Individual and familial factors associated with metabolic control in children with type 1 diabetes

Demirel, Fatma; Tepe, Derya; Esen, İhsan; Büber, Nazlı; Boztepe, Handan

doi:10.1111/ped.12183

Cited by 11 publications

(17 citation statements)

References 17 publications

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“…Professional fathers have children with good glycemic control. Those findings are consistent with previous studies using the same method of our data collection, which have also proved that lower socioeconomic status which mainly results from unemployment of parents is related with higher HbA1c [12][13][14][15]. In contrast and according to the results of this study, neither mothers' educational level nor their occupational status have shown significant influence on their children glycemic control.…”

Section: Discussioncontrasting

confidence: 36%

“…In our society mothers usually combine their children during visits to pediatric diabetes clinic, where they receive an intensive program conducted by diabetic health team with each visit to clinic, while most of the time fathers don't attend to clinic and depends on mother's knowledge of diabetes. According to a study of the family interaction in pediatric diabetes in 2011, it showed that fathers almost don't step to help mothers in the management plan until glycemic control begins to deteriorate, for this reason it suggests and encourages father's active Turkish study in 2010 involved 93 diabetic participants, found significant higher HbA1c among children of lower educated fathers (p=0.02) than in children of more educated fathers, however, there was no such relation between mothers' educational level and their children HbA1c (p=0.31) [13]. This study has supported the influence of both fathers' educational level and occupational status on glycemic control of children with TIDM, which has as well supported by other study, but no significant influence of mothers' educational level and occupational status was found [13].…”

Section: Discussionmentioning

confidence: 85%

“…According to a study of the family interaction in pediatric diabetes in 2011, it showed that fathers almost don't step to help mothers in the management plan until glycemic control begins to deteriorate, for this reason it suggests and encourages father's active Turkish study in 2010 involved 93 diabetic participants, found significant higher HbA1c among children of lower educated fathers (p=0.02) than in children of more educated fathers, however, there was no such relation between mothers' educational level and their children HbA1c (p=0.31) [13]. This study has supported the influence of both fathers' educational level and occupational status on glycemic control of children with TIDM, which has as well supported by other study, but no significant influence of mothers' educational level and occupational status was found [13]. This study was conducted in a public hospital, in which the majority of patients are poor, and as shown in Table 2, working mothers comprises only the minority, while the majority doesn't work.…”

Section: Discussionmentioning

confidence: 85%

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Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Al-Agha¹,

Majdi²,

Aljefri³

et al. 2017

J Pat Care

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IntroductionType 1 diabetes mellitus (T1DM) is one of the most common chronic metabolic disorders affecting children worldwide. The prevalence of (T1DM) was 109.5 per 100,000 in children and adolescents of Saudi Arabia in 2008, while it was 1.93 per 1000 in 2009 in the United States of America [1,2]. Parents involvement is the key to meet the goal of better management outcome of glycemic control and quality of life in pediatric patients [3,4]. One of the most important aims of health care team is to know the parents' knowledge and educational level to build up from different bases according to their information, also knowing their job and socioeconomic state to work together as a team to keep up the child glycemic control. It is well-established that the glycemic control and readmission rate of the child are affected by educational level and occupational position of the family [5]. In literature, better glycemic control in children with T1DM was found among families with higher parents' educational level, however not much is known on this topic in Saudi Arabia [6,7].We aimed of this cross-sectional hospital-based study to assess parents` higher educational level and occupational status in relation to glycemic control among children with T1DM at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Methodology ParticipantsOur sample was taken from outpatients' diabetic clinic at King Abdulaziz University Hospital in Jeddah (KAUH) between 2013 and 2014. There were children and adolescents with T1DM between 1and 18 years of age and their caregivers. Of the 450 eligible participants only 243, has completed the study to the end. For glycemic control, Objective: To investigate the relationship between glycemic controls measured as glycosylated hemoglobin (HbA1c) with parental higher education and occupational status in children and adolescents with T1DM.

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Section: Discussioncontrasting

confidence: 36%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 85%

See 1 more Smart Citation

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Al-Agha¹,

Majdi²,

Aljefri³

et al. 2017

J Pat Care

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“…The sample size range is 70 to 30 708 patients with a median sample size of 210 T1D patients. Thirty‐two studies were performed in several European countries, 31 in USA, one in Canada, three in Israel, and the rest in other countries (one in Japan, one in New‐Zealand, three in Turkey, one in Australia, and three are multinational). Most studies (54 studies) were performed on T1D children (median of mean age reported in articles 12.5 [range: 4.1‐17.7]), 22 included both children and young adults (median of mean age of 14.8 [range: 10.1‐21.6]), and one included only young adults (mean age of 19.4 ± 0.9 [range: 18‐21]).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of non‐genetic predictors and genetic factors of glycated haemoglobin in type 1 diabetes one year after diagnosis

Gloaguen

Bendelac

Nicolino

et al. 2018

Diabetes Metabolism Res

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Type 1 diabetes (T1D) results from autoimmune destruction of the pancreatic βcells. Although all T1D patients require daily administration of exogenous insulin, their insulin requirement to achieve good glycaemic control may vary significantly. Glycated haemoglobin (HbA1c) level represents a stable indicator of glycaemic control and is a reliable predictor of long-term complications of T1D. The purpose of this article is to systematically review the role of non-genetic predictors and genetic factors of HbA1c level in T1D patients after the first year of T1D, to exclude the honeymoon period. A total of 1974 articles published since January 2011 were identified and 78 were finally included in the analysis of non-genetic predictors. For genetic factors, a total of 277 articles were identified and 14 were included. The most significantly associated factors with HbA1c level are demographic (age, ethnicity, and socioeconomic status), personal (family characteristics, parental care, psychological traits...) and features related to T1D (duration of T1D, adherence to treatment …). Only a few studies have searched for genetic factors influencing HbA1c level, most of which focused on candidate genes using classical genetic statistical methods, with generally limited power and incomplete adjustment for confounding factors and multiple testing. Our review shows the complexity of explaining HbA1c level variations, which involves numerous correlated predictors. Overall, our review underlines the lack of studies investigating jointly genetic and non-genetic factors and their interactions to better understand factors influencing glycaemic control for T1D patients.

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“…In general, adolescents have worse glycemic control compared to younger children, and girls tend to have poorer glycemic control compared to boys [11]. Studies have also shown a correlation between parental educational level and the outcome of the child's glycemic control [12][13][14].…”

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confidence: 99%

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Individual and familial factors associated with metabolic control in children with type 1 diabetes

Abstract: Multiple individual and family-level factors are associated with metabolic control. These data may aid in identification of diabetic children and adolescents who have a higher risk of poor metabolic control.

Cited by 11 publications

References 17 publications

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

A systematic review of non‐genetic predictors and genetic factors of glycated haemoglobin in type 1 diabetes one year after diagnosis

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