May gender influence the quality of life in children and adolescents with type 1 diabetes?

gender differences health-related quality of life type 1 diabetes

Journal

Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748

Informations de publication

Date de publication:
2019
Historique:
received: 27 02 2019
accepted: 14 08 2019
entrez: 2 10 2019
pubmed: 2 10 2019
medline: 2 10 2019
Statut: epublish

Résumé

Appropriate health-related quality of life (HRQOL) in children and adolescents with type 1 diabetes constitutes one of the most important factors that determine treatment effectiveness. There are numerous studies which tackle the issue of the relationship between HRQOL and various clinical and demographic factors, including gender. Therefore, the aim of the present study was to assess HRQOL and identify factors by which it may be affected, with particular emphasis on gender. The study group included 197 girls and boys (13.9±2.33 years old) with a history of type 1 diabetes (>1 year) treated with the use of insulin pumps. PedsQL Diabetes Module 3.0 questionnaire was used in the assessment of HRQOL. Multivariate linear regression with gender as a covariate was used to investigate the relationship between total PedsQL score and selected variables associated with patient characteristics, insulin dosage and the control of glycemia. Moreover, the presence of gender differences was verified in terms of variables which significantly affected HRQOL. Significantly higher results were observed in boys as regards the total PedsQL score (70.8±11.91 vs 62.4±13.91; Female gender was an independent factor which adversely affected HRQOL. Other factors which negatively influenced HRQOL included poor metabolic control of diabetes, central distribution of adipose tissue and frequent episodes of hyperglycemia. It seems necessary to focus also on other factors that may potentially influence HRQOL of patients with type 1 diabetes.

Identifiants

pubmed: 31571841
doi: 10.2147/PPA.S206969
pii: 206969
pmc: PMC6759230
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1589-1597

Informations de copyright

© 2019 Dłużniak-Gołaska et al.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest in this work.

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Auteurs

Karolina Dłużniak-Gołaska (K)

Department of Clinical Dietetics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Dorota Szostak-Węgierek (D)

Department of Clinical Dietetics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Mariusz Panczyk (M)

Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Agnieszka Szypowska (A)

Department of Pediatrics, The First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.

Beata Sińska (B)

Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Classifications MeSH