Unhealthy lifestyle habits and diabetes-specific health-related quality of life in youths with type 1 diabetes

Mozzillo, Enza; Zito, Eugenio; Maffeis, Claudio; Nitto, Elena De; Maltoni, Giulio; Marigliano, Marco; Zucchini, Stefano; Franzese, Adriana; Valerio, Giuliana

doi:10.1007/s00592-017-1051-5

Cited by 40 publications

(54 citation statements)

References 43 publications

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“…There is only one cross-sectional study that has been performed with young people with T1D (from 13 to 19 years old) that associated diabetes-specific QoL with the MedDiet pattern [7]. The researchers did not find any relationship between the MedDiet and QoL in this population, a finding that is in contrast with our results.…”

Section: Discussioncontrasting

confidence: 99%

“…Scientific evidence has shown that the presence of cardiovascular diseases and late diabetic complications have a negative impact on the quality of life (QoL) and treatment satisfaction (TS) of people with T1D [6]. Furthermore, a study performed in children and adolescents (between 13 and 19 years old) described that insulin treatment and dietary limitations in the management of T1D may have several effects on QoL [7].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, no studies have assessed the relationship between the dietary pattern of adults with T1D using dietary quality indexes (i.e., aMED and aHEI) and diabetes-specific QoL instruments. Only one cross-sectional study was performed in adolescents and children (from 13 to 19 years) to assess the relationship between unhealthy lifestyle habits and QoL [7]. However, they found that a combination of unhealthy lifestyle habits (poor adherence to the MedDiet, low physical activity levels, and high sedentary behavior score) was related to a poorer QoL in these participants.…”

Section: Introductionmentioning

confidence: 99%

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The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes

Granado-Casas¹,

Martín²,

Martínez-Alonso

et al. 2020

Nutrients

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This study aimed to assess the potential association between dietary patterns (i.e., the Mediterranean Diet (MedDiet) and healthy eating) and patient-reported quality of life (QoL) and treatment satisfaction (TS) in adults with type 1 diabetes (T1D). A food frequency questionnaire, the Audit of Diabetes-Dependent Quality of Life (ADDQoL-19), and the Diabetes Treatment Satisfaction Questionnaire-status version (DTSQ-s) were administered via personal interviews to 258 participants with T1D. Multivariable analysis showed that a moderate or high adherence to the MedDiet was associated with greater diabetes-specific QoL (β = 0.32, 95% CI = 0.03; 0.61; p = 0.029). None of the dietary quality indexes (i.e., the alternate Mediterranean Diet Score (aMED) and the alternate Healthy Eating Index (aHEI)) were associated with the overall TS. However, the aHEI was positively associated with the specific items of TS “convenience” and “flexibility” (β = 0.03, 95% CI = 0.00; 0.06; p = 0.042 and β = 0.04; 95% CI = 0.01; 0.06; p = 0.011, respectively). On the other hand, the aHEI was negatively associated with the dimension “recommend to others” (β = −0.5, 95% CI = −0.99; −0.02; p = 0.042). In conclusion, a moderate and high adherence to the MedDiet was associated with greater QoL. Although neither aMED nor aHEI were associated with the overall TS, some specific items were positively (i.e., “convenience”, “flexibility”) or negatively (“recommend to others”) related to the aHEI. Further research is needed to assess how to improve medical nutrition therapy and its impact on patient-reported outcomes in people with T1D.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes

Granado-Casas¹,

Martín²,

Martínez-Alonso

et al. 2020

Nutrients

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“…Further exploration of predictors related to improvement of individuals over time could help to improve resilience and could facilitate to develop measures to improve HRQL of children with T1DM. Previous research found that unhealthy lifestyle habits, such as diet and low physical activity, are associated with lower HRQL (52). Promoting healthy life style habits in children with T1DM could be an important aspect to improve HRQL over time.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of Health-Related Quality of Life and HbA1c Values of Children and Adolescents With Diabetes Mellitus Type 1 Over 6 Months: A Longitudinal Observational Study

Fischer

Barthel

et al. 2020

Front. Pediatr.

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Introduction: To achieve optimized blood glucose concentrations (assessed by HbA1c) and high health-related quality of life (HRQL), children and adolescents with diabetes mellitus type 1 (T1DM) must follow strict disease management strategies. This study aims to investigate HRQL of children and adolescents with T1DM and its association with HbA1c values over the course of 6 months. Methods: Patients aged 7-17 years (n = 203) with T1DM provided HRQL data on a monthly basis. HRQL was measured using the Kids-CAT, a computer-adaptive test (CAT) comprising five generic HRQL domains. HbA1c concentrations were assessed at baseline, at 3 and 6 months. We explored the trajectory of HRQL at the domain level using linear mixed effects models. Further, we investigated the association between HRQL and HbA1c concentrations over time using path analysis models. Results: Children and adolescents with T1DM reported high scores across all HRQL domains over time. However, those with an HbA1c concentrations of >9.0% reported significantly lower scores in physical well-being and parent relations compared with those with an HbA1c concentration of <7.5%. Path analysis models revealed a minimal temporal relationship between HbA1c and HRQL, with a small negative impact of HbA1c on physical well-being, psychological well-being and parent relations. Conclusion: Although observed HRQL of young patients with T1DM was comparable to age-related German-speaking reference population over the course of 6 months, those with an HbA1c concentration >9.0% reported lower scores in selected HRQL domains. Fischer et al. Longitudinal Quality of Life of Children With T1DM Thus, special attention should be drawn to HRQL of children and adolescents with higher HbA1c concentrations. The minimal relationship between HbA1c and HRQL indicates that the two therapy goals, i.e., achievement and maintenance of glycemic targets and high HRQL, should be considered and evaluated independently in clinical routine. Trial Registration: DRKS00006326 (German Clinical Trial Register), date of registration: August 1st, 2014.

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“…No se han encontrado otros estudios que aborden este aspecto.5.4.7. Otros factoresEstudios como el de Mozzillo et al121 sugieren que pacientes que siguen estilos de vida poco saludables: comportamiento sedentario, baja realización de actividad física o no siguen dieta mediterránea, entre otros factores, tienen peor CVRS.…”

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Necesidades de cuidados en niños con diabetes mellitus tipo 1 en el entorno familiar, sanitario y escolar en el Principado de Asturias

Álvarez¹

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Conclusiones La enfermedad influye en la calidad de vida percibida, los padres consideran la calidad de vida de sus hijos peor que los propios niños. Debido al impacto emocional y cognitivo que supone el ingreso al debut de la enfermedad y sobre todo tras el alta hospitalaria, las familias precisan apoyo y formación. Según sus declaraciones y el análisis de los registros en las historias clínicas, parece que la formación resulta deficitaria. En lo relativo a la escolarización, los niños se integran bien en el colegio, pero a costa del esfuerzo de los padres pues refieren escaso apoyo por parte de las instituciones, hecho que condiciona su vida laboral, especialmente en el caso de las madres.

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Unhealthy lifestyle habits and diabetes-specific health-related quality of life in youths with type 1 diabetes

Abstract: The clustering of unhealthy lifestyle habits is associated with reduced HRQoL in adolescents and young adults with T1DM. Promoting multiple behavior changes may be a useful approach to improve the health status and the HRQoL in youths with T1DM.

Cited by 40 publications

References 43 publications

The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes

The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes

Trajectories of Health-Related Quality of Life and HbA1c Values of Children and Adolescents With Diabetes Mellitus Type 1 Over 6 Months: A Longitudinal Observational Study

Necesidades de cuidados en niños con diabetes mellitus tipo 1 en el entorno familiar, sanitario y escolar en el Principado de Asturias

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