - Bot, Mariska
AU - Pouwer, François
AU - Nefs, Giesje
N1 - Funding Information: Diabetes MILES is an international collaborative, initiated and conceptualised by Prof. Jane Speight (the Australian Centre for Behavioural Research in Diabetes) and Prof. Frans Pouwer (University of Southern Denmark). The authors thank Prof. Jane Speight for her constructive comments on a preliminary version of the manuscript. This study was supported by the Prof. Dr. J. Terpstra Young Investigator Award 2010 from the Dutch Association for Diabetes Research (Nederlandse Vereniging voor Diabetes Onderzoek)/Lilly Diabetes to GN. The funding source had no role in the design, data collection, analysis or interpretation of the study, or in the decision to submit the manuscript for publication. In particular, we thank all people with diabetes who participated in Diabetes MILES – The Netherlands. We also thank the Dutch Diabetes Association and the Dutch Diabetes Research Foundation for their kind and very valuable assistance in the recruitment of participants. Christel Hendrieckx is supported by the core funding to the Australian Centre for Behavioural Research in Diabetes provided by the collaboration between Diabetes Victoria and Deakin University. Funding Information: Diabetes MILES is an international collaborative, initiated and conceptualised by Prof. Jane Speight (the Australian Centre for Behavioural Research in Diabetes) and Prof. Frans Pouwer (University of Southern Denmark). The authors thank Prof. Jane Speight for her constructive comments on a preliminary version of the manuscript. This study was supported by the Prof. Dr. J. Terpstra Young Investigator Award 2010 from the Dutch Association for Diabetes Research (Nederlandse Vereniging voor Diabetes Onderzoek)/Lilly Diabetes to GN. The funding source had no role in the design, data collection, analysis or interpretation of the study, or in the decision to submit the manuscript for publication. In particular, we thank all people with diabetes who participated in Diabetes MILES – The Netherlands. We also thank the Dutch Diabetes Association and the Dutch Diabetes Research Foundation for their kind and very valuable assistance in the recruitment of participants. Christel Hendrieckx is supported by the core funding to the Australian Centre for Behavioural Research in Diabetes provided by the collaboration between Diabetes Victoria and Deakin University. Publisher Copyright: © 2022 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.
PY - 2023/1
Y1 - 2023/1
N2 - Aims: To examine the prevalence and health risks of binge eating in people with diabetes. Methods: Self-report data were analysed from a subsample (n = 582 type 1 diabetes/735 type 2 diabetes) of Diabetes MILES – the Netherlands, an online survey. Prevalence of binge eating was compared across diabetes type and treatment and between participants with and without binges for eating styles, diabetes treatment and outcomes, weight, BMI and psychological comorbidity. Associations between binge eating, HbA1c, BMI, diabetes distress were assessed using hierarchical linear regression analyses. Results: 23% (n = 308) of participants reported eating binges, with 16% at least monthly, and 6% at least weekly. Prevalence and frequency of binges did not differ across diabetes type or treatment. People reporting binges scored higher on dietary restraint, emotional and external eating and reported higher weight and BMI than those without binges. Only people with type 1 diabetes and eating binges had a higher HbA1c. Hierarchical regression analyses demonstrated that binge eating was independently associated with higher HbA1c (β = 0.12, p=0.001), BMI (β = 0.13, p < 0.001) but not with diabetes distress. Conclusions: This study found binge eating to be associated with eating styles, BMI and HbA1c. However, our cross-sectional data do not allow for conclusions on causality. Future studies could further examine the directions of these associations and their clinical implications.
AB - Aims: To examine the prevalence and health risks of binge eating in people with diabetes. Methods: Self-report data were analysed from a subsample (n = 582 type 1 diabetes/735 type 2 diabetes) of Diabetes MILES – the Netherlands, an online survey. Prevalence of binge eating was compared across diabetes type and treatment and between participants with and without binges for eating styles, diabetes treatment and outcomes, weight, BMI and psychological comorbidity. Associations between binge eating, HbA1c, BMI, diabetes distress were assessed using hierarchical linear regression analyses. Results: 23% (n = 308) of participants reported eating binges, with 16% at least monthly, and 6% at least weekly. Prevalence and frequency of binges did not differ across diabetes type or treatment. People reporting binges scored higher on dietary restraint, emotional and external eating and reported higher weight and BMI than those without binges. Only people with type 1 diabetes and eating binges had a higher HbA1c. Hierarchical regression analyses demonstrated that binge eating was independently associated with higher HbA1c (β = 0.12, p=0.001), BMI (β = 0.13, p < 0.001) but not with diabetes distress. Conclusions: This study found binge eating to be associated with eating styles, BMI and HbA1c. However, our cross-sectional data do not allow for conclusions on causality. Future studies could further examine the directions of these associations and their clinical implications.
KW - binge eating
KW - comorbidity
KW - diabetes
KW - eating styles
UR - http://www.scopus.com/inward/record.url?scp=85137534853&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/dme.14953
DO - https://doi.org/10.1111/dme.14953
M3 - Article
C2 - 36084309
SN - 0742-3071
VL - 40
JO - Diabetic medicine
JF - Diabetic medicine
IS - 1
M1 - e14953
ER -