Eating Disorders in Girls and Women With Type 1 Diabetes: A Longitudinal Study of Prevalence, Onset, Remission, and Recurrence Featured Article: Patricia A. Colton, Marion P. Olmsted, Denis Daneman, Jamie C. Farquhar, Harmonie Wong, Stephanie Muskat, and Gary M. Rodin Diabetes Care Volume 38:1212–1217 July, 2015

STUDY OBJECTIVE To describe the longitudinal course of disturbed eating behavior (DEB) and eating disorders (EDs) in a cohort of girls with type 1 diabetes Colton P. A. et al. Diabetes Care 2015;38:

STUDY DESIGN AND METHODS 126 girls with type 1 diabetes at The Hospital for Sick Children in Toronto participated in a series of seven interview-based assessments of ED behavior and psychopathology Study period was 14 years, beginning in late childhood Survival analysis was used Colton P. A. et al. Diabetes Care 2015;38:

RESULTS Mean age was 11.8 ± 1.5 years at time 1 and 23.7 ± 2.1 years at time 7 At time 7, 32.4% met the criteria for a current ED, and an additional 8.5% had a subthreshold ED Mean age at ED onset was 22.6 years Cumulative probability of onset was 60% by age 25 years Colton P. A. et al. Diabetes Care 2015;38:

RESULTS Average time between onset of ED and subsequent ED remission was 4.3 years Cumulative probability of remission was 79% by 6 years after onset Average time between remission of ED and subsequent recurrence was 6.5 years Cumulative probability of recurrence was 53% by 6 years after remission Colton P. A. et al. Diabetes Care 2015;38:

CONCLUSIONS EDs were common and persistent, and new onset of ED was documented well into adulthood Further research regarding prevention and treatment is urgently needed Colton P. A. et al. Diabetes Care 2015;38: