Factors related to glycemic control in children and adolescents with type 1 diabetes mellitus in Isfahan, Iran

Hashemipour, Mahin; Hovsepian, Silva; Mozafarian, Nafiseh; Motaghi, Zohreh; Izadikhah, Elahe; Maracy, Mohammad Reza

doi:10.1007/s40200-021-00854-8

Cited by 7 publications

(6 citation statements)

References 48 publications

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“…We noted that passive smoking was associated with a COPD risk, the differences in relative risk estimates between passive smoking groups were considered low and may not be significantly meaningful. Passive smoking has been reported as a risk factor for diabetes and COPD, 35,36 cross‐sectional study found participants with passive smoking had higher HbA1c levels than those without 37 . Moreover, we found that the association between HbA1c levels and COPD was stronger among participants with a higher Townsend deprivation index.…”

Section: Discussionsupporting

confidence: 52%

“…Passive smoking has been reported as a risk factor for diabetes and COPD, 35,36 cross-sectional study found participants with passive smoking had higher HbA1c levels than those without. 37 Moreover, we found that the association between HbA1c levels and COPD was stronger among participants with a higher Townsend deprivation index. Previous studies found that those with a lower socioeconomic status would probably develop COPD.…”

Section: Discussionmentioning

confidence: 67%

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Association between glycated haemoglobin and the risk of chronic obstructive pulmonary disease: A prospective cohort study in UK biobank

Li,

Wan,

Zhu

et al. 2023

Diabetes Obesity Metabolism

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AimsTo investigate the association between glycated haemoglobin (HbA1c) levels and chronic obstructive pulmonary disease (COPD) incidents in the general population, and the association between HbA1c levels and mortality in patients with COPD.Materials and MethodsWe investigated the association of HbA1c levels with COPD risk in the general population in the UK Biobank, using data from 420 065 participants. Survival analysis was conducted for 18 854 patients with COPD. We used restricted cubic spline analysis to assess the dose‐response relationship between HbA1c levels and COPD risk and survival. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) with 95% confidence intervals (CIs).ResultsDuring a median follow‐up of 12.3 years, 11 556 COPD cases were recorded. HbA1c had a non‐linear relationship with COPD risk (p for non‐linearity < .05). Compared with the quintile 2 (32.2‐<34.3 mmol/mol), those with HbA1c levels above 38.7 mmol/mol (quintile 5) had a 22% (HR, 1.22, 95% CI: 1.15‐1.30) higher risk of COPD. Compared with the HbA1c decile 2 (30.5‐<32.2 mmol/mol), the HRs (95% CI) of COPD risk were 1.16 (1.03‐1.30) and 1.36 (1.24‐1.50) in the lowest HbA1c decile (<30.5 mmol/mol) and highest decile (≥41.0 mmol/mol), respectively. The increased COPD risk associated with HbA1c was more pronounced in younger, current smokers, passive smokers, and participants with a higher Townsend deprivation index (all p for interaction < .05). Among patients with COPD, 4569 COPD cases died (488 because of COPD) during a median follow‐up of 5.4 years. Regarding COPD survival, HbA1c had a non‐linear relationship with all‐cause death (p for non‐linearity < .05). Those with HbA1c quintile 5 (≥38.7 mmol/mol) had a 23% (HR, 1.23, 95% CI: 1.10‐1.37) higher risk of all‐cause death compared with the quintile 2 (32.2‐<34.3 mmol/mol). Compared with the HbA1c decile 4 (33.3‐<34.3 mmol/mol), those in the lowest HbA1c decile (<30.5 mmol/mol) and highest HbA1c decile (≥41.0 mmol/mol) had 22% (HR, 1.22; 95% CI: 1.01‐1.47) and 28% (HR, 1.28; 95% CI: 1.11‐1.48) higher risk for overall death. However, no significant association was observed between HbA1c levels and the risk of COPD‐specific death.ConclusionsOur findings indicated that lower and higher HbA1c levels were associated with a higher risk of COPD. In COPD cases, lower and higher HbA1c levels were associated with a higher COPD all‐cause death risk.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 67%

Association between glycated haemoglobin and the risk of chronic obstructive pulmonary disease: A prospective cohort study in UK biobank

Li,

Wan,

Zhu

et al. 2023

Diabetes Obesity Metabolism

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“…In the study of Hessler et al ( 17 ), it was reported that parents of sons experienced more diabetes-related stress. In another study, it was found that families of adolescent girls experienced more stress ( 33 ). The present study found no significant patient gender effect and the scale score.…”

