Estudio de calidad de vida y adherencia al tratamiento en pacientes de 2 a 16 años con diabetes mellitus tipo 1 en Andalucía

Casaño, María Álvarez; Montejo, María del Mar Alonso; Leiva-Gea, Isabel; Hinojosa, J.; Mata, M; Macías, Francisco; Pérez, María del Mar Romero; Toro, Marta de; Martínez, Gabriela; Munguira, Pilar; Vivas, Gustavo; Siguero, Juan Pedro López

doi:10.1016/j.anpedi.2020.03.016

Cited by 12 publications

(6 citation statements)

References 19 publications

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“…It is a condition caused by autoimmune damage to the insulin-producing beta cells of the pancreatic islets, usually leading to severe endogenous insulin deficiency [2]. The estimated prevalence in Spain is between 1.1 and 1.4/1000 children under 15 years old [3]. The incidence in the pediatric population in Spain is estimated at 17.69 cases/100,000 inhabitants per year [4].…”

Section: Introductionmentioning

confidence: 99%

Impact of Parental Food Choices on Nutritional and Metabolic Status of Children with Type 1 Diabetes

López-Morago

Domínguez-Riscart

Garcia-Zarzuela

et al. 2023

Foods

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Parents play a key role in what their children eat. The Food Choice Questionnaire (FCQ) has been used elsewhere to assess the dietary motivations of parents of healthy children, but not for parents of children with chronic diseases such as type 1 diabetes (T1D). The aim of our research was to evaluate the associations between parental food choice motivations and the nutritional status and glycemic control of children with T1D. A cross-sectional observational study of children aged 5 to 16 years with T1D attending the Pediatric Endocrinology Unit of Puerta del Mar University Hospital in Cádiz (Spain) was performed. Demographic, anthropometric and clinical data, including glycated hemoglobin, were collected. The FCQ in Spanish was conducted to assess the eating behaviors of the main caregivers of children with T1D. Significance was established at the level of p-value < 0.05. In total, 85 children with T1D (female 56.5%, age 12.07 ± 2.93 years, HbA1c 7.29 ± 0.77%) were recruited. Of these children, 31.3% showed HbA1c levels of <7.0% and 44.9% had a TIR >70%. A significant positive correlation was found between Hb1Ac and “familiarity” (R: +0.233). Anthropometric measures (weight, BMI, skinfolds and body circumferences) showed significant positive correlations with “sensory appeal” and “price”. Parents’ eating behaviors influence the nutritional status of their children with T1D and their glycemic control of the disease.

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Section: Introductionmentioning

confidence: 99%

Impact of Parental Food Choices on Nutritional and Metabolic Status of Children with Type 1 Diabetes

López-Morago

Domínguez-Riscart

Garcia-Zarzuela

et al. 2023

Foods

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“…Some works find that the use of glucose monitoring devices allows better management of complications such as hypo- and hyperglycemia and better adherence to treatment, while some suggest that the use of continuous glucose monitoring integrated with continuous insulin infusion systems is associated with high levels of quality of life, fewer severe hypoglycemia, and fewer renal complications [ 50 ]. However, other studies report that, despite modern technological advances, many individuals experience high variability in glucose levels [ 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, shared medical appointments are reported as multicomponent interventions in multidisciplinary teams that focus on self-management, communication skills, goal setting, glucose pattern recognition, and peer/diabetes team support [ 50 ]. Finally, as potential sources of intervention, the consulted studies suggest considering the incidence of chronic stress associated with the demands of managing diabetes.…”

Section: Resultsmentioning

confidence: 99%

Beyond Therapeutic Adherence: Alternative Pathways for Understanding Medical Treatment in Type 1 Diabetes Mellitus

Cleves-Valencia,

Roncancio-Moreno,

De Luca Picione

2024

IJERPH

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Given the psychosocial and economic costs of behaviors of patients who seem not to benefit from the medications, technologies, and medical therapies available for chronic diseases such as Type 1 Diabetes Mellitus, therapeutic adherence has been identified as one of the main focuses in the intervention. This paper presents contributions from semiotic cultural clinical psychology for understanding problems associated with the implementation of medical treatment in patients with Type 1 Diabetes Mellitus to explore psychological dimensions not yet reported in depth. A narrative review of 24 scientific articles published between 2012 and 2023 is carried out. The information is produced through thematic analysis, and the results are presented in three themes: 1. illness characteristics, 2. adherence and associated concepts, and 3. modes of intervention. It concludes with the development of a two-axis proposal for understanding the experience of patients that privileges psychological aspects involved in the disease and its treatment, considering the approach to the goals of treatment as dynamic and fluctuating rather than as final states.

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“…Con toda seguridad, los mayores avances actuales en el tratamiento de la DM1 vienen de la utilización de la tecnología, junto con la educación diabetológica reglada/estructurada y continuada, siendo ésta una pieza fundamental para mejorar el control, la adherencia al tratamiento y la calidad de vida de los pacientes 2 . A pesar de todos los avances, en general no se consiguen los objetivos propugnados por las sociedades internacionales para esta edad ( American Diabetes Association [ADA], International Society for Pediatric and Adolescent Diabetes [ISPAD]), lo que lleva a buscar otros sistemas que lleven a mayor adherencia al tratamiento.…”

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Avances en el tratamiento de la diabetes tipo 1 pediátrica

Castellanos¹

2021

Anales de Pediatría

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Estudio de calidad de vida y adherencia al tratamiento en pacientes de 2 a 16 años con diabetes mellitus tipo 1 en Andalucía

Cited by 12 publications

References 19 publications

Impact of Parental Food Choices on Nutritional and Metabolic Status of Children with Type 1 Diabetes

Impact of Parental Food Choices on Nutritional and Metabolic Status of Children with Type 1 Diabetes

Beyond Therapeutic Adherence: Alternative Pathways for Understanding Medical Treatment in Type 1 Diabetes Mellitus

Avances en el tratamiento de la diabetes tipo 1 pediátrica

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