Evaluating the Quality of Life in Children Aged 10- 16 with Type 1 Diabetes in Yazd: A Comprehensive Assessment of Psychological, Social, and Health-Related Challenges

Falahati, Mohammad Mehdi; Namiranian, Nasim; Anoosheh, Vida Sadat; Rostami, Masoud; Ferdosian, Farzad; Shajari, Ahmad

doi:10.18502/ijdo.v17i1.18029

Volume 17, Issue 1 (2-2025) IJDO 2025, 17(1): 10-18 | Back to browse issues page

‎ 10.18502/ijdo.v17i1.18029

Mendeley

Zotero

RefWorks

Falahati M M, Namiranian N, Anoosheh V S, Rostami M, Ferdosian F, Shajari A. Evaluating the Quality of Life in Children Aged 10- 16 with Type 1 Diabetes in Yazd: A Comprehensive Assessment of Psychological, Social, and Health-Related Challenges. IJDO 2025; 17 (1) :10-18
URL: http://ijdo.ssu.ac.ir/article-1-930-en.html

Evaluating the Quality of Life in Children Aged 10- 16 with Type 1 Diabetes in Yazd: A Comprehensive Assessment of Psychological, Social, and Health-Related Challenges

Mohammad Mehdi Falahati

, Nasim Namiranian

, Vida Sadat Anoosheh

, Masoud Rostami

, Farzad Ferdosian

, Ahmad Shajari ^*

Assistant Professor of Pediatrcs Nephrology Ali-Ebne-Abitaleb School of Medicine,Islamic Azad university,Yazd,Iran.

Abstract: (75 Views)

Objective: Type 1 diabetes significantly affects children physical, emotional, social, and academic well-being, reducing their Quality of Life (QoL) and potentially causing psychological problems. This study evaluates the QoL in children aged 10 - 16 with type 1 diabetes in Yazd.
Materials and Methods: In this analytical cross-sectional study, 75 children with type 1 diabetes who visited healthcare clinics in Yazd were assessed. Data were collected using a demographic questionnaire and the Pediatric QoL Inventory (PedsQL), QoL questionnaire, evaluating four subscales: physical, emotional, social, and academic performance. Data were analyzed using SPSS -24 software.
Results: The highest QoL score was in the physical dimension (mean: 8.51 (± 7.04)), while the lowest was in academic performance (mean: 4.02 (± 3.75)). A significant relationship was found between gender and academic performance (girls: 2.43 (± 1.58), boys: 1.93 (± 1.04)) (P= 0.021). HbA1C levels significantly correlated with academic (P= 0.028) and social (P= 0.013) dimensions. Parental education (father: P= 0.007, mother: P= 0.047) and employment status (father: P= 0.039, mother: P= 0.025) were also associated with QoL and academic performance.
Conclusion: Type 1 diabetes particularly impacts the academic and social dimensions of QoL in children, potentially leading to long-term psychological consequences. Further research should explore therapeutic, educational, and familial interventions to enhance their QoL.

Keywords: Life quality, Children, Type 1 diabetes, Yazd

Full-Text [PDF 595 kb] (45 Downloads)

Type of Study: Research | Subject: Special
Received: 2024/12/12 | Accepted: 2025/01/20 | Published: 2025/02/27

References

1. Ajmal N, Bogart M, Corbin K, Khan P, Shafqat M, Bergmeier S, et al. 8010 Potent MSB-61 as Type 1 Diabetes (T1D) therapy: mechanism of action in insulin secretion. Journal of the Endocrine Society. 2024;8(Supplement_1):bvae163-886.

2. Kang TG, Youngblood B. Genetics and Epigenetics of Type 1 Diabetes Self-Reactive T Cells. Cold Spring Harbor Perspectives in Medicine. 2024:a041586.

3. Yameny AA. Diabetes Mellitus Overview 2024. Journal of Bioscience and Applied Research. 2024;10(3):641-5.

4. James S, Maniam J, Cheung PT, Urakami T, von Oettingen J, Likitmaskul S, et al. Epidemiology and phenotypes of diabetes in children and adolescents in non-European-origin populations in or from Western Pacific region. World Journal of Clinical Pediatrics. 2022;11(2):173.

5. Ogle GD, James S, Dabelea D, Pihoker C, Svennson J, Maniam J, et al. Global estimates of incidence of type 1 diabetes in children and adolescents: Results from the International Diabetes Federation Atlas. Diabetes research and clinical practice. 2022;183:109083.

6. Bahal M, Pande V, Dua J, Mane S. Advances in type 1 diabetes mellitus management in children. Cureus. 2024;16(8):e67377.