Section: Discussionmentioning

confidence: 96%

“…Hessler et al ( 17 ) found a positive correlation between both frequency of hypoglycemia and HbA1c level and stress. In a study among Lithuanian youth, parents of young people with good diabetes control had lower stress levels ( 33 ).…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Turkish Validity and Reliability of the Parent Diabetes Distress Scale

KARAHAN

Ağadayı

Sarı

et al. 2023

Jcrpe

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Objective: The aim of this study was to evaluate the validity and reliability of the Turkish translation of the Parent Diabetes Distress Scale (PDDS). Methods: The PDDS is a 5-point Likert-type scale with 20 items. After obtaining permission from the scale developers, the study commenced. First, a systematic adaptation of the scale into the Turkish language was performed including translation, expert panel review, back translation, and pilot study. Test-retest was applied to 35 participants. After these procedures, data collection was undertaken using the adapted PDDS and a demographic data collection form. The collected data were analyzed for reliability, including stability of the scale with test-retest and internal consistency of the scale (Cronbach’s α), and validity including construct validity of the scale with confirmatory factor analysis (CFA). Results: The parents of 210 teenagers, aged >11 and <18 years, who had been diagnosed with type 1 diabetes mellitus for at least one year were included. Of these parents, 71.9% (n=151) were mothers and 53.3% (n=112) of the children were girls. The Cronbach’s α value was 0.906. The results of the CFA were χ 2 /df=4.406, p<0.001, comparative fit test 0.704, and goodness of fit tests 0.749. The mean total PDDS score was 2.2±0.7. These results indicate that scores of 1.6 points or less was evaluated as “little or no distress” 1.7-2.4 as “moderate distress,” and >2.4 points as “high distress”. This showed that the majority of the parents in the study experienced moderate or severe diabetes-related distress. Conclusion: The Turkish version of the PDDS fulfilled the validity and reliability tests at an acceptable level.

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“…In addition, studies have shown that metabolic control worsens during puberty because insulin resistance rises during puberty, but reduces to prepubertal levels at the end of puberty. 10,40,41 And the implication for us is that medical staff cannot take for granted that as the course of the disease progresses, adolescents with T1DM can better control their blood glucose.…”

Section: Discussionmentioning

confidence: 99%

Patient-Centered Positive Factors Influencing Glycemic Control in Adolescents with Type 1 Diabetes Mellitus in China: A Cross-Sectional and Longitudinal Study

Yu,

Wang,

Zhu

et al. 2024

PPA

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This study aimed to explore the stable longitudinal patient-centered self-protective factors of glycosylated hemoglobin (HbA1c) in adolescents with type 1 diabetes mellitus (T1DM). Methods: We used both cross-sectional and longitudinal datasets at the Diabetes Education Center and National Endocrine and Metabolism Centre of a university hospital in China from April 2020 to July 2022. Participants were assessed using the Adolescent Diabetic Behavior Rating Scale (DBRS), Diabetes Strengths and Resilience Measure for Adolescents (DSTAR-Teen). HbA1c and other clinical variables were obtained from the medical record at the same time. 266 adolescents (131 male, age 14.1±3.9 years) completed the cross-sectional assessments and 131 (62 male, age 14.6±3.3 years) participated in a follow-up at a 1-year visit interval. Results: Logistic regression analysis of cross-sectional data of 266 cases showed that there were significant positive effects between pump treatment (β=0.090, OR 2.460, P=0.005), DBRS scores (β=2.593, OR 13.366, P=0.002) and the meeting of standard HbA1c (<7.5%, 58 mmol/mol). Disease duration (β=−0.071, OR 0.932, P=0.033) was negatively correlated with it. The longitudinal multivariate generalized estimation equation model showed that DBRS scores (β=3.165, OR 23.681, P=0.009) and DSTAR-Teen scores (β=0.050, OR 1.051, P=0.012) had a positive influence on the meeting of standard HbA1c over one year time of 131 cases. Conclusion: Self-care and resilience had higher cross-temporal stability in influencing glycemic control over time. To reach a better glycemic control and improve long-term health outcomes, attention should be paid to the detection and enhancement of these patientcentered promoters.

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Factors related to glycemic control in children and adolescents with type 1 diabetes mellitus in Isfahan, Iran

Cited by 7 publications

References 48 publications

Association between glycated haemoglobin and the risk of chronic obstructive pulmonary disease: A prospective cohort study in UK biobank

Association between glycated haemoglobin and the risk of chronic obstructive pulmonary disease: A prospective cohort study in UK biobank

Psychometric Properties of the Turkish Validity and Reliability of the Parent Diabetes Distress Scale

Patient-Centered Positive Factors Influencing Glycemic Control in Adolescents with Type 1 Diabetes Mellitus in China: A Cross-Sectional and Longitudinal Study

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