TY - JOUR
T1 - A comparison of negative affect and disinhibited eating between children with and without parents with type 2 diabetes
AU - Swanson, Taylor N.
AU - Parker, Megan N.
AU - Byrne, Meghan E.
AU - Ramirez, Eliana
AU - Kwarteng, Esther
AU - Faulkner, Loie M.
AU - Djan, Kweku
AU - Zenno, Anna
AU - Chivukula, Krishna Karthik
AU - LeMay-Russell, Sarah
AU - Schvey, Natasha A.
AU - Brady, Sheila M.
AU - Shank, Lisa M.
AU - Shomaker, Lauren B.
AU - Tanofsky-Kraff, Marian
AU - Yanovski, Jack A.
N1 - Publisher Copyright:
© 2021 John Wiley & Sons Ltd. This article has been contributed to by US Government employees and their work is in the public domain in the USA.
PY - 2022/2
Y1 - 2022/2
N2 - Background: Children whose parents have type 2 diabetes (T2D) are at high-risk for developing T2D. In youth, negative affect has been shown to predict insulin resistance (IR), and disinhibited-eating behaviors have been linked to IR. It is unknown if youth with a parent with T2D (P-T2D) report greater psychological and behavioral symptoms than those without a P-T2D. Objective: To compare youth with and without a P-T2D on symptoms of negative affect and disinhibited-eating. Methods: Nine-hundred thirty-two youth (13.3 ± 2.6 years; BMIz 1.06 ± 1.06; 67.8% female; 53.6% people of color; 10.7% with a P-T2D) completed questionnaires of anxiety and depressive symptoms, eating in the absence of hunger, and emotional-eating. Loss-of-control (LOC)-eating was assessed by interview. In two separate subsamples, energy intake was explored using laboratory test meals simulating eating in the absence of hunger and LOC-eating, respectively. Analyses were adjusted for age, sex, race/ethnicity. In follow-up analyses, fat mass (kg) and height, and IR were included as covariates, respectively. Results: Adjusting for all covariates including adiposity and IR, compared to youth without a P-T2D, youth with a P-T2D reported more anxiety and depression symptoms, greater eating in the absence of hunger, and emotional-eating (ps < 0.05). No significant differences were found for LOC-eating, or in exploratory analyses of energy intake for either test meal (ps > 0.16). Conclusions: Self-reported negative affect and disinhibited-eating may be higher among youth with P-T2D compared to those without P-T2D. Prospective studies should examine, among those with a P-T2D, what role such symptoms may play for their subsequent risk for T2D.
AB - Background: Children whose parents have type 2 diabetes (T2D) are at high-risk for developing T2D. In youth, negative affect has been shown to predict insulin resistance (IR), and disinhibited-eating behaviors have been linked to IR. It is unknown if youth with a parent with T2D (P-T2D) report greater psychological and behavioral symptoms than those without a P-T2D. Objective: To compare youth with and without a P-T2D on symptoms of negative affect and disinhibited-eating. Methods: Nine-hundred thirty-two youth (13.3 ± 2.6 years; BMIz 1.06 ± 1.06; 67.8% female; 53.6% people of color; 10.7% with a P-T2D) completed questionnaires of anxiety and depressive symptoms, eating in the absence of hunger, and emotional-eating. Loss-of-control (LOC)-eating was assessed by interview. In two separate subsamples, energy intake was explored using laboratory test meals simulating eating in the absence of hunger and LOC-eating, respectively. Analyses were adjusted for age, sex, race/ethnicity. In follow-up analyses, fat mass (kg) and height, and IR were included as covariates, respectively. Results: Adjusting for all covariates including adiposity and IR, compared to youth without a P-T2D, youth with a P-T2D reported more anxiety and depression symptoms, greater eating in the absence of hunger, and emotional-eating (ps < 0.05). No significant differences were found for LOC-eating, or in exploratory analyses of energy intake for either test meal (ps > 0.16). Conclusions: Self-reported negative affect and disinhibited-eating may be higher among youth with P-T2D compared to those without P-T2D. Prospective studies should examine, among those with a P-T2D, what role such symptoms may play for their subsequent risk for T2D.
UR - http://www.scopus.com/inward/record.url?scp=85119658828&partnerID=8YFLogxK
U2 - 10.1111/pedi.13286
DO - 10.1111/pedi.13286
M3 - Article
C2 - 34773339
AN - SCOPUS:85119658828
SN - 1399-543X
VL - 23
SP - 139
EP - 149
JO - Pediatric Diabetes
JF - Pediatric Diabetes
IS - 1
ER -