Health-related quality of life in a cohort of youths with type 1 diabetes

Detalhes bibliográficos
Autor(a) principal: Martins,Karina Andressa Khater Fontes
Data de Publicação: 2018
Outros Autores: Mascarenhas,Luis Paulo Gomes, Morandini,Melina, Cat,Monica Nunes Lima, Pereira,Rosana Marques, Carvalho,Julienne Ramires de, Lacerda Filho,Luiz de, França,Suzana Nesi
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302018001101038
Resumo: SUMMARY Health-related quality of life (HRQOL) in type 1 diabetes mellitus (T1DM) has been widely studied. The objectives of this study were to evaluate and identify the factors influencing the HRQOL of children and adolescents with T1DM. MATERIAL AND METHODS: In total, 59 patients (9–16 years, T1DM for ≥1 year) responded to a version of the Diabetes Quality of Life Instrument for Youth (DQOLY) adapted to adapted to Brazilian patients, the Instrumento de Qualidade de Vida para Jovens com Diabetes (IQVJD). This instrument comprises 50 items (domains satisfaction, impact, and concerns, with the lowest scores corresponding to better HRQOL) and a questionnaire gathering social, demographic, and clinical parameters. RESULTS: The mean age of the patients was 13.6 years, and 57.6% were girls. The median age at diagnosis was 7.16 years, 63% presented diabetic ketoacidosis (DKA) at diagnosis and 29% during follow-up. Mean glycated hemoglobin (HbA1c) in the previous year was 10%. All patients administered multiple insulin doses (mean 4.2 applications/day), 74.5% used rapid-acting and intermediate-acting insulin analogs, and 67.8% used pens for insulin application. The results of the DQOLY were within the cutoff limit for better HRQOL. An isolated analysis of each domain and the questionnaire results showed that the following factors were associated with better HRQOL: height Z-score, lower HbA1c, practice of physical activity, use of pen, fewer hospitalizations, and residence in a rural area. There was a high DKA rate at diagnosis, and the metabolic control was inappropriate in most patients. Despite coming from low-income households, most patients had access to the recommended treatment. CONCLUSION: Among T1DM patients, 71% had IQVJD scores compatible with better HRQOL.
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spelling Health-related quality of life in a cohort of youths with type 1 diabetesQuality of lifeChildAdolescentDiabetes mellitus, type 1SUMMARY Health-related quality of life (HRQOL) in type 1 diabetes mellitus (T1DM) has been widely studied. The objectives of this study were to evaluate and identify the factors influencing the HRQOL of children and adolescents with T1DM. MATERIAL AND METHODS: In total, 59 patients (9–16 years, T1DM for ≥1 year) responded to a version of the Diabetes Quality of Life Instrument for Youth (DQOLY) adapted to adapted to Brazilian patients, the Instrumento de Qualidade de Vida para Jovens com Diabetes (IQVJD). This instrument comprises 50 items (domains satisfaction, impact, and concerns, with the lowest scores corresponding to better HRQOL) and a questionnaire gathering social, demographic, and clinical parameters. RESULTS: The mean age of the patients was 13.6 years, and 57.6% were girls. The median age at diagnosis was 7.16 years, 63% presented diabetic ketoacidosis (DKA) at diagnosis and 29% during follow-up. Mean glycated hemoglobin (HbA1c) in the previous year was 10%. All patients administered multiple insulin doses (mean 4.2 applications/day), 74.5% used rapid-acting and intermediate-acting insulin analogs, and 67.8% used pens for insulin application. The results of the DQOLY were within the cutoff limit for better HRQOL. An isolated analysis of each domain and the questionnaire results showed that the following factors were associated with better HRQOL: height Z-score, lower HbA1c, practice of physical activity, use of pen, fewer hospitalizations, and residence in a rural area. There was a high DKA rate at diagnosis, and the metabolic control was inappropriate in most patients. Despite coming from low-income households, most patients had access to the recommended treatment. CONCLUSION: Among T1DM patients, 71% had IQVJD scores compatible with better HRQOL.Associação Médica Brasileira2018-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302018001101038Revista da Associação Médica Brasileira v.64 n.11 2018reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.64.11.1038info:eu-repo/semantics/openAccessMartins,Karina Andressa Khater FontesMascarenhas,Luis Paulo GomesMorandini,MelinaCat,Monica Nunes LimaPereira,Rosana MarquesCarvalho,Julienne Ramires deLacerda Filho,Luiz deFrança,Suzana Nesieng2018-12-11T00:00:00Zoai:scielo:S0104-42302018001101038Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2018-12-11T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Health-related quality of life in a cohort of youths with type 1 diabetes
