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Vol.5 , No. 2, Publication Date: Apr. 10, 2018, Page: 27-34
 evaluation quantifies the degree to which a medical condition or its treatment impacts an individual’s life. A major goal of diabetes care is to enable individuals to manage their condition without experiencing diminished quality of life. Identifying impaired quality of life is a recognized component of diabetes management with no published data in Nigerian children with diabetes. The aim was to evaluate the HRQoL of children with T1DM aged 5-18years in Nigeria compared with that of healthy control and other children with T1DM in other countries and to identify the impact of age, gender, age at onset of diabetes, duration of diabetes, metabolic control and socioeconomic status on HRQoL. The Quality of life scores were obtained using the Paediatric Quality of Life inventory. Diabetes and Generic Modules were administered to 58 children with T1DM and their parents. Generic Module was completed by 58 age and sex-matched control participants and their parents. A questionnaire was completed recording their socio-demographic data and the HbA1c levels of the children with T1DM determined. Two hundred and thirty two participants took part in the study. The mean total generic scores of the children with and without diabetes were 80.5±1.7 and 82.5±1.2 respectively (p=0.3). The school functioning was significantly lower in the children with diabetes when compared with the control 63.3±2.9 and 73.9±2.0 respectively (p=0.003). Lower HbA1c values (p=0.04), Short duration of diabetes (p=0.002) and young age (p=0.01) were associated with better QoL scores. The perception of HRQoL was similar in children with and without T1DM. However, the school functioning domain was significantly impaired in the former. Young age, lower HbA1c value and short duration of diabetes, were associated with better HRQoL in children with diabetes.&picture=http://www.aascit.org/aascit/decorators/img/journal/906.jpg)
| [1] | Ogugua Chinwe Flora, Department of Paediatrics, Federal Teaching Hospital Abakaliki, Nigeria. |
| [2] | Chikani Ugo Nnenna, Department of Paediatrics, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria. |
| [3] | Ibekwe Mary Ann Ugochi, Department of Paediatrics, Federal Teaching Hospital, Ebonyi State University, Abakaliki, Nigeria. |
| [4] | Ibe Bide Chidozie, Department of Paediatrics, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria. |
Health related quality of life (HRQoL) evaluation quantifies the degree to which a medical condition or its treatment impacts an individual’s life. A major goal of diabetes care is to enable individuals to manage their condition without experiencing diminished quality of life. Identifying impaired quality of life is a recognized component of diabetes management with no published data in Nigerian children with diabetes. The aim was to evaluate the HRQoL of children with T1DM aged 5-18years in Nigeria compared with that of healthy control and other children with T1DM in other countries and to identify the impact of age, gender, age at onset of diabetes, duration of diabetes, metabolic control and socioeconomic status on HRQoL. The Quality of life scores were obtained using the Paediatric Quality of Life inventory. Diabetes and Generic Modules were administered to 58 children with T1DM and their parents. Generic Module was completed by 58 age and sex-matched control participants and their parents. A questionnaire was completed recording their socio-demographic data and the HbA1c levels of the children with T1DM determined. Two hundred and thirty two participants took part in the study. The mean total generic scores of the children with and without diabetes were 80.5±1.7 and 82.5±1.2 respectively (p=0.3). The school functioning was significantly lower in the children with diabetes when compared with the control 63.3±2.9 and 73.9±2.0 respectively (p=0.003). Lower HbA1c values (p=0.04), Short duration of diabetes (p=0.002) and young age (p=0.01) were associated with better QoL scores. The perception of HRQoL was similar in children with and without T1DM. However, the school functioning domain was significantly impaired in the former. Young age, lower HbA1c value and short duration of diabetes, were associated with better HRQoL in children with diabetes.
Keywords
Health-Related Quality of Life, Type 1 Diabetes Mellitus, Children, Short Duration, HbA1c
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