Factors influencing the quality of life of young patients with diabetes

J Diabetes. 2011 Mar;3(1):82-90. doi: 10.1111/j.1753-0407.2010.00106.x.

Abstract

Background: Diabetes is a significant challenge for pediatric health care professionals because it affects youths' psychoemotional functioning and, consequently, the quality of life (QOL). The aim of the present study was to evaluate the QOL in young patients with diabetes, as well as the factors affecting it.

Methods: The study was conducted from April to September 2008 in 98 young patients, 11-18 years of age, who were under the supervision of Diabetological Center, General Pediatric Hospital (Athens, Greece). The Diabetes Quality of Life for Youths Questionnaire was used to evaluate the QOL of youths with diabetes.

Results: The mean QOL score was 97.5. There was a negative correlation between the QOL and age (P = 0.02), the duration of diabetes (P = 0.05), body mass index (BMI; P = 0.04), and comorbidities (P = 0.03). In contrast, there was a positive correlation between QOL and increased metabolic control (P = 0.03), participating in sports activities (P = 0.007), and a greater number of insulin infusions (P = 0.04).

Conclusions: The QOL of young diabetics was influenced by demographic, somatometric, and other characteristics of diabetes. Increased metabolic control, participating in sports activities, and a greater number of insulin infusions resulted in better QOL. Increased patient age, duration of diabetes, HbA1c values, BMI, and the coexistence of various health problems, as well as the use of an insulin pump, decreased QOL.

MeSH terms

  • Adolescent
  • Age Factors
  • Blood Glucose / metabolism
  • Body Mass Index
  • Child
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / psychology*
  • Female
  • Glycated Hemoglobin / metabolism
  • Greece
  • Hospitals, Pediatric
  • Humans
  • Linear Models
  • Male
  • Multivariate Analysis
  • Quality of Life*
  • Surveys and Questionnaires*

Substances

  • Blood Glucose
  • Glycated Hemoglobin A