Evidence map›Paper›PMID 39838500›Full record

ArticleJournal of eating disorders2025

Assessment of diabetes-specific eating disorder risk in adult patients with diabetes.

Afruz Babayeva, Shovket Alishova, Gunay Mammadova, Meric Coskun, Ethem Turgay Cerit, Alev Eroglu Altinova, Mujde Akturk, Fusun Balos Toruner, Mehmet Ayhan Karakoc, Mehmet Muhittin Yalcin

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Afruz BabayevaFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3482-541X
Shovket AlishovaAzerbaijan Medical University Hospital, Baku, Azerbaijan.ORCID http://orcid.org/0000-0002-0441-1195
Gunay MammadovaAzerbaijan Medical University Hospital, Baku, Azerbaijan.ORCID http://orcid.org/0009-0007-0405-9957
Meric CoskunFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4855-6078
Ethem Turgay CeritFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-7518-388X
Alev Eroglu AltinovaFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-6707-7761
Mujde AkturkFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-0457-6560
Fusun Balos TorunerFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-6168-937X
Mehmet Ayhan KarakocFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-0601-6893
Mehmet Muhittin YalcinFaculty of Medicine, Department of Endocrinology and Metabolism, Gazi University, Ankara, Turkey. yalcin.muhittin@gmail.com.ORCID http://orcid.org/0000-0002-1041-6881

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdults with type 1 diabetes (T1D) are reported to be at higher risk for clinical eating disorders (ED) and other disordered eating behaviors (DEB) than their peers without diabetes. On the other hand, there is insufficient data on DEB in adults with type 2 diabetes (T2D). Our study aimed to investigate the prevalence of DEB in patients with T1D and T2D on intensive insulin therapy followed in our outpatient clinic.

methodsDiabetes Eating Problem Survey-Revised (DEPS-R), electronically delivered to the patients with T1D and T2D who were on an intensive insulin regimen followed up in the diabetes outpatient clinic in our center for the evaluation of DEB. A total of 120 participants, 80 patients with T1D and 40 patients with T2D, were included in the study. DEB was defined as a DEPS-R score ≥ 20 according to the answers given to the questionnaire.

resultsRisk of DEB was observed in 35% of all individuals with diabetes and was higher in T2D (55% (n = 22)) than in T1D (25% (n = 20)) (p < 0.001). In patients with T1D, BMI was similar between the risk and normal groups in terms of DEB (p = 0.15), whereas in patients with T2D, BMI was significantly higher in the risk group in terms of DEB compared to the non-risk group (p < 0.001). There was a positive correlation between the risk of DEB and HbA1c and a negative correlation with the duration of diabetes in the T1D group (p < 0.05). Weight loss was an important goal for more than 50% of individuals with diabetes in both groups, more than 60% said they skipped a main meal or snack. 13.8% of those with T1D and 27.5% of those with T2D preferred being thin to having their diabetes better controlled.

conclusionIn our study, 35% of patients with diabetes were found to have a risk of DEB, with the risk being higher in the T2D group. Our results emphasize the importance of increasing awareness among physicians and patients about DEB, which is prevalent among patients with diabetes. Early detection of individuals at risk for DEB should be considered a crucial aspect of treatment.

Indexed as

DEPS-R questionnaireDisordered eating behaviorsEating disordersType 1 diabetesType 2 diabetes

Identifiers

PMID39838500
PMCPMC11752928

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.