Health-related quality of life of Taranaki children with Type 1 Diabetes.

N Z Med J 2015 Dec 18;128(1427):25-32. Epub 2015 Dec 18.

Paediatrician, Taranaki District Health Board/Senior Clinical Research Fellow, Liggins Institute, University of Auckland.

Aim: To evaluate health-related quality of life (HRQOL) in children/adolescents with type 1 diabetes in Taranaki compared to siblings without diabetes/chronic disease.

Methods: The Pediatric Quality of Life Inventory (PedsQLTM) was requested in those with type 1 diabetes (n=67), their parent(s), and their siblings (where available). Age, gender, ethnicity, Deprivation Index, and clinical information were collected. Regression analysis was conducted to explore differences in HRQOL scores between diabetes patients and their siblings, adjusting for confounding factors. Predictive effects of aspects of diabetes on HRQOL were evaluated.

Results: 56 diabetes patients participated (84% response), and responses from 35 siblings were obtained. Exclusions (n=14) included those with type 1 diabetes for <6 months, type 2 diabetes, and other long-term medical or psychiatric conditions. Good level of agreement was found between parent-proxy and child report. There was no difference in HRQOL between the diabetes group and their siblings (mean -4.37, 95%CI [-10.67, 1.92]; p=0.17). Poorer diabetes control was associated with worse HRQOL (mean -0.32, 95%CI [-0.63, -0.01]; p=0.04).

Conclusions: Surprisingly, HRQOL in children/adolescents with type 1 diabetes was similar to their siblings. This was encouraging as type 1 diabetes may not adversely affect HRQOL to the degree expected in Taranaki children.

Download full-text PDF

Source
December 2015

Similar Publications

Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions.

Pediatr Diabetes 2011 Feb;12(1):34-40

Department of Psychology, City College, 24 Proxenou Koromila Street, Thessaloniki, Greece.

The aim of the study was to evaluate health-related quality of life (HRQoL) in children and adolescents with type 1 diabetes mellitus (T1DM) in Greece compared with healthy controls and to identify the effect of age, gender, age of onset of disease, and metabolic control on perceptions of HRQoL. A total of 117 children and adolescents with T1DM aged 5-18, their parents, and 128 matched healthy children and adolescents participated. Children and adolescents completed PedsQL™ 4. Read More

View Article and Full-Text PDF
February 2011

Psychiatric Disorders and Health-Related Quality of Life in Children With Type 1 Diabetes Mellitus.

Psychosomatics 2016 Mar-Apr;57(2):185-93. Epub 2015 Nov 3.

Department of Paediatrics, Oncology, Haematology and Diabetology, Medical University of Lodz, Lodz, Poland.

Background: Type 1 diabetes mellitus (T1DM) is a chronic condition with major effect on health-related quality of life (HRQoL) and mental health. In 1990s, high rates of psychiatric disorders were reported among children with T1DM. Little is known, however, about current prevalence of psychiatric disorders in children with T1DM and the relation between psychiatric diagnosis and HRQoL. Read More

View Article and Full-Text PDF
January 2017

Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: an observational study.

BMJ Open 2017 08 9;7(8):e015776. Epub 2017 Aug 9.

Liggins Institute, University of Auckland, Auckland, New Zealand.

Objective: To describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Further, this cohort was compared with other populations/normative data. Read More

View Article and Full-Text PDF
August 2017

Health-Related Quality of Life and Metabolic Control in Children and Adolescents with Type 1 Diabetes Mellitus.

J Clin Res Pediatr Endocrinol 2016 Mar 18;8(1):67-73. Epub 2015 Dec 18.

Erciyes University Faculty of Health Science, Department of Nutrition and Dietetics, Kayseri, Turkey, E-mail:

Objective: The burdens imposed on a child and his/her parents by a diagnosis of type 1 diabetes mellitus (T1DM) adversely affect their health-related quality of life (HRQoL). HRQoL is important for prognosis and is related to metabolic control. To evaluate the HRQoL of Turkish children and adolescents with T1DM and to assess the correlation of HRQoL subscales (including physical and psychosocial health) with metabolic control, and particularly with hypo- and hyperglycaemic episodes. Read More

View Article and Full-Text PDF
March 2016