P-178: Associations between eating disorder symptoms and metabolic parameters in youth with type 1 diabetes
R Navardauskaite, V Jaskeviciute, V Bulikaite, I Vaitkeviciute, L LasaiteAbstract
Introduction
Disordered eating behaviors in T1D may influence metabolic outcomes, yet their relationships with clinical parameters remain insufficiently characterized.
Objectives
To analyze correlations between eating disorders (ED) symptoms and metabolic as well as clinical parameters in youth with T1D.
Methods
A cross-sectional analysis of 57 individuals aged 14–25 years with T1D was performed. ED symptoms were assessed using the EDE-Q 6.0 questionnaire. Correlations between EDE-Q scores and BMI, HbA1c, time in range, insulin dose, disease duration, and age at diagnosis were analyzed using correlation coefficients.
Results
Higher BMI was significantly associated with increased ED psychopathology, including restraint (r=0.382, p=0.004), eating concern (r=0.314, p=0.018), shape concern (r=0.354, p=0.007), weight concern (r=0.364, p=0.006), total score (r=0.383, p=0.004), binge eating with loss of control (r=0.326, p=0.017), and binge eating days (r=0.389, p=0.004). Compulsive exercise also correlated with BMI (r=0.351, p=0.009). Higher HbA1c was negatively associated with compulsive exercise (r=-0.363, p=0.032). Time in range was negatively correlated with shape concern (r=-0.350, p=0.029), weight concern (r=-0.327, p=0.042), and binge eating frequency (r=-0.372, p=0.021).
Conclusions
ED symptoms in youth with T1D are significantly associated with BMI and glycemic metrics. Higher ED severity correlates with higher BMI and poorer glycemic profiles, highlighting the importance of integrated metabolic and psychological assessment.