{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T09:05:55Z","timestamp":1778317555853,"version":"3.51.4"},"reference-count":50,"publisher":"Walter de Gruyter GmbH","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2022-0336_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The study aimed to assess occurrence of eating disorders and its nature, associated risk factors, and comorbidities in a cohort of adolescents with type 1 diabetes (T1D).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2022-0336_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this cross-sectional study, 138 patients were recruited to complete three questionnaires for assessment of eating disorder (ED); Eating Attitude Test (EAT-26) and Eat Behavior questionnaire (ORTO-15) and Eating Disorder Examination Questionnaire version 6 (EDE-Q6) to assess diabetes-related medical outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2022-0336_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Patients were categorized as having an ED according to predetermined cutoff value for each questionnaire. Of the 138 patients, 24 (17.4%) had risk for EDs by EAT-26 score, 53 (38.4%) have got orthorexia nervosa by ORTO-15 and 45 (32.6%) were having a disordered eating behavior by EDE-Q6. Patients with risk of EDs had lower mean ORTO-15 score (p=0.01), and higher mean Global EDE-Q6 (p&lt;0.001). A positive correlation was found between EAT-26 scores and both age (p&lt;0.0001) and body mass index (p&lt;0.0001). ORTO-15 score was correlated with duration of diabetes (p=0.0418). Diabetic ketoacidosis, peripheral neuropathy, and microalbuminuria occurred frequently in patients with ED high score. Hypoglycemic episodes were reported more in those with high EAT-26 or Global EDE-Q6 scores.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2022-0336_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Subclinical EDs and abnormal eating behaviors are common in Egyptian adolescents with T1D.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2022-0336","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T04:41:28Z","timestamp":1663735288000},"page":"1385-1393","source":"Crossref","is-referenced-by-count":7,"title":["Disordered eating and behaviors among young Egyptians with type 1 diabetes: risk factors and comorbidities"],"prefix":"10.1515","volume":"35","author":[{"given":"Safinaz Adel","family":"Elhabashy","sequence":"first","affiliation":[{"name":"Pediatrics , Faculty of Medicine, Ain Shams University , Cairo , Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam William","family":"Abd ElMalak","sequence":"additional","affiliation":[{"name":"Egyptian Ministry of Health and Population , Cairo , Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanan Hany","family":"Elrassas","sequence":"additional","affiliation":[{"name":"Psychiatry , Faculty of Medicine, Ain Shams University , Cairo , Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasha Adel","family":"Thabet","sequence":"additional","affiliation":[{"name":"Pediatrics , Faculty of Medicine, Ain Shams University , Cairo , Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"2023040100342177605_j_jpem-2022-0336_ref_001","doi-asserted-by":"crossref","unstructured":"Peveler, RC, Bryden, KS, Neil, HA, Fairburn, CG, Mayou, RA, Dunger, DB, et al.. 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