{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T17:22:39Z","timestamp":1785172959888,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>People with type 1 diabetes mellitus (T1D) are at increased risk of disordered eating behaviours (DEBs), partly due to aspects of diabetes management. The aim of this study was to estimate the prevalence of DEBs in a group of adults with T1D in Spain and to examine their association with sociodemographic, clinical, and lifestyle\u2010related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide cross\u2010sectional study was conducted as part of the D1ANAS project, involving 451 people aged \u2265\u00a016\u00a0years with T1D living in Spain. DEBs were assessed using the validated Spanish version of the Diabetes Eating Problems Survey\u2010Revised (DEPS\u2010R), with scores \u2265\u00a020 indicating a positive screening. Sociodemographic, clinical, and lifestyle variables were collected using a self\u2010administered online questionnaire. Multivariate linear regression analyses were performed to identify factors independently associated with the total DEPS\u2010R score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean DEPS\u2010R score was 16.8 (SD 12.1), and 31.7% of participants screened positive for DEBs, with higher prevalence in women than men (35.4% vs. 14.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) 36.6% of participants reported insulin restriction behaviours, with no significant differences between sexes. In the adjusted models, female sex (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.23, 95% CI\u00a0=\u00a00.65\u22125.82), higher HbA1c percentage (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a02.12, 95% CI\u00a0=\u00a01.32\u22122.93), and higher zBMI (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.44, 95% CI\u00a0=\u00a02.44\u22124.44) were independently associated with higher DEPS\u2010R scores, as were poorer perceived health (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a05.11, 95% CI\u00a0=\u00a02.25\u22127.96), poorer diet quality (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a013.42, 95% CI\u00a0=\u00a07.23\u221219.61) and poor sleep perception (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.43, 95% CI\u00a0=\u00a01.46\u22125.39). The model explained 29.6% of the variance in DEPS\u2010R scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DEBs affect about one\u2010third of the participants with T1D and are associated with poorer metabolic control, higher BMI, and adverse lifestyle and psychosocial factors, highlighting the need for diabetes\u2010specific screening and multidisciplinary management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.70204","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:11:34Z","timestamp":1784139094000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Disordered Eating Behaviours and Associated Factors Among People With Type 1 Diabetes: A Cross\u2010Sectional Study in Spain\u2014D1ANAS Project"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4886-1673","authenticated-orcid":false,"given":"Lorena","family":"Botella\u2010Juan","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Faculty of Health Sciences Universidad de Le\u00f3n  Le\u00f3n Spain"},{"name":"Consortium for Biomedical Research in Epidemiology &amp; Public Health (CIBER Epidemiolog\u00eda y Salud P\u00fablica [CIBERESP])  Madrid Spain"},{"name":"The Research Group in Gene\u2011Environment and Health Interactions (GIIGAS) Institute Biomedicine (IBIOMED), Universidad de Le\u00f3n  Le\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9484-7303","authenticated-orcid":false,"given":"Inmaculada","family":"Aguilera\u2010Buenosvinos","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences International University of La Rioja  Logro\u00f1o Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Antequera\u2010Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Servicio de Endocrinolog\u00eda y Nutrici\u00f3n Complejo Asistencial Universitario de Le\u00f3n Gerencia de Salud de Castilla y Le\u00f3n (SACYL)  Le\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4915-8314","authenticated-orcid":false,"given":"Laura","family":"\u00c1lvarez\u2010\u00c1lvarez","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Faculty of Health Sciences Universidad de Le\u00f3n  Le\u00f3n Spain"},{"name":"Consortium for Biomedical Research in Epidemiology &amp; 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