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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Ed. by Bereket, Abdullah / Darendeliler, Feyza / Dattani, Mehul / Gustafsson, Jan / Luo, Fei Hong / Mericq, Veronica / Ogata, Tsutomu / Toppari, Jorma

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IMPACT FACTOR 2017: 1.086

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2191-0251
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Volume 29, Issue 6

Issues

Health-related quality of life in children and adolescents with type 1 diabetes mellitus from Montenegro: relationship to metabolic control

Mira Samardzic
  • Corresponding author
  • Institute for Sick Children, Department of Endocrinology and Diabetes, Ljubljanska bb, 81000 Podgorica, Montenegro, Phone: +382 67 54 861
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Husref Tahirovic
  • Academy of Sciences and Arts of Bosnia and Herzegovina, Department for Research and Education, Sarajevo, Bosnia and Herzegovina
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Natasa Popovic / Milena Popovic-Samardzic
Published Online: 2016-04-07 | DOI: https://doi.org/10.1515/jpem-2015-0420

Abstract

Background: The aim of this study was to evaluate health-related quality of life (HRQOL) in children and adolescents with type 1 diabetes (TIDM) in Montenegro compared with healthy controls and to estimate the effect of metabolic control on perceptions of HRQOL.

Methods: This study involved children and adolescents with T1DM, age- and gender-matched healthy children and their parents. Children and adolescents with T1DM and their parents completed Peds QL 4.0 Generic Core Scales (GCS) and PedsQL 3.0 Diabetes Module. Healthy children and their parents completed self- and proxy-report of Peds QL 4.0 GCS.

Results: Our study (self- and proxy-report) showed that children and adolescents with T1DM had lower HRQOL on domain “Psychosocial health” and “School functioning” compared with healthy population (p=0.008; p≤0.001). Lower glycosylated hemoglobin (HbAlc) values were associated with fewer worries, and better health perception by diabetic children and their parents. We did not find notable differences between boys and girls on health perception. Different age groups reported similar QOL. Parents reported that the illness has a greater impact on children’s lives than the children reported themselves.

Conclusions: Compared with the healthy children, the HRQOL was lower among children and adolescents with T1DM. Lower HbA1c was associated with better quality of life.

Keywords: children; health related quality of life; Montenegro; type 1 diabetes mellitus

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About the article

Received: 2015-10-06

Accepted: 2016-01-22

Published Online: 2016-04-07

Published in Print: 2016-06-01


Citation Information: Journal of Pediatric Endocrinology and Metabolism, Volume 29, Issue 6, Pages 663–668, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/jpem-2015-0420.

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