Association of socio-demographic and anthropometric characteristics with the management and glycemic control in type 1 diabetic children from the province of El Jadida (Morocco)

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
S. Jamal, Training Nutrition, Houda Elfane, Imane Barakat, Khadija Sahel, M. Mziwira, A. Fassouane, R. Belahsen
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Abstract

Background: Diabetes is a real public health problem in children and adolescents because of its chronicity and the difficulty in the control of blood glucose levels at paediatric age. Objective: The aim of this study was to assess the link of socio-demographic and anthropometric characteristics with the management and glycemic control in children with type1 diabetes (T1D). Materials and Methods: The study included a sample of 184 children with T1D of 15 years old or less. A structured questionnaire was used to collect information on socio-demographic status, characteristics and complications of the disease, diabetes management, diet, physical activity and therapeutic education of participants. Weight and height were measured and body mass index calculated. Results: The mean age of the patients surveyed was 8.49 ± 4.1 years; the majority (68.5%) was of school age, female (53.2%) and was from low socioeconomic level (83.2%). Only 20.1% of the patients had a good glycemic control. The low socioeconomic status and overweight or obesity were significantly more prevalent in children with poor compared to those with good glycemic control (P ≤ 0.001). Multivariate analysis revealed an association of poor glycemic control with the family history of diabetes (adjusted OR = 38.70, 95% CI: 11.61, 128.98) and the absence of therapeutic education (adjusted OR = 3.29, 95% CI: 1.006, 10.801). Conclusions: This study shows that diabetes is associated with overweight and obesity in children and that the quality of glycemic control is
摩洛哥El Jadida省1型糖尿病儿童的管理和血糖控制与社会人口统计学和人体测量学特征的关系
背景:糖尿病是儿童和青少年的一个真正的公共卫生问题,因为它的慢性和难以控制的血糖水平在儿科年龄。目的:本研究的目的是评估社会人口学和人体测量学特征与1型糖尿病(T1D)儿童的管理和血糖控制之间的联系。材料与方法:本研究纳入184例15岁及以下T1D患儿。使用结构化问卷收集有关参与者的社会人口状况、疾病特征和并发症、糖尿病管理、饮食、体育活动和治疗教育的信息。测量体重和身高,计算体重指数。结果:受访患者平均年龄为8.49±4.1岁;大多数(68.5%)为学龄儿童,女性(53.2%),来自低社会经济水平(83.2%)。仅有20.1%的患者血糖控制良好。与血糖控制良好的儿童相比,低社会经济地位和超重或肥胖在血糖控制较差的儿童中更为普遍(P≤0.001)。多因素分析显示,血糖控制不良与糖尿病家族史(调整后OR = 38.70, 95% CI: 11.61, 128.98)和缺乏治疗教育(调整后OR = 3.29, 95% CI: 1.006, 10.801)有关。结论:本研究表明,糖尿病与儿童超重和肥胖有关,血糖控制质量与肥胖有关
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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