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Health-related quality of life among children with type 1 diabetes in Saudi Arabia

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Abstract

Children with type 1 diabetes (T1D) are at a very challenging situation; they are required to deal with a demanding daily treatment while conscious of possible complications. Data on quality of life (QoL) among children with T1D in Saudi Arabia is lacking. The objective of the current study was to assess QoL and disease-specific challenges among children with T1D. We conducted a cross-sectional study among mothers of children 6–12 years with T1D. Mothers who brought their children to one of three identified outpatient clinics in Riyadh between September and October 2007 were asked to fill a study questionnaire. A transformed score (percent) was calculated for each domain. A total of 140 mothers completed the study. The studied children were 9.7 ± 2.1 years old and were on average 3.8 ± 2.5 years after diabetes diagnosis. About 53.6 % were females. The scores of different domains in decreasing order were as follows: school cooperation (86.1 %), psychosocial status (84.1 %), activity (74.0 %), aspects of mother education (73.8 %), medical and emergency care (68.2 %), aspects of child education (54.7 %), diet (41.9 %), and organizational and social support (22.3 %). Finding suitable diet and better activity were associated with higher family income. Better support was associated with longer diabetic years while better care was associated with older age. We are reporting generally good QoL in multiple domains among children 6–12 years with T1D. Major challenges were observed in finding a suitable food, receiving social and organizational support, and medical and emergency care. The results emphasized the need of better health education.

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References

  1. Centers for Disease Control and Prevention. Children and Diabetes. URL: http://www.cdc.gov/diabetes/projects/diab_children.htm. Accessed 30 Dec 2012.

  2. Gale EA. The rise of childhood type 1 diabetes in the 20th century. Diabetes. 2002;51(12):3353–61.

    Article  CAS  PubMed  Google Scholar 

  3. Abduljabbar MA, Aljubeh JM, Amalraj A, Cherian MP. Incidence trends of childhood type 1 diabetes in eastern Saudi Arabia. Saudi Med J. 2010;31(4):413–8.

    PubMed  Google Scholar 

  4. Al-Herbish AS, El-Mouzan MI, Al-Salloum AA, Al-Qurachi MM, Al-Omar AA. Prevalence of type 1 diabetes mellitus in Saudi Arabian children and adolescents. Saudi Med J. 2008;29(9):1285–8.

    PubMed  Google Scholar 

  5. Zhang P, Zhang X, Brown J, Vistisen D, Sicree R, Shaw J, et al. Global healthcare expenditure on diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(3):293–301.

    Article  PubMed  Google Scholar 

  6. Sawyer SM, Drew S, Yeo MS, Britto MT. Adolescents with a chronic condition: challenges living, challenges treating. Lancet. 2007;369(9571):1481–9.

    Article  PubMed  Google Scholar 

  7. Ausili E, Tabacco F, Focarelli B, Padua L, Crea F, Caliandro P, et al. Multidimensional study on quality of life in children with type 1 diabetes. Eur Rev Med Pharmacol Sci. 2007;11(4):249–55.

    CAS  PubMed  Google Scholar 

  8. 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(1):34–40.

    Article  PubMed  Google Scholar 

  9. Wake M, Hesketh K, Cameron F. The child health questionnaire in children with diabetes: cross-sectional survey of parent and adolescent-reported functional health status. Diabet Med. 2000;17(10):700–7.

    Article  CAS  PubMed  Google Scholar 

  10. Nieuwesteeg A, Pouwer F, van der Kamp R, van Bakel H, Aanstoot HJ, Hartman E. Quality of life of children with type 1 diabetes: a systematic review. Curr Diabetes Rev. 2012;8(6):434–43.

    Article  PubMed  Google Scholar 

  11. Holmanova E, Ziakova K. Audit diabetes-dependent quality of life questionnaire: usefulness in diabetes self-management education in the Slovak population. J Clin Nurs. 2009;18(9):1276–86.

    Article  PubMed  Google Scholar 

  12. Al-Shehri AH, Taha AZ, Bahnassy AA, Salah M. Health-related quality of life in type 2 diabetic patients. Ann Saudi Med. 2008;28(5):352–60.

    Article  PubMed  Google Scholar 

  13. Landgraf J, Albtz L, Ware J. The Child Health Questionnaire (CHQ): A user’s manual. Boston. The Health Institute, New England Medical Center. In.; 1996.

  14. Norrby U, Nordholm L, Andersson-Gare B, Fasth A. Health-related quality of life in children diagnosed with asthma, diabetes, juvenile chronic arthritis or short stature. Acta Paediatr. 2006;95(4):450–6.

    Article  PubMed  Google Scholar 

  15. Whittemore R, Urban AD, Tamborlane WV, Grey M. Quality of life in school-aged children with type 1 diabetes on intensive treatment and their parents. Diabetes Educ. 2003;29(5):847–54.

    Article  PubMed  Google Scholar 

  16. Stahl A, Strassburger K, Lange K, Bachle C, Holl RW, Giani G, et al. Health- related quality of life among German youths with early-onset and long-duration type 1 diabetes. Diabetes Care. 2012;35(8):1736–42.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Maffeis C, Pinelli L. Teaching children with diabetes about adequate dietary choices. Br J Nutr. 2008;99 Suppl 1:S33–39.

