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da Silva AP, Araujo ACMC, Mesquita IMR, Fonseca ECR, Tomé JM, Palhares HMDC, Silva ÉMC, Borges MDF. Religious/spiritual coping, symptoms of depression, stress, and anxiety in caregivers of children and adolescents with type 1 diabetes. Fam Pract 2022; 39:1017-1023. [PMID: 35477768 DOI: 10.1093/fampra/cmac032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND It was verified the level of religiosity and spirituality, and symptoms of depression, stress, and anxiety of caregivers of children and adolescents with type 1 diabetes, and its interference in glycaemic control. METHODS Socio-economic and demographic data were collected from caregivers of 59 children and adolescents with type 1 diabetes and obtained dosages of fasting glucose (FG); postprandial glycaemia (PPG); fructosamine (FRUTO); and HbA1c, as well as the glycaemic variability-∆HbA1c. Levels of religiosity were obtained by the DUREL scale; the use of religious/spiritual coping was verified by the SRCOPE-Brief scale. Symptoms of depression, anxiety, and stress were analysed by the DASS-21 scale. The correlations between the variables were analysed by the Pearson coefficient, with significance at 5% level. RESULTS Inverse correlations were observed between caregivers' schooling with PPG (r = -0.30; P = 0.002) and FRUTO (r = -0.34; P = 0.008) and between family income and FRUTO (r = -0.37; P = 0.004). Direct, moderate correlations were observed between negative religious/spiritual coping (NSRCOPE) with symptoms of depression (r = 0.588; P < 0.0001), stress (r = 0.500; P < 0.0001), and anxiety (r = 0.551; P < 0.0001). CONCLUSION The direct association between NSRCOPE with symptoms of depression, stress, and anxiety was the highlighted item in the present study emphasizing the need for greater attention to the emotional health of informal caregivers of children and adolescents with DM1. It is necessary to reflect on the religious/spiritual support especially for the main caregiver of children and adolescents with DM1.
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Affiliation(s)
| | | | | | | | | | | | - Élida Mara Carneiro Silva
- Integrative and Complementary Practices Center of Clinical Hospital, Federal University of Triângulo Mineiro, Uberaba, Brazil
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Influence of Insulin Application Time and High-Intensity Intermittent Exercise on Hypoglycemic Risk in Adolescents With Type 1 Diabetes. Pediatr Exerc Sci 2022; 34:6-12. [PMID: 34311442 DOI: 10.1123/pes.2020-0150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 04/30/2021] [Accepted: 06/03/2021] [Indexed: 11/18/2022]
Abstract
PURPOSE The study analyzed the influence of exercise on hypoglycemia episodes postexercise and in the subsequent 24 hours in children and adolescents with type 1 diabetes. METHODS Thirty young people performed the same protocol of physical exercises for 1 hour (Ex1h) and 2 hours (Ex2h) after the administration of insulin. They performed 30 minutes of exercise on a cycle ergometer with a load of 60% of maximal oxygen uptake, interspersed with maximum intensity sprints lasting 10 seconds every 5 minutes. RESULTS Regarding the occurrence of hypoglycemia, in the 8 hours following the exercises, there was no occurrence in Ex1h (χ2 = 0.001; P = .0001) and a greater proportion for Ex2h (n = 71 episodes, 53.8%), while Ex1h had a higher number of nocturnal hypoglycemic episodes (n = 60, 71.4%) compared with Ex2h (n = 31, 23.1%, χ2 = 49.521, P = .0001), Ex1h triggered a lower number of hypoglycemia (n = 84) than Ex2h (n = 134, χ2 = 11.504, P = .001). There was a greater reduction in the average amount of fast-acting insulin administered the day after Ex1h compared with Ex2h (P = .031). CONCLUSIONS Intermittent exercise performed 1 hour after insulin administration shows a lower risk of hypoglycemia within 8 hours after exercise, as well as a reduction in insulin the following day.
