𝔖 Bobbio Scriptorium
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Eating disorder and type 1 diabetes: overview and summing-up

✍ Scribed by Søren Nielsen; Anne Grethe Mølbak

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
177 KB
Volume
6
Category
Article
ISSN
1072-4133

No coin nor oath required. For personal study only.

✦ Synopsis

The subject of concurrent eating disorder (ED) and insulin-dependent diabetes mellitus (IDDM) has attracted considerable attention for more than a decade. This paper is the ®rst attempt at a quantitative summary of this ®eld. Uncontrolled studies and anecdotal reports suggest an increase of ED in IDDM patients, and also an increase of IDDM in ED patients. Reviews and case reports underscore the dif®culty of treating patients with both disorders, the early occurrence of neurovascular complications in these patients and the need for controlled studies. Meta-analysis of ®ve controlled studies do not support an hypothesis of increased risk of ED in female IDDM patients for any type of ED: (anorexia nervosa, AN; bulimia nervosa, BN; unspeci®ed or subclinical ED, ED-NOS). Findings from register studies do not support an hypothesis of increased occurrence of IDDM in female AN-patients. An hypothesis of increased risk of retinopathy is supported by two controlled studies. The interest in concurrent ED and IDDM is thus not justi®ed by any increase in concurrence, but in the early occurrence of clinically signi®cant retinopathy (OR 8.04; 95 per cent CI 4.0±16.1), and other diabetic complications. The existing studies do not seem to have taken full advantage of existing diabetes-speci®c knowledge, whereas knowledge related to the eating disorders are fully incorporated. Future epidemiological studies should be cause-seeking rather than merely descriptive. These studies should try to relate risk factors, protective factors and speci®c risk behaviours with health outcome i.e. complications and mortality. *

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