8. Streisand R, Monaghan M. Young children with type 1 diabetes: challenges, research, and future directions. Current diabetes reports. 2014;14:1-9.

9. Giblin S, Scully P, Dalton N, Connolly M, McCaffrey A, Sheikhi A, et al. Parent and child perceptions of physical activity with type 1 diabetes. BMJ Open Diabetes Research and Care. 2022;10(6):e002977.

10. Zambanini A, Newson RB, Maisey M, Feher MD. Injection related anxiety in insulin-treated diabetes. Diabetes research and clinical practice. 1999;46(3):239-46.

11. Halvorson M, Yasuda P, Carpenter S, Kaiserman K. Unique challenges for pediatric patients with diabetes. Diabetes Spectrum. 2005;18(3):167-73.

12. Whitgob EE, Loe IM. Impact of chronic medical conditions on academics of children in the child welfare system. Frontiers in Public Health. 2018;6:267.

13. Glaab LA, Brown R, Daneman D. School attendance in children with type 1 diabetes. Diabetic Medicine. 2005;22(4):421-6.

14. Mitchell RJ, McMaugh A, Woodhead H, Lystad RP, Zurynski Y, Badgery‐Parker T, et al. The impact of type 1 diabetes mellitus in childhood on academic performance: a matched population‐based cohort study. Pediatric Diabetes. 2022;23(3):411-20.

15. de Wit M, Gajewska KA, Goethals ER, McDarby V, Zhao X, Hapunda G, et al. ISPAD clinical practice consensus guidelines 2022: psychological care of children, adolescents and young adults with diabetes. Pediatric diabetes. 2022;23(8):1373.

16. Portela-Pino I, Domínguez-Alonso J, Alvariñas-Villaverde M, Chinchilla-Mira JJ. Influence of personal, academic, social, and level of physical activity variables on emotional intelligence. Children. 2022;9(2):286.

17. Van Duinkerken E, Snoek FJ, De Wit M. The cognitive and psychological effects of living with type 1 diabetes: a narrative review. Diabetic Medicine. 2020 ;37(4):555-63.

18. Gopisetty D, Levine B, Liu N, Younge P, Brown A, Close KL, et al. How does diabetes affect daily life? A beyond-A1C perspective on unmet needs. Clinical Diabetes. 2018;36(2):133-7.

19. Lukács A, Bettina Zagraj V, Bartkone Kovacs A, Soós A, Török A, et al. Health-related quality of life of preschool-aged children with type 1 diabetes in the context of family and maternal functioning. Journal of Child Health Care. 2022;26(1):31-41.

20. Varni JW, Limbers CA, Burwinkle TM. Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL™ 4.0 Generic Core Scales. Health and quality of life outcomes. 2007;5:1-5.

21. Varni JW, Seid M, Kurtin PS. PedsQL™ 4.0: Reliability and validity of the Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales in healthy and patient populations. Medical care. 2001;39(8):800-12.

22. Varni JW, Burwinkle TM, Jacobs JR, Gottschalk M, Kaufman F, Jones KL. The PedsQL™ in type 1 and type 2 diabetes: reliability and validity of the Pediatric Quality of Life Inventory™ generic core scales and type 1 diabetes module. Diabetes care. 2003;26(3):631-7.

23. Askari M, Namiranian N, Aghaee-Meybody SM, Mozafari Z, Shariati M. The First Phase Registration of Type 1 Diabetes in Yazd, Iran. Iranian journal of diabetes and obesity. 2021;13(4):144-49.

24. Laffel LM, Connell A, Vangsness L, Goebel-Fabbri A, Mansfield A, Anderson BJ. General quality of life in youth with type 1 diabetes: relationship to patient management and diabetes-specific family conflict. Diabetes care. 2003;26(11):3067-73.

25. Beck JK, Cogen FR. Outpatient management of pediatric type 1 diabetes. The Journal of Pediatric Pharmacology and Therapeutics. 2015;20(5):344-57.

26. Sperber AD. Translation and validation of study instruments for cross-cultural research. Gastroenterology. 2004;126:S124-8.

27. Shen Y, Chen Y, Huang S, Yao X, Kanwar YS, Zhan M. The Association between Symptoms of Depression and Anxiety, Quality of Life, and Diabetic Kidney Disease among Chinese Adults: A Cross-Sectional Study. International journal of environmental research and public health. 2022;20(1):475.

28. Bai JW, Lovblom LE, Cardinez M, Weisman A, Farooqi MA, Halpern EM, et al. Neuropathy and presence of emotional distress and depression in longstanding diabetes: results from the Canadian study of longevity in type 1 diabetes. Journal of Diabetes and its Complications. 2017;31(8):1318-24.