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Marques RDMB, Rodrigues MLDM, Marini ACB, Santos CRDC, Schincaglia RM. Associated factors with the quality of life of adolescents with type 1 diabetes. Clin Nutr ESPEN 2021; 42:387-392. [PMID: 33745610 DOI: 10.1016/j.clnesp.2020.12.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 12/15/2020] [Accepted: 12/18/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND & AIMS The impact of Type 1 diabetes on adolescence can have consequences on the quality of life (QoL), which can affect its growth, development and management of the disease. Thus, the objective of this study was to evaluate the QoL related to the health of adolescents with type 1 diabetes and if socioeconomic, demographic, clinical and anthropometric factors can be associated with it. METHODS Cross-sectional study with adolescents with Type 1 diabetes mellitus (T1DM) of both sexes and between 10 and 18 years old. QoL was assessed by the Quality of Life Instrument for Young Diabetics (total score and its dimensions - Satisfaction, Impact and Concerns) and socioeconomic and demographic, clinical and anthropometric data were evaluated. RESULTS Among 53 adolescents with T1DM, more than 13% of adolescents rated QoL as poor. The worst QoL in the Satisfaction dimension was associated with overweight, assessed by the body mass index; the increased cardiometabolic risk, assessed by waist circumference; the adolescent's later age at diagnosis (11-17 years); and the adolescent's older age (15-18 years). The worst QoL assessed in the Impact dimension was associated with the female sex. The Concerns dimension and the Total QoL score were not associated with socioeconomic and demographic, clinical, and anthropometric variables. CONCLUSIONS We conclude that the QoL Satisfaction dimension of adolescents with T1DM is associated with their age, age at diagnosis, overweight and increased waist circumference, while the Impact dimension is associated with sex, and the Concerns dimension and the Total QoL score were not associated with the factors studied. Knowing the importance of QoL and its related factors, it is necessary to propose health activities and strategies for the all-around improvement of these patients.
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Affiliation(s)
- Rosana de Morais Borges Marques
- Nutrition Course at the Federal University of Goiás, Rua 227 s / n - Setor Leste Universitário, Goiânia, GO, 74605-080, Brazil.
| | - Maria Luiza de Moura Rodrigues
- Nutrition Course at the School of Social and Health Sciences at the Pontifical Catholic University of Goiás. Praça Universitária, 1440 - Setor Universitário, Goiânia, GO, 74605-010, Brazil.
| | - Ana Clara Barreto Marini
- Faculty of Medicine, Federal University of Goiás, Rua 235, s / n, Setor Leste Universitário, CEP: 74605-050, Brazil.
| | - Camila Rodrigues da Cunha Santos
- Urgencies State Hospital of Goiânia Doctor Valdemiro Cruz, Av. 31 de Março with 5 radial, s / n, Setor Pedro Ludovico, CEP: 74820-200, Brazil.
| | - Raquel Machado Schincaglia
- Nutrition Course at the School of Social and Health Sciences at the Pontifical Catholic University of Goiás. Praça Universitária, 1440 - Setor Universitário, Goiânia, GO, 74605-010, Brazil.
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Silva LCDSE, Silva SLBE, Oliveira ÁMSD, Araujo JRD, Arruda IKGD, Maio R, Lemos MDCCD. HYPERTRIGLYCERIDEMIC WAIST AND ASSOCIATED FACTORS IN CHILDREN AND ADOLESCENTS WITH TYPE 1 DIABETES MELLITUS. ACTA ACUST UNITED AC 2020; 38:e2019073. [PMID: 32187303 PMCID: PMC7077793 DOI: 10.1590/1984-0462/2020/38/2019073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Accepted: 06/21/2019] [Indexed: 01/13/2023]
Abstract
Objective: To assess the frequency of the hypertriglyceridemic waist phenotype and its
associated factors in children and adolescents with type 1 diabetes
mellitus. Methods: This is an observational analytical study with individuals with type 1
diabetes mellitus, aged 5 to 18 years, of both genders, followed in a
university hospital in the Brazilian Northeast. Weight, height, and waist
circumference were measured, and the lipid profile and glycated hemoglobin
were analyzed. The hypertriglyceridemic waist phenotype was defined by the
simultaneous presence of increased waist circumference (≥90th
percentile for age and gender) and elevated serum triglyceride levels (≥75
mg/dL for children and ≥90 mg/dL for adolescents). We also investigated the
family history of cardiovascular diseases and diabetes, as well as
sociodemographic and behavioral variables. In the statistical inference
tests, the proportions were compared by Pearson’s chi-square test and/or
Fisher’s exact test, being significant p<0.05. Results: A total of 102 patients were evaluated, most of them females (54.9%) and
adolescents (66.7%). The frequency of hypertriglyceridemic waist was 23.5%,
which was associated with females (p=0.043), overweight (p=0.023),
hypercholesterolemia (p=0.002), high LDL (p=0.001), and borderline VLDL
(<0.001). Conclusions: The frequency of the hypertriglyceridemic waist phenotype was associated
with females, atherogenic lipid profile, and overweight, indicating the
importance of the nutritional monitoring of this population, aiming at
reducing future cardiovascular diseases.
