The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders

Masato Takii, Yasuko Uchigata, Shoji Tokunaga, Naoko Amemiya, Naoko Kinukawa, Takehiro Nozaki, Yasuhiko Iwamoto, Chiharu Kubo

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Objective: To investigate which features of eating disorders are associated with retinopathy and nephropathy in Type 1 diabetic females with clinical eating disorders. Method: Participants were 109 Type 1 diabetic females with clinical eating disorders diagnosed by the structured clinical interview for DSM-IV (bulimia nervosa [n = 70], binge-eating disorder [n = 28], anorexia nervosa [n = 7], and eating disorder not otherwise specified [n = 4]). Retinopathy and nephropathy were screened and demographic, medical, and eating disorder related factors were investigated. To identify the factors associated with each complication, logistic regression analysis was done. Results: Duration of severe insulin omission and duration of Type 1 diabetes were significantly associated with retinopathy (odds ratios = 1.35 and 1.23, respectively) and nephropathy (odds ratio = 1.35 and 1.21, respectively) in multivariate regression analyses. Conclusion: Of the various problematic behavioral factors related to eating disorders, the duration of severe insulin omission was the factor most closely associated with the retinopathy and nephropathy of Type 1 diabetic females with clinical eating disorders by multivariate analysis. This finding may help patients who deliberately omit insulin become aware of medical risk of insulin omission.

Original languageEnglish
Pages (from-to)259-264
Number of pages6
JournalInternational Journal of Eating Disorders
Volume41
Issue number3
DOIs
Publication statusPublished - Apr 1 2008

Fingerprint

eating disorders
insulin
retinal diseases
Insulin
duration
kidney diseases
odds ratio
Multivariate Analysis
Odds Ratio
Regression Analysis
Binge-Eating Disorder
binge eating disorder
Bulimia Nervosa
insulin-dependent diabetes mellitus
anorexia nervosa
Anorexia Nervosa
Feeding and Eating Disorders
Type 1 Diabetes Mellitus
Diagnostic and Statistical Manual of Mental Disorders
multivariate analysis

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders. / Takii, Masato; Uchigata, Yasuko; Tokunaga, Shoji; Amemiya, Naoko; Kinukawa, Naoko; Nozaki, Takehiro; Iwamoto, Yasuhiko; Kubo, Chiharu.

In: International Journal of Eating Disorders, Vol. 41, No. 3, 01.04.2008, p. 259-264.

Research output: Contribution to journalArticle

Takii, Masato ; Uchigata, Yasuko ; Tokunaga, Shoji ; Amemiya, Naoko ; Kinukawa, Naoko ; Nozaki, Takehiro ; Iwamoto, Yasuhiko ; Kubo, Chiharu. / The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders. In: International Journal of Eating Disorders. 2008 ; Vol. 41, No. 3. pp. 259-264.
@article{37b2bd7b8dfb4ca082d5e0f4a2648132,
title = "The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders",
abstract = "Objective: To investigate which features of eating disorders are associated with retinopathy and nephropathy in Type 1 diabetic females with clinical eating disorders. Method: Participants were 109 Type 1 diabetic females with clinical eating disorders diagnosed by the structured clinical interview for DSM-IV (bulimia nervosa [n = 70], binge-eating disorder [n = 28], anorexia nervosa [n = 7], and eating disorder not otherwise specified [n = 4]). Retinopathy and nephropathy were screened and demographic, medical, and eating disorder related factors were investigated. To identify the factors associated with each complication, logistic regression analysis was done. Results: Duration of severe insulin omission and duration of Type 1 diabetes were significantly associated with retinopathy (odds ratios = 1.35 and 1.23, respectively) and nephropathy (odds ratio = 1.35 and 1.21, respectively) in multivariate regression analyses. Conclusion: Of the various problematic behavioral factors related to eating disorders, the duration of severe insulin omission was the factor most closely associated with the retinopathy and nephropathy of Type 1 diabetic females with clinical eating disorders by multivariate analysis. This finding may help patients who deliberately omit insulin become aware of medical risk of insulin omission.",
author = "Masato Takii and Yasuko Uchigata and Shoji Tokunaga and Naoko Amemiya and Naoko Kinukawa and Takehiro Nozaki and Yasuhiko Iwamoto and Chiharu Kubo",
year = "2008",
month = "4",
day = "1",
doi = "10.1002/eat.20498",
language = "English",
volume = "41",
pages = "259--264",
journal = "International Journal of Eating Disorders",
issn = "0276-3478",
publisher = "John Wiley and Sons Inc.",
number = "3",

}

TY - JOUR

T1 - The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders

AU - Takii, Masato

AU - Uchigata, Yasuko

AU - Tokunaga, Shoji

AU - Amemiya, Naoko

AU - Kinukawa, Naoko

AU - Nozaki, Takehiro

AU - Iwamoto, Yasuhiko

AU - Kubo, Chiharu

PY - 2008/4/1

Y1 - 2008/4/1

N2 - Objective: To investigate which features of eating disorders are associated with retinopathy and nephropathy in Type 1 diabetic females with clinical eating disorders. Method: Participants were 109 Type 1 diabetic females with clinical eating disorders diagnosed by the structured clinical interview for DSM-IV (bulimia nervosa [n = 70], binge-eating disorder [n = 28], anorexia nervosa [n = 7], and eating disorder not otherwise specified [n = 4]). Retinopathy and nephropathy were screened and demographic, medical, and eating disorder related factors were investigated. To identify the factors associated with each complication, logistic regression analysis was done. Results: Duration of severe insulin omission and duration of Type 1 diabetes were significantly associated with retinopathy (odds ratios = 1.35 and 1.23, respectively) and nephropathy (odds ratio = 1.35 and 1.21, respectively) in multivariate regression analyses. Conclusion: Of the various problematic behavioral factors related to eating disorders, the duration of severe insulin omission was the factor most closely associated with the retinopathy and nephropathy of Type 1 diabetic females with clinical eating disorders by multivariate analysis. This finding may help patients who deliberately omit insulin become aware of medical risk of insulin omission.

AB - Objective: To investigate which features of eating disorders are associated with retinopathy and nephropathy in Type 1 diabetic females with clinical eating disorders. Method: Participants were 109 Type 1 diabetic females with clinical eating disorders diagnosed by the structured clinical interview for DSM-IV (bulimia nervosa [n = 70], binge-eating disorder [n = 28], anorexia nervosa [n = 7], and eating disorder not otherwise specified [n = 4]). Retinopathy and nephropathy were screened and demographic, medical, and eating disorder related factors were investigated. To identify the factors associated with each complication, logistic regression analysis was done. Results: Duration of severe insulin omission and duration of Type 1 diabetes were significantly associated with retinopathy (odds ratios = 1.35 and 1.23, respectively) and nephropathy (odds ratio = 1.35 and 1.21, respectively) in multivariate regression analyses. Conclusion: Of the various problematic behavioral factors related to eating disorders, the duration of severe insulin omission was the factor most closely associated with the retinopathy and nephropathy of Type 1 diabetic females with clinical eating disorders by multivariate analysis. This finding may help patients who deliberately omit insulin become aware of medical risk of insulin omission.

UR - http://www.scopus.com/inward/record.url?scp=41149160210&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41149160210&partnerID=8YFLogxK

U2 - 10.1002/eat.20498

DO - 10.1002/eat.20498

M3 - Article

VL - 41

SP - 259

EP - 264

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

SN - 0276-3478

IS - 3

ER -