The associations between physical activity, health-related quality of life, regimen adherence, and glycemic control in adolescents with type 1 diabetes: A cross-sectional study

Aljawarneh, Yousef M.; Wood, Geri LoBiondo; Wardell, Diane Wind; Al-Jarrah, Muhammed

doi:10.1016/j.pcd.2023.04.003

Cited by 2 publications

(2 citation statements)

References 49 publications

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“…Consequently, it’s unsurprising that 84.62% of pediatric patients with T1DM exhibited unsatisfactory metabolic control, marked by HbA1c levels exceeding 7.0% (53.0 mmol/mol). This aligns with similar studies [ 9 , 11 , 16 , 21 , 42 ].…”

Section: Discussionsupporting

confidence: 93%

“…Compliance with a nutritious diet and engagement in physical activity constitute essential facets of diabetes self-management [ 21 , 47 , 55 , 56 ]. Substantial enhancement in metabolic control and a lowered likelihood of enduring long-term complications can be achieved by the majority of pediatric T1DM patients through improvements in dietary choices, consumption patterns, and physical activity levels.…”

Section: Discussionmentioning

confidence: 99%

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Self-care activities in pediatric patients with type 1 diabetes mellitus

Smudja,

Milenković,

Minaković

et al. 2024

PLoS ONE

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Introduction Effective diabetes self-management and collaborative responsibility sharing with parents are imperative for pediatric patients with type 1 diabetes mellitus, particularly as they gradually assume more self-care responsibilities. The primary goal of this study was to assess differences in adherence to self-care activities regarding sociodemographics and clinical characteristics in pediatric patients with type 1 diabetes. The secondary goal of this study was to understand the level of parental involvement in diabetes management and to assess the pediatric patients’ behaviors (independent or dependent on disease self-management) that relate to sociodemographic and clinical characteristics. Methods This was a comparative cross-sectional and correlational study. The study sample included 182 children and adolescents who had been diagnosed with type 1 diabetes at least 3 months prior. Data collection instruments included a sociodemographic and questionnaire about Adherence to self-care activities and parental involvement in diabetes self-management, as well as a documentation sheet for recording clinical data. Results A majority of participants (71%) exhibited non-adherence to self-care tasks, despite 78.0% asserting their independence in diabetes self-management. Notably, insufficient parental involvement in administering insulin therapy significantly predicted severe hypoglycemic episodes. Conclusions Pediatric patients dealing with type 1 diabetes demonstrate a substantial degree of autonomy in managing their condition, paradoxically coupled with self-reported non-adherence to critical self-care responsibilities. Notably, children (aged 8–12) rely more heavily on parental support, especially concerning insulin therapy administration. The study underscores the crucial role of parental engagement in insulin therapy, as its deficiency significantly predicts the likelihood of severe hypoglycemic episodes.

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