Health-related quality of life of adolescents with type 1 diabetes in the context of resilience
Abstract
Background
Adolescents with type 1 diabetes (T1D) can be faced with deterioration in glycemic control (GC), reduced health-related quality of life (HRQoL), and other psychosocial problems. It is important to understand how the disease and its clinical conditions influence HRQoL and how adolescents are able to overcome the life adjustment difficulties.
Objective
To assess HRQoL of adolescents with T1D from demographic, clinical, personal, and behavioral point of view.
Subjects
A total of 229 adolescents with T1D (51.2% males) with a mean age of 15.35 (2.29) years old were recruited from three diabetes centers. The mean diabetes duration was 7.48 (3.87), the mean hemoglobin A1C (HbA1c) level was 10.3 (1.76) mmol/L.
Methods
A multicenter quantitative correlational design study was applied to investigate the influence of sex, age, diabetes duration, GC expressed by HbA1c, intensive insulin regimen, physical activity (PA), resilience (RS), and socioeconomic background on HRQoL.
Results
Presence of the diabetes symptoms and worry about the disease has negative impact on the patients' HRQoL. Stepwise multiple regression analyses indicated that insulin pump therapy, male sex, and higher level of RS were significantly related to an increase in HRQoL, whereas the higher level of PA, male sex, and better HRQoL was significantly related to positive change in RS. Patients treated with insulin pump therapy had significantly better HRQoL.
Conclusions
Significant association can be observed between HRQoL and RS. Supposedly, higher level of PA promotes higher level of RS that in turn helps increase HRQoL in adolescents with T1D. Treatment with insulin pump therapy also promotes better HRQoL.
Background
Adolescents with type 1 diabetes (T1D) can be faced with deterioration in glycemic control (GC), reduced health-related quality of life (HRQoL), and other psychosocial problems. It is important to understand how the disease and its clinical conditions influence HRQoL and how adolescents are able to overcome the life adjustment difficulties.
Objective
To assess HRQoL of adolescents with T1D from demographic, clinical, personal, and behavioral point of view.
Subjects
A total of 229 adolescents with T1D (51.2% males) with a mean age of 15.35 (2.29) years old were recruited from three diabetes centers. The mean diabetes duration was 7.48 (3.87), the mean hemoglobin A1C (HbA1c) level was 10.3 (1.76) mmol/L.
Methods
A multicenter quantitative correlational design study was applied to investigate the influence of sex, age, diabetes duration, GC expressed by HbA1c, intensive insulin regimen, physical activity (PA), resilience (RS), and socioeconomic background on HRQoL.
Results
Presence of the diabetes symptoms and worry about the disease has negative impact on the patients' HRQoL. Stepwise multiple regression analyses indicated that insulin pump therapy, male sex, and higher level of RS were significantly related to an increase in HRQoL, whereas the higher level of PA, male sex, and better HRQoL was significantly related to positive change in RS. Patients treated with insulin pump therapy had significantly better HRQoL.
Conclusions
Significant association can be observed between HRQoL and RS. Supposedly, higher level of PA promotes higher level of RS that in turn helps increase HRQoL in adolescents with T1D. Treatment with insulin pump therapy also promotes better HRQoL.
A teljes cikk innen tölthető le.
Hivatkozás
MLA: Lukács, Andrea, et al. "Health‐related quality of life of adolescents with type 1 diabetes in the context of resilience." Pediatric diabetes 19.8 (2018): 1481-1486.
APA: Lukács, A., Mayer, K., Sasvári, P., & Barkai, L. (2018). Health‐related quality of life of adolescents with type 1 diabetes in the context of resilience. Pediatric diabetes, 19(8), 1481-1486.
ISO690: LUKÁCS, Andrea, et al. Health‐related quality of life of adolescents with type 1 diabetes in the context of resilience. Pediatric diabetes, 2018, 19.8: 1481-1486.
BibTeX:
@article{lukacs2018health,
title={Health-related quality of life of adolescents with type 1 diabetes in the context of resilience},
author={Luk{'a}cs, Andrea and Mayer, Krisztina and Sasv{'a}ri, P{'e}ter and Barkai, L{'a}szl{'o}},
journal={Pediatric diabetes},
volume={19},
number={8},
pages={1481--1486},
year={2018},
publisher={Wiley Online Library}
}