Purpose
The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.
Methods
A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, x² test, and binominal logistic regression with SPSS version 23.0 for Windows.
Results
The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).
Conclusion
In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents’ depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.

Citations

• Validity and Reliability of a Korean Diabetes Eating Problem Survey–Revised
  Hye-Ryeon Park, So Yeon Park, Jaeyoung Lee, Hyeon Ok Ju
  Asian Nursing Research.2025; 19(3): 220.     CrossRef
• Diabetes-specific eating disorder and social exclusion in adolescents with type 1 diabetes
  Harun Özbey, Meral Bayat, İrem Kalkan, Nihal Hatipoğlu
  International Journal of Diabetes in Developing Co.2024; 44(1): 122.     CrossRef
• Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
  Hye-Ryeon Park, Na-Geong Kim
  Belitung Nursing Journal.2022; 8(6): 505.     CrossRef
• Impact of Body Mass Index on Eating Disorders in Adolescents with Type 1 Diabetes: Focusing on Mediating Effect of Body Dissatisfaction, Self-esteem, and Depression
  Hye-Ryeon Park, Hyeon Ok Ju
  Journal of The Korean Society of Maternal and Chil.2021; 25(2): 121.     CrossRef