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Affiliation(s)
| | | | | | | | | | - Regiane Maio
- Universidade Federal de Pernambuco, Recife, PE, Brazil
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Fortins RF, Lacerda EMDA, Silverio RNC, do Carmo CN, Ferreira AA, Felizardo C, do Nascimento BF, Luescher JL, Padilha PDC. Predictor factors of glycemic control in children and adolescents with type 1 diabetes mellitus treated at a referral service in Rio de Janeiro, Brazil. Diabetes Res Clin Pract 2019; 154:138-145. [PMID: 31150723 DOI: 10.1016/j.diabres.2019.05.027] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2019] [Revised: 05/12/2019] [Accepted: 05/22/2019] [Indexed: 01/01/2023]
Abstract
AIM To evaluate the predictive factors of glycemic control in children and adolescents with type 1 diabetes mellitus (T1DM). METHODS Cross-sectional study at a referral service in Rio de Janeiro, Brazil. Sociodemographic, anthropometric, clinical, and dietary factors were evaluated. Food consumption was evaluated by 24 h dietary recall and the NOVA system was adopted for classifying the foods according to the extent and purpose of industrial processing. The predictive factors were evaluated by multivariate linear regression, adopting p < 0.05. RESULTS One hundred and twenty children and adolescents participated, with a mean age of 11.74 years (±2.88) and HbA1c of 8.13% (±1.26). The mean diabetes duration was 6.68 years (±3.33) and the insulin used was 1.05 units per kilogram of ideal weight (IU/kg of ideal weight; ±0.46) About 80% (n = 96) used carbohydrate counting and it was verified that 24.27% (±17.89) of the participants' total calories came from ultraprocessed foods. For each year of diagnosis with T1DM and for each IU/kg of weight used, HbA1c increased by 0.087% (β = 0.087, p = 0.007) and 0.651%, respectively (β = 0.651; p = <0.001). Use of carbohydrate counting was associated with a 1.058% reduction in HbA1c (β = -1.058; p = 0.001). CONCLUSION Disease duration and insulin dose were directly reflected in HbA1c concentrations, while carbohydrate counting showed an inverse association.
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Affiliation(s)
- Roberta Ferreira Fortins
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil
| | - Elisa Maria de Aquino Lacerda
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil.
| | - Raquel Nascimento Chanca Silverio
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil
| | - Cleber Nascimento do Carmo
- Fundação Oswaldo Cruz, Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Brazil.
| | - Aline Alves Ferreira
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil.
| | - Carolina Felizardo
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil
| | - Bárbara Folino do Nascimento
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil
| | - Jorge Luiz Luescher
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Puericultura e Pediatria Martagão Gesteira, Rua Bruno Lobo, 50, Cidade Universitária, Rio de Janeiro, RJ, Brazil
| | - Patrícia de Carvalho Padilha
- Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Av. Carlos Chagas Filho, 373 - bloco J, Cidade Universitária, Rio de Janeiro, RJ, Brazil.
