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Journal of the American Psychiatric Nurses Association, Vol. 13, No. 6, 376-385 (2008)
DOI: 10.1177/1078390307310154
© 2008 American Psychiatric Nurses Association

Weight-Related Concerns and Behaviors in Children and Adolescents With Type 1 Diabetes

Carol J. Howe

Diabetes Center for Children, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; e-mail: howe{at}email.chop.edu

Abbas F. Jawad

Division of Biostatistics and Epidemiology, Department of Pediatrics, University of Pennsylvania School of Medicine and the Children's Hospital of Philadelphia, Pennsylvania

Sarah D. Kelly

Disetronic Medical Systems Inc., Fishers, Indiana

Terri H. Lipman

University of Pennsylvania, School of Nursing, Division of Endocrinology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Children and adolescents with type 1 diabetes are at risk for disordered eating and unhealthy weight-control practices. This study describes (a) participants' weight perception and weight satisfaction, (b) participants' scores on the Diabetes Eating Problem Survey (DEPS), (c) prevalence of weight-control behaviors, and (d) association of DEPS and weight-control behaviors with race, gender, age, body mass index (BMI), hemoglobin A1c (HbA1c), weight satisfaction, and weight perception. TheAHEAD survey was completed by 295 participants to determine weight satisfaction, weight perception, and weight-control behaviors. Height, weight, and HbA1c were obtained from clinic charts. Older females with higher BMI and elevated HbA1c used significantly more weight-control behaviors. Weight dissatisfaction and heavy weight perception were associated with significantly more unhealthy weight-control practices. Prevention programs should be directed toward the preteen female. Older female teens presenting with higher BMI, elevated HbA1c, weight dissatisfaction, and heavy weight perception should be formally assessed for unhealthy weight-control behaviors. J Am Psychiatr Nurses Assoc, 2008; 13(6), 376-385. DOI: 10.1177/1078390307310154

Key Words: diabetes • disordered eating • eating disorders • weight-control behaviors • insulin manipulation


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