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Assessment of health-related quality of life in Egyptian adolescents with type 1 diabetes: DEMPU survey

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Published/Copyright: February 25, 2017
Journal of Pediatric Endocrinology and Metabolism
From the journal Journal of Pediatric Endocrinology and Metabolism Volume 30 Issue 3

Abstract

Background:

Type 1 diabetes (T1D) is a serious chronic illness that imposes significant morbidity and mortality with a major impact on the quality of life (QoL) that became a core issue in diabetes care. Understanding the effect of diabetes on QoL is important for day-to-day clinical management and also for public health policy initiatives aiming at improving health outcomes for those with diabetes. The objective of the study was to assess the QoL in adolescents with T1D and assess the applicability of the use of the “Quality of Life for Youth” questionnaire at the Diabetes, Endocrine and Metabolism Pediatric Unit (DEMPU) clinic.

Methods:

One hundred and fifty adolescents (82 males and 68 females) (10–18 years), with T1D of at least 1 years’ duration, completed the questionnaire that evaluated symptoms related to diabetes, treatment, activities, parent issues, worries about diabetes and health perception. Higher scores indicated a more negative impact of diabetes and poorer QoL.

Results:

Males showed a significantly better mean QoL score than females (p=0.004). Different age groups showed different QoL scores (p=0.047). Urban adolescents had a better QoL than rural counterparts (p=0.02). Adolescents with poor QoL had generally lower educational level (p=0.02). Better metabolic control was associated with a better QoL (p=0.01). However, duration of diabetes and body mass index (BMI) had no statistically significant effect on QoL.

Conclusions:

QoL had a variable significant association with certain socio-demographic and clinical characteristics of diabetics (sex, residence, educational level as well as metabolic control).

Keywords: adolescents; quality of life (QoL); type 1 diabetes (T1D)

Acknowledgments

Diabetes clinic, Diabetes, Endocrine and Metabolism Pediatric Unit, Cairo University; Diabetes education team, Children Hospital, Cairo University; Department of Public Health and Community Medicine for the collaborative work. Special thanks to Novo Nordisk for approving the use of the translated Arabic version of the QoL youth tool. Thanks to the patients and their parents who participated in this questionnaire.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2016-4-17
Accepted: 2017-1-2
Published Online: 2017-2-25
Published in Print: 2017-3-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Review
  3. Adrenocortical neoplasms in adulthood and childhood: distinct presentation. Review of the clinical, pathological and imaging characteristics
  4. Original Articles
  5. Assessment of health-related quality of life in Egyptian adolescents with type 1 diabetes: DEMPU survey
  6. Non-HDL-cholesterol and C-reactive protein in children and adolescents with type 1 diabetes
  7. Nutritional status and metabolic profile in neurologically impaired pediatric surgical patients
  8. Vascular risk factors are associated with retinal arteriolar narrowing and venular widening in children and adolescents with type 1 diabetes
  9. Are aromatase inhibitors in boys with predicted short stature and/or rapidly advancing bone age effective and safe?
  10. Increased prevalence of bicuspid aortic valve in Turner syndrome links with karyotype: the crucial importance of detailed cardiovascular screening
  11. Resting energy expenditure in girls with Turner syndrome
  12. AMH levels in girls with various pubertal problems
  13. Bone age in unilateral spastic cerebral palsy: is there a correlation with hand function and limb length?
  14. Novel germline mutation (Leu512Met) in the thyrotropin receptor gene (TSHR) leading to sporadic non-autoimmune hyperthyroidism
  15. A novel DAX-1 mutation in two male siblings presenting with precocious puberty and late-onset hypogonadotropic hypogonadism
  16. Case Reports
  17. Adrenarche unmasks compound heterozygous 3β-hydroxysteroid dehydrogenase deficiency: c.244G&gt;A (p.Ala82Thr) and the novel 931C&gt;T (p.Gln311*) variant in a non-salt wasting, severely undervirilised 46XY
  18. Three cases of Gordon syndrome with dominant KLHL3 mutations
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https://doi.org/10.1515/jpem-2016-0147
Keywords for this article
adolescents; quality of life (QoL); type 1 diabetes (T1D)

Articles in the same Issue

  1. Frontmatter
  2. Review
  3. Adrenocortical neoplasms in adulthood and childhood: distinct presentation. Review of the clinical, pathological and imaging characteristics
  4. Original Articles
  5. Assessment of health-related quality of life in Egyptian adolescents with type 1 diabetes: DEMPU survey
  6. Non-HDL-cholesterol and C-reactive protein in children and adolescents with type 1 diabetes
  7. Nutritional status and metabolic profile in neurologically impaired pediatric surgical patients
  8. Vascular risk factors are associated with retinal arteriolar narrowing and venular widening in children and adolescents with type 1 diabetes
  9. Are aromatase inhibitors in boys with predicted short stature and/or rapidly advancing bone age effective and safe?
  10. Increased prevalence of bicuspid aortic valve in Turner syndrome links with karyotype: the crucial importance of detailed cardiovascular screening
  11. Resting energy expenditure in girls with Turner syndrome
  12. AMH levels in girls with various pubertal problems
  13. Bone age in unilateral spastic cerebral palsy: is there a correlation with hand function and limb length?
  14. Novel germline mutation (Leu512Met) in the thyrotropin receptor gene (TSHR) leading to sporadic non-autoimmune hyperthyroidism
  15. A novel DAX-1 mutation in two male siblings presenting with precocious puberty and late-onset hypogonadotropic hypogonadism
  16. Case Reports
  17. Adrenarche unmasks compound heterozygous 3β-hydroxysteroid dehydrogenase deficiency: c.244G&gt;A (p.Ala82Thr) and the novel 931C&gt;T (p.Gln311*) variant in a non-salt wasting, severely undervirilised 46XY
  18. Three cases of Gordon syndrome with dominant KLHL3 mutations
  19. Unexplained cyanosis caused by hepatopulmonary syndrome in a girl with APECED syndrome
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