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Andrade CJDN, Alves CDAD. Influence of socioeconomic and psychological factors in glycemic control in young children with type 1 diabetes mellitus. J Pediatr (Rio J) 2019; 95:48-53. [PMID: 29305827 DOI: 10.1016/j.jped.2017.11.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 10/11/2017] [Accepted: 10/18/2017] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVE To evaluate the influence of socioeconomic and psychological factors on glycemic control in young children with type 1 diabetes mellitus. METHODS This was a cross-sectional study assessing prepubertal children with type 1 diabetes mellitus. The authors analyzed the socioeconomic status using the Brazil Economic Classification Criterion (Critério de Classificação Econômica Brasil [CCEB]) and psychological conditions through the Brazilian version of the Problem Areas in Diabetes, associated with glycemic control, measured by glycated hemoglobin (HbA1c). Descriptive analysis was used. The variables were assessed by bivariate and multivariate robust Poisson regression model, as well as Fisher's exact and Pearson's chi-squared tests to obtain the ratios of gross and adjusted prevalence ratio, with confidence interval being estimated at 95%. RESULTS A total of 68 children with type 1 diabetes mellitus were included in the study. A negative association between glycemic control (glycated hemoglobin levels), socioeconomic status (Brazil Economic Classification Criterion), and psychological condition (Brazilian version of the Problem Areas in Diabetes) was observed. Among the study participants, 73.5% (n=50) of the children had an unfavorable socioeconomic status; these participants were 1.4 times more likely to present altered glycated hemoglobin values. In relation to individuals with compromised psychological status, 26 (38.2%) had a score above 70, thus being classified with psychological stress; these children were 1.68 times more likely (95% confidence interval: 1.101, 1.301) to have higher glycated hemoglobin levels. CONCLUSIONS The socioeconomic conditions and psychological characteristics of the study participants were negatively associated with glycated hemoglobin results. These data reinforce the importance of the studied variables as predictors of glycemic control.
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Affiliation(s)
| | - Crésio de Aragão Dantas Alves
- Universidade Federal da Bahia (UFBA), Faculdade de Medicina, Hospital Universitário Prof. Edgard Santos, Departamento Pediátrico, Unidade de Endocrinologia Pediátrica, Salvador, BA, Brazil
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Influence of socioeconomic and psychological factors in glycemic control in young children with type 1 diabetes mellitus. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2019. [DOI: 10.1016/j.jpedp.2018.01.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Silva JD, Andrade A, Capistrano R, Lisboa T, Andrade RD, Felden ÉPG, Beltrame TS. Níveis insuficientes de atividade física de adolescentes associados a fatores sociodemográficos, ambientais e escolares. CIENCIA & SAUDE COLETIVA 2018; 23:4277-4288. [DOI: 10.1590/1413-812320182312.30712016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Accepted: 12/11/2016] [Indexed: 11/21/2022] Open
Abstract
Resumo Este estudo investigou as associações entre o nível de atividade física com os fatores sociodemográficos, ambientais e escolares de adolescentes. Participaram 2.545 jovens de 14 a 18 anos dos municípios da Grande Florianópolis. Foi utilizada a versão curta do Questionário Internacional de Atividade Física (IPAQ). A prevalência de jovens inativos foi de 48,6%, sendo maior no sexo feminino (53,9%). Para as moças, a inatividade física esteve associada com a falta de lugares apropriados e gratuitos para a prática de atividade física (OR = 1,30 IC95%1,05-1,82), independente da influência das outras variáveis. Já para os rapazes, aqueles que não possuíam atividade profissional (OR = 1,54 IC95%1,14-2,08), mães de menor instrução (OR = 0,41 IC95% 0,27-0,75) ou mães com ensino superior (OR = 0,35 IC95% 0,17- 0,73), pertencentes a cidades de grande porte (OR = 1,64 IC95%1,17-2,31) e classificação socioeconômica baixa quando comparada à média (OR = 0,69 IC95% 0,49-0,97), apresentaram maior chance de inatividade física. Observou-se que as variáveis sociodemográficas estiveram associadas ao comportamento inativo dos rapazes e às variáveis ambientais se associaram a inatividade física das moças. Já dentre os fatores escolares, apenas a reprovação escolar foi associada com inatividade, e somente para as moças.
