European Journal of Pediatrics

, Volume 164, Issue 8, pp 491–496

Age, metabolic control and type of insulin regime influences health-related quality of life in children and adolescents with type 1 diabetes mellitus

  • Verena M. Wagner
  • Esther Müller–Godeffroy
  • Simone von Sengbusch
  • Stefan Häger
  • Ute Thyen
Original Paper

DOI: 10.1007/s00431-005-1681-4

Cite this article as:
Wagner, V.M., Müller–Godeffroy, E., von Sengbusch, S. et al. Eur J Pediatr (2005) 164: 491. doi:10.1007/s00431-005-1681-4

Abstract

The effects of illness and treatment of diabetes mellitus extend beyond medical outcomes. We therefore evaluated health-related quality of life (HRQOL) in children (aged 8–12 years) and adolescents (aged 13–16 years) with type 1 diabetes to compare their results with healthy peers and to identify HRQOL determinants. A total of 68 children and adolescents from a tertiary care clinic which specialises in the management of diabetes, completed the generic KINDL-R questionnaire. This instrument for children and adolescents has six dimensions and an additional module assessing condition-related HRQOL. Overall, the HRQOL was not different between patients with type 1 diabetes and healthy controls. In some areas, children and adolescents with diabetes reported a better HRQOL compared to healthy peers: adolescents reported better psychological well-being ( P <0.05) and children higher levels of well-being in the school domain ( P <0.05). In general, children reported a better HRQOL ( P <0.05) than adolescents with type 1 diabetes confirming age-related differences in HRQOL in the general population. Lower HbA1c (<8%) and intensified insulin therapy (>3 injections/day) were associated with a better HRQOL in different domains ( P <0.05). The subscale “chronic illness” showed a better HRQOL ( P <0.001) in children and adolescents with diabetes compared to age-matched controls with other chronic conditions. Conclusion:Children and adolescents from a paediatric department specialising in diabetes management report good health-related quality of life. Younger age, good metabolic control and intensified insulin therapy are associated with a better health-related quality of life. Dimensions of health-related quality of life appear to play different roles at different ages, emphasising the importance of the multidimensional health-related quality of life concept and the value of age-appropriate self-reports.

Keywords

ChildrenDiabetes mellitus type 1Health-related quality of lifePaediatric

Abbreviations

BMI

body mass index

DCCT

diabetes control and complications trial

HRQOL

health related quality of life

QOL

quality of life

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Verena M. Wagner
    • 1
  • Esther Müller–Godeffroy
  • Simone von Sengbusch
    • 1
  • Stefan Häger
    • 1
  • Ute Thyen
    • 1
  1. 1.Klinik für Kinder- und JugendmedizinUniverstätsklinikum Schleswig-Holstein, Campus LübeckLübeck Germany