Quality of life of adolescents with type 1 diabetes mellitus

Authors

  • Sofia Vasconcelos Department of Pediatrics, Hospital Senhora da Oliveira - Guimarães
  • Sara Monteiro Cunha Department of Pediatrics, Hospital Senhora da Oliveira - Guimarães
  • Alícia Rebelo Department of Pediatrics, Hospital Senhora da Oliveira - Guimarães
  • Carla Ferreira Department of Pediatrics, Hospital de Braga
  • Carla Meireles Department of Pediatrics, Hospital Senhora da Oliveira - Guimarães
  • Ângela Dias Department of Pediatrics, Hospital Senhora da Oliveira - Guimarães

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v29.i3.18244

Keywords:

adolescent, metabolic control, quality of life, type 1 diabetes mellitus

Abstract

Introduction: Type 1 diabetes mellitus is one of the most common endocrine-metabolic disorders of childhood and adolescence and requires a continuous and rigorous therapeutic approach, with recognized impact on children and adolescents’ quality of life.
The purpose of this study was to evaluate the quality of life of adolescents with type 1 diabetes mellitus and its relationship with clinical and laboratory aspects and lifestyle.
Material and Methods: DQOL questionnaire was applied to type 1 diabetes mellitus adolescents managed at the Pediatric Diabetology consultation of a level II hospital for more than one year. Questionnaire has a global score between 36 and 180, with higher scores reflecting worse quality of life. Statistical analysis was performed in SPSS®.
Results: Seventy-one percent (n=36) of adolescents responded to the survey, 55.6% of which male, with a median age of 15 years. Median DQOL global score was 66. Adolescents with good metabolic control had a median global score of 49, compared with 71 in adolescents with poor metabolic control (p=0.007). The median global score of self-perception of better health was 51 compared to 73 for self-perception of poorer health (p=0.007).
Discussion: In general, adolescents in this study revealed a satisfactory quality of life. Adolescents with better metabolic control have a higher satisfaction and better quality of life. Adolescents with better self-perceived health have a better quality of life.
Conclusion: Recognizing factors that affect quality of life of adolescents with type 1 diabetes mellitus is crucial to devise therapeutic strategies that meet their expectations, promoting treatment adherence and better metabolic control.

References

Oliveira RS, Santos S, Laranjo G, Luís A, Campos J. Diabetes, adolescência e qualidade de vida. Acta Pediatr Port. 2013; 44:156-60.

Hassan M, Musa N, Abdel Hai R, Fathy A, Ibrahim A. Assessment of health-related quality of life in Egyptian adolescents with type 1 diabetes: DEMPU survey. J Pediatr Endocrinol Metab. 2017; 30:277-83. Epub 2017/02/27. doi: 10.1515/jpem-2016-0147. PubMed PMID: 28236627.

Santana PF, Oliveira LCB, Maia RS, Rocha NSPD. Avaliação da qualidade de vida em adolescentes com diabetes mellitus tipo 1 em um hospital universitário. Adolesc Saude. 2016; 13:24-32.

Kalyva E, Malakonaki E, Eiser C, Mamoulakis D. Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatr Diabetes. 2011; 12:34-40. Epub 2010/06/16. doi: 10.1111/j.1399-5448.2010.00653.x. PubMed PMID: 20546163.

Costa LM, Vieira SE. Quality of life of adolescents with type 1 diabetes. Clinics. 2015; 70:173-9. doi: 10.6061/clinics/2015(03)04.

Almeida JP, Pereira MG. Questionário de Avaliação da Qualidade de Vida para adolescentes com Diabetes Tipo 1: Estudo de validação do DQOL. Análise Psicológica. 2008; 2:295-307.

Laffel LMB, Connell A, Vangsness L, Goebel-Fabbri A, Mansfield A, Anderson BJ. General Quality of Life in Youth With Type 1 Diabetes. Diabetes Care. 2003; 26:3067-73.

Hoey H, Aanstoot H-J, Chiarelli F, Daneman D, Danne T, Dorchy H, et al. Good Metabolic Control Is Associated With Better Quality of Life in 2,101 Adolescents With Type 1 Diabetes. Diabetes Care. 2001; 24:1923-28.

Wagner VM, Muller-Godeffroy E, von Sengbusch S, Hager S, Thyen U. Age, metabolic control and type of insulin regime influences health-related quality of life in children and adolescents with type 1 diabetes mellitus. Eur J Pediatr. 2005; 164:491-6. Epub 2005/05/06. doi: 10.1007/s00431-005-1681-4. PubMed PMID: 15875213.

Özyazıcıoğlu N, Avdal EÜ, Sağlam H. A determination of the quality of life of children and adolescents with type 1 diabetes and their parents. International Journal of Nursing Sciences. 2017; 4:94-8. doi: 10.1016/j.ijnss.2017.01.008.

Downloads

Published

2020-08-06

How to Cite

Vasconcelos, S., Cunha, S. M., Rebelo, A., Ferreira, C., Meireles, C., & Dias, Ângela. (2020). Quality of life of adolescents with type 1 diabetes mellitus. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 29(3), 128–134. https://doi.org/10.25753/BirthGrowthMJ.v29.i3.18244

Issue

Section

Original Articles

Most read articles by the same author(s)

1 2 > >>