title Health-related quality of life in a cohort of youths with type 1 diabetes
spellingShingle Health-related quality of life in a cohort of youths with type 1 diabetes
Martins,Karina Andressa Khater Fontes
Quality of life
Child
Adolescent
Diabetes mellitus, type 1
title_short Health-related quality of life in a cohort of youths with type 1 diabetes
title_full Health-related quality of life in a cohort of youths with type 1 diabetes
title_fullStr Health-related quality of life in a cohort of youths with type 1 diabetes
title_full_unstemmed Health-related quality of life in a cohort of youths with type 1 diabetes
title_sort Health-related quality of life in a cohort of youths with type 1 diabetes
author Martins,Karina Andressa Khater Fontes
author_facet Martins,Karina Andressa Khater Fontes
Mascarenhas,Luis Paulo Gomes
Morandini,Melina
Cat,Monica Nunes Lima
Pereira,Rosana Marques
Carvalho,Julienne Ramires de
Lacerda Filho,Luiz de
França,Suzana Nesi
author_role author
author2 Mascarenhas,Luis Paulo Gomes
Morandini,Melina
Cat,Monica Nunes Lima
Pereira,Rosana Marques
Carvalho,Julienne Ramires de
Lacerda Filho,Luiz de
França,Suzana Nesi
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Martins,Karina Andressa Khater Fontes
Mascarenhas,Luis Paulo Gomes
Morandini,Melina
Cat,Monica Nunes Lima
Pereira,Rosana Marques
Carvalho,Julienne Ramires de
Lacerda Filho,Luiz de
França,Suzana Nesi
dc.subject.por.fl_str_mv Quality of life
Child
Adolescent
Diabetes mellitus, type 1
topic Quality of life
Child
Adolescent
Diabetes mellitus, type 1
description SUMMARY Health-related quality of life (HRQOL) in type 1 diabetes mellitus (T1DM) has been widely studied. The objectives of this study were to evaluate and identify the factors influencing the HRQOL of children and adolescents with T1DM. MATERIAL AND METHODS: In total, 59 patients (9–16 years, T1DM for ≥1 year) responded to a version of the Diabetes Quality of Life Instrument for Youth (DQOLY) adapted to adapted to Brazilian patients, the Instrumento de Qualidade de Vida para Jovens com Diabetes (IQVJD). This instrument comprises 50 items (domains satisfaction, impact, and concerns, with the lowest scores corresponding to better HRQOL) and a questionnaire gathering social, demographic, and clinical parameters. RESULTS: The mean age of the patients was 13.6 years, and 57.6% were girls. The median age at diagnosis was 7.16 years, 63% presented diabetic ketoacidosis (DKA) at diagnosis and 29% during follow-up. Mean glycated hemoglobin (HbA1c) in the previous year was 10%. All patients administered multiple insulin doses (mean 4.2 applications/day), 74.5% used rapid-acting and intermediate-acting insulin analogs, and 67.8% used pens for insulin application. The results of the DQOLY were within the cutoff limit for better HRQOL. An isolated analysis of each domain and the questionnaire results showed that the following factors were associated with better HRQOL: height Z-score, lower HbA1c, practice of physical activity, use of pen, fewer hospitalizations, and residence in a rural area. There was a high DKA rate at diagnosis, and the metabolic control was inappropriate in most patients. Despite coming from low-income households, most patients had access to the recommended treatment. CONCLUSION: Among T1DM patients, 71% had IQVJD scores compatible with better HRQOL.
publishDate 2018
dc.date.none.fl_str_mv 2018-11-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.relation.none.fl_str_mv 10.1590/1806-9282.64.11.1038
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.64 n.11 2018
reponame:Revista da Associação Médica Brasileira (Online)
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reponame_str Revista da Associação Médica Brasileira (Online)
collection Revista da Associação Médica Brasileira (Online)
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