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Jorgetto JV, Franco LJ. The impact of diabetes mellitus on quality of life - differences between genders. J Diabetes Metab Disord 2018; 17:11-17. [PMID: 30288381 PMCID: PMC6154518 DOI: 10.1007/s40200-018-0333-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 02/18/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To determine whether there are gender differences in the impact of the disease in the quality of life of individuals with Diabetes Mellitus type 2. METHODS The sample consisted of 192 individuals distributed in equal numbers by gender. Data were collected between the months of August 2013 to May 2014, by sociodemographic and clinical questionnaires and instruments for assessing quality of life (PAID) and adherence to treatment. RESULTS The age of the patients ranged from 30 to 80 years old with a mean of 61 years of age (± 11). B-PAID scores were higher in men except in issues related to social support, but the differences were not statistically significant; 51.7% of the patients with good adherence to treatment were women and 48.3% were men. CONCLUSIONS The perception of the impact of diabetes in the quality of life of individuals in the present study, measured by the B-PAID instrument, showed that the highest scores predominate in men, that is, they have a higher degree of emotional distress than women. In the group with good adherence to treatment, there is a greater number of individuals with higher PAID scores, especially in men. In the group with poor adherence to treatment, the number of individuals with a high degree of emotional distress was similar in both sexes. This research was approved by the Research Ethics Committee of UNIFESP, through Plataforma Brasil (Protocol number 103,384).
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Affiliation(s)
- Juliana Vallim Jorgetto
- Post Graduate Program in Clinical Encocrinology - Federal University of São Paulo - UNIFESP, São Paulo, Brazil
- Salvador, Brazil
| | - Laercio Joel Franco
- Post Graduate Program in Clinical Encocrinology - Federal University of São Paulo - UNIFESP, São Paulo, Brazil
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Kandaswamy SK, Sharath A, Priya PG. Comparison of the Effectiveness of Probiotic, Chlorhexidine-based Mouthwashes, and Oil Pulling Therapy on Plaque Accumulation and Gingival Inflammation in 10- to 12-year-old Schoolchildren: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2018; 11:66-70. [PMID: 29991855 PMCID: PMC6034046 DOI: 10.5005/jp-journals-10005-1487] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 02/18/2018] [Indexed: 11/23/2022] Open
Abstract
Introduction The use of a mouthwash augments mechanical removal of plaque by brushing and flossing and helps maintain oral health through its antiplaque and antibacterial chemical properties. Aim To evaluate the effectiveness of a probiotic mouthwash, sesame oil pulling therapy, and chlorhexidine-based mouth-wash on plaque accumulation and gingival inflammation in schoolchildren aged 10 to 12 years. Materials and methods The randomized controlled trial included 45 healthy schoolchildren aged 10 to 12 years and studying in Government High School, Tiruchengode, Tamil Nadu, India. The participants were randomly divided into three groups, I, II, and III, with 15 children in each group as follows: group I: probiotic mouthwash; group II: chlorhexidine mouthwash; and group III: sesame oil. Baseline scores of plaque index (PI) and modified gingival index (GI) were recorded followed by a full mouth oral prophylaxis. The designated mouth rinses were distributed to the respective groups and they were instructed to rinse once daily. Their parents supervised the children during the use of mouthwash. On the 15th and 30th day, the children were subjected to the same clinical measurements. Children’s acceptance of their plaque control method was assessed using a modified facial image scale. Results Intragroup comparisons for both the GI and PI scores were statistically significant (p ≤ 0.001) in all the three groups. Difference in the GI scores between the 15th and 30th day was statistically significant for chlorhexidine group alone (p = 0.024). Intergroup comparisons between the three groups were not statistically significant. Conclusion Probiotic mouthwash, chlorhexidine mouthwash, and sesame oil were equally effective in reducing plaque and in improving the gingival status of children. The difference between the gingival scores on the 15th and 30th day was statistically significant in the chlorhexidine group. How to cite this article: Kandaswamy SK, Sharath A, Priya PRG. Comparison of the Effectiveness of Probiotic, Chlorhexidine-based Mouthwashes, and Oil Pulling Therapy on Plaque Accumulation and Gingival Inflammation in 10- to 12-year-old Schoolchildren: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2018;11(2):66-70.
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Affiliation(s)
- Saravana K Kandaswamy
- Postgraduate Student, Department of Pedodontics and Preventive Dentistry, K.