29. Shapira A, Harrington KR, Goethals ER, Volkening LK, Laffel LM. Health‐related quality of life in youth with type 1 diabetes: Associations with multiple comorbidities and mental health conditions. Diabetic Medicine. 2021;38(10):e14617.

30. De Wit M, Delemarre-van de Waal HA, Bokma JA, Haasnoot K, Houdijk MC, Gemke RJ, et al. Monitoring and discussing health-related quality of life in adolescents with type 1 diabetes improve psychosocial well-being: a randomized controlled trial. Diabetes care. 2008;31(8):1521-6.

31. Lukács A. Physical fitness and health-related quality of life in children and adolescents with type 1 diabetes mellitus. Debreceni Egyetem (Hungary); 2013.

32. Alcañiz M, Solé-Auró A. Feeling good in old age: factors explaining health-related quality of life. Health and quality of life outcomes. 2018 ;16:1-9.

33. Al Qadire M, ALHosni F, Al-Daken L, Aljezawi ME, Al Omari O, Khalaf A. Quality of Life and Its Predictors among Patients with Selected Chronic Diseases. InNursing Forum . Hindawi.2023;2023(11):6657164.

34. Redemptus PW, Roga AU. Holistic Therapy to Improve Quality of Life in Chronic Disease Patients. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education. 2023;11(1SP):108-12.

35. Tanabe T, Snyder AR, Bay RC, Valovich McLeod TC. Representative values of health-related quality of life among female and male adolescent athletes and the impact of gender. Athletic Training & Sports Health Care. 2010;2(3):106-12.

36. Abd El-Satar SM, Mohamed SF, Zeid WA, Ismail MA, Atwa HA. Quality of Life among Adolescents with Diabetes Mellitus Type 1 Attending Pediatric Unit of Diabetes Mellitus, Suez Canal University Hospital. The Egyptian Journal of Hospital Medicine . 2023;93:7627-32.

37. Siddiqui MA, Khan MF, Carline TE. Gender differences in living with diabetes mellitus. Materia socio-medica. 2013;25(2):140.

38. Hirose M, Beverly EA, Weinger K. Quality of life and technology: impact on children and families with diabetes. Current diabetes reports. 2012;12:711-20.

39. Graue M, Wentzel-Larsen T, Bru E, Hanestad BR. The coping styles of adolescents with type 1 diabetes are associated with degree of metabolic control. Clinical Diabetology. 2004;5(4):217-24.

40. Chiu C, Kyzar K, Zuna N, Turnbull A, Summers JA, Gomez VA. 23 Family Quality of Life. The Oxford handbook of positive psychology and disability. 2013:365.

41. Francisco Mora C, Ibáñez A, Balcells-Balcells A. State of the art of family quality of life in early care and disability: A systematic review. International Journal of Environmental Research and Public Health. 2020;17(19):7220.

42. Bolin J, Schulze A, Helduser J, Ory M. The burden of diabetes in rural America. Rural Healthy People 2020. 2015:43-53.

43. Mercado CI, McKeever Bullard K, Gregg EW, Ali MK, Saydah SH, Imperatore G. Differences in US rural-urban trends in diabetes ABCS, 1999-2018. Diabetes Care. 2021;44(8):1766-73.

44. Alsahli MA, Alalwan A, Aburisheh KH, Alarifi FF, Alshaya HM, Alkholaif AF, et al. Assessing satisfaction, quality of life, and HbA1c changes in type 1 diabetes patients who are using freestyle libre glucose monitoring. Journal of Family Medicine and Primary Care. 2024;13(6):2367-74.

45. Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes/metabolism research and reviews. 1999;15(3):205-18.https://doi.org/10.1002/(SICI)1520-7560(199905/06)15:3<205::AID-DMRR29>3.0.CO;2-O [DOI:10.1002/(SICI)1520-7560(199905/06)15:33.0.CO;2-O]

46. Gebremedhin T, Workicho A, Angaw DA. Health-related quality of life and its associated factors among adult patients with type II diabetes attending Mizan Tepi University Teaching Hospital, Southwest Ethiopia. BMJ Open Diabetes Research and Care. 2019;7(1):e000577.

47. Weissberg-Benchell J, Nansel T, Holmbeck G, Chen R, Anderson B, Wysocki T, et al. Generic and diabetes-specific parent-child behaviors and quality of life among youth with type 1 diabetes. Journal of pediatric psychology. 2009;34(9):977-88.

48. Malik FS, Senturia KD, Lind CD, Chalmers KD, Yi‐Frazier JP, Shah SK, et al. Adolescent and parent perspectives on the acceptability of financial incentives to promote self‐care in adolescents with type 1 diabetes. Pediatric diabetes. 2020;21(3):533-51