    CAS  PubMed  Google Scholar 

  18. Kollipara S, Warren-Boulton E. Diabetes and physical activity in school. School Nurse News. 2004;21(3):12–6.

    PubMed  Google Scholar 

  19. Hesketh KD, Wake MA, Cameron FJ. Health-related quality of life and metabolic control in children with type 1 diabetes: a prospective cohort study. Diabetes Care. 2004;27(2):415–20.

    Article  PubMed  Google Scholar 

  20. National Diabetes Education Program (NDEP). Helping the Student with Diabetes Succeed: A Guide for School Personnel. Updated edition, 2010. URL: http://ndep.nih.gov/media/youth_schoolguide.pdf. Accessed 30 Dec 2012.

  21. Amillategui B, Calle JR, Alvarez MA, Cardiel MA, Barrio R. Identifying the special needs of children with Type 1 diabetes in the school setting. An overview of parents’ perceptions. Diabet Med. 2007;24(10):1073–9.

    Article  CAS  PubMed  Google Scholar 

  22. McCarthy AM, Lindgren S, Mengeling MA, Tsalikian E, Engvall J. Factors associated with academic achievement in children with type 1 diabetes. Diabetes Care. 2003;26(1):112–7.

    Article  PubMed  Google Scholar 

  23. Dahlquist G, Kallen B. School performance in children with type 1 diabetes—a population-based register study. Diabetologia. 2007;50(5):957–64.

    Article  CAS  PubMed  Google Scholar 

  24. Roemer JB. Understanding emotional and psychological considerations of children with diabetes: tips for school nurses. School Nurse News. 2005;22(3):6–8.

    PubMed  Google Scholar 

  25. Whittemore R, Jaser S, Chao A, Jang M, Grey M. Psychological experience of parents of children with type 1 diabetes: a systematic mixed-studies review. Diabetes Educ. 2012;38(4):562–79.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Reynolds KA, Helgeson VS. Children with diabetes compared to peers: depressed? Distressed? A meta-analytic review. Ann Behav Med. 2011;42(1):29–41.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Piscopo MA, Chiesa G, Bonfanti R, Viscardi M, Meschi F, Chiumello G. Quality of life and new devices in the management of type 1 diabetes in children and adolescents. Acta Biomed. 2003;74 Suppl 1:21–5.

    PubMed  Google Scholar 

  28. Alzahrani HA, Sehlo MG. The impact of religious connectedness on health-related quality of life in patients with diabetic foot ulcers. J Relig Health 2011.

  29. Wysocki T, Lochrie A, Antal H, Buckloh LM. Youth and parent knowledge and communication about major complications of type 1 diabetes: associations with diabetes outcomes. Diabetes Care. 2011;34(8):1701–5.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Rosland AM, Kieffer E, Israel B, Cofield M, Palmisano G, Sinco B, et al. When is social support important? The association of family support and professional support with specific diabetes self-management behaviors. J Gen Intern Med. 2008;23(12):1992–9.

    Article  PubMed Central  PubMed  Google Scholar 

  31. van Dam HA, van der Horst FG, Knoops L, Ryckman RM, Crebolder HF, van den Borne BH. Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ Couns. 2005;59(1):1–12.

    Article  PubMed  Google Scholar 

  32. Tang TS, Brown MB, Funnell MM, Anderson RM. Social support, quality of life, and self-care behaviors among African Americans with type 2 diabetes. Diabetes Educ. 2008;34(2):266–76.

    Article  PubMed  Google Scholar 

  33. Al-Alfi MA, Al-Saigul AM, Saleh MA, Surour AM, Riyadh MA. Audit of structure, process, and outcome of diabetic care at Al Asyah primary health care centre, Qassim region, Saudi Arabia. J Fam Community Med. 2004;11(3):89–96.

    Google Scholar 

  34. Al-Hussein FA. Diabetes control in a primary care setting: a retrospective study of 651 patients. Ann Saudi Med. 2008;28(4):267–71.

    Article  PubMed  Google Scholar 

  35. Cooke D, Bond R, Lawton J, Rankin D, Heller S, Clark M, Speight J. Structured type 1 diabetes education delivered within routine care: impact on glycemic control and diabetes-specific quality of life. Diabetes Care 2012.

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Authors and Affiliations

  1. Family and Community Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia

    Khawater Bahkali

  2. Field Epidemiology Training Program, Ministry of Health, Riyadh, Kingdom of Saudi Arabia

    Abdul Jamil Choudhry

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  1. Khawater Bahkali
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  2. Abdul Jamil Choudhry
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Correspondence to Khawater Bahkali.

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Bahkali, K., Choudhry, A.J. Health-related quality of life among children with type 1 diabetes in Saudi Arabia. Int J Diabetes Dev Ctries 35 (Suppl 2), 215–222 (2015). https://doi.org/10.1007/s13410-015-0348-6

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  • DOI: https://doi.org/10.1007/s13410-015-0348-6

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