Comparison of Quality of Life among Adolescents with and without Diabetes in Gujrat, Pakistan
DOI:
https://doi.org/10.51253/pafmj.v73i6.7105Keywords:
Adolescent, Diabetes mellitus, Quality of lifeAbstract
Objective: To compare the quality of life among adolescents with and without diabetes and explore the association of age and gender with diabetes.
Study Design: Cross-sectional comparative study.
Place and Duration of Study: Different Clinics and Hospitals, of District, Gujrat Pakistan, from Sep 2020 to Mar 2021.
Methodology: Adolescents with diabetes who had an HbA1C level of ≥6.5%, and age-matched, healthy adolescents as controls were included. The adolescents with diabetes were sub-grouped into early and late adolescents based on age (10-14 years and 15-19 years, respectively). Youth Quality of Life Questionnaire was used as the investigative tool.
Results: Twenty-nine adolescents (mean age: 14.2±2.9 years) were in the Diabetes-Group, and 356 adolescents (mean age:
14.8±2.7 years) were in the Control-Group. The Control-Group had significantly better mean scores in each domain than the
Diabetes-Group (p<0.001). Early adolescents with diabetes had better scores in the self-care domain (p=0.014) than late
adolescents. The scores remained uninfluenced by gender in adolescents with diabetes (p=0.118, 0.284, 0.185, 0.419, and 0.169, respectively).
Conclusion: The quality of life scores among our study adolescents with diabetes was poor as compared to the age-matched healthy adolescents. Age appeared to be a negative factor for the quality of life parameters among adolescents with diabetes.
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References
Shahi RK, Nigam P. Analysis of Prescribing Patterns of
Antihypertensive and Antidiabetic Medications in Patients. J
Pharm Biomed Sci 2016; 6(1): 22-25.
Ramachandran A. Know the signs and symptoms of diabetes.
Indian J Med Res 2014; 140(5): 579-581.
Karimi M, Brazier J. Health, Health-Related Quality of Life, and
Quality of Life: What is the Difference? Pharmacoeconomics
; 34(7): 645–649. https://doi.org/10.1007/s40273-016-0389-9.
Askari S, Imran N, Fawwad A, Butt A, Riaz M, Naseem R, et al.
Health-related quality of life of Pakistani adolescents with type-1
diabetes and their parents. Int J Diabetes Dev Ctries 2020; 40(3):
-441. http://doi.org/10.1007/s13410-020-00800-z.
Zahra R, Baig KB, Sadiq U. Illness acceptance, diabetes specific
distress and quality of life in adolescents with type-1 diabetes
mellitus. Pak J Physiol 2020; 16(1): 37-40.
Lizama Fuentes F, Ormeño Rojas S, Mourguiart Liberona F,
Fuentes Cammell J, López-Alegría F. Impacto en la calidad de
vida de los adolescentes con diabetes mellitus tipo 1 [Impact on
the quality of life of adolescents with diabetes mellitus type 1].
Rev Chil Pediatr 2020; 91(6): 968-981.
https://doi.org/10.32641/rchped.vi91i6.2457.
Edwards TC, Huebner CE, Connell FA, Patrick DL. Adolescent
quality of life, part I: conceptual and measurement model. J
Adolesc 2002; 25(3): 275-286.
https://doi.org/10.1006/jado.2002.0470.
Samardzic M, Tahirovic H, Popovic N, Popovic-Samardzic M.
Health-related quality of life in children and adolescents with
type-1 diabetes mellitus from Montenegro: relationship to
metabolic control. J Pediatr Endocrinol Metab 2016; 29(6): 663-
https://doi.org/10.1515/jpem-2015-0420.
Kalyva E, Malakonaki E, Eiser C, Mamoulakis D. Health‐related
quality of life (HRQoL) of children with type 1 diabetes mellitus
(T1DM): self and parental perceptions. Pediatr Diabetes 2011;
(1): 34-40. https://doi.org/10.1111/j.1399-5448.2010.00653.x.
Murillo M, Bel J, Pérez J, Corripio R, Carreras G, Herrero X, et al.
Health-related quality of life (HRQOL) and its associated factors
in children with Type-1 Diabetes Mellitus (T1DM). BMC Pediatr
; 17(1): 16. https://doi.org/10.1186%2Fs12887-017-0788-x.
Sundberg F, Sand P, Forsander G. Short Report : Educational and
Psychological Issues Health-related quality of life in preschool
children with Type 1 diabetes. Diabetes Med 2014; 32(1): 116–119.
https://doi.org/10.1111/dme.12557.
Konstantaki E, Perdikaris P, Vlachioti E, Koumpagioti D,
Mpoutopoulou V. Comparison of health-related quality of life in
young people with and without type 1 diabetes: Young people
and parents' reports. J Diabetes Nurs 2020; 24(1): 1-7.
Monir ZM, El Samahy MH, Eid EM, Khalifa AG, abd-ElMaksoud
Sa-EM, Abbas MAM, et al. Health-related quality of life in a
group of Egyptian children and adolescents with type 1 diabetes:
relationship to microvascular complications. Bull National Res
Centre 2019; 43(1): 1-14.
https://doi.org/10.1186/s42269-019-0180-0.
Emmanouilidou E, Galli-Tsinopoulou A, Karavatos A. Quality of
life of children and adolescents with diabetes of Northern Greek
origin. Hippokratia 2008; 12(3): 168-175.
Baş VN, Bideci A, Yeşilkaya E, Soysal AŞ, Çamurdan O, Cinaz P,
et al. Evaluation of factors affecting quality of life in children
with type 1 diabetes mellitus. J Diabetes Metab 2011; 2(8): 154-
https://doi.org/10.4172/2155-6156.1000154.
Arabiat DH, Al Jabery MA. Health related quality of life in
paediatric chronic health conditions: A comparative study
among children and adolescents in Jordan. Health 2013; 5(11B):
-24. http://doi.org/10.4236/health.2013.511A2004
Gadallah MA, Ismail T, Aty N. Health related quality of life
among children with Type I diabetes, Assiut city, Egypt. J Nurs
Educ Pract 2017; 7(10): 73-82.
http://doi.org/10.5430/jnep.v7n10p73.
Yu M, Han K, Nam GE. The association between mental health
problems and menstrual cycle irregularity among adolescent
Korean girls. J Affect Disord 2017; 210: 43-48.
https://doi.org/10.1016/j.jad.2016.11.036.
Östberg V, Almquist YB, Folkesson L, Låftman SB, Modin B,
Lindfors P, et al. The complexity of stress in mid-adolescent girls
and boys. Child Indicators Res 2015; 8(2): 403-423.
http://dx.doi.org/10.1007/s12187-014-9245-7.
Griffiths S, Murray SB, Bentley C, Gratwick-Sarll K, Harrison C,
Mond JM, et al. Sex Differences in Quality of Life Impairment
Associated With Body Dissatisfaction in Adolescents. J Adolesc
Health 2017; 61(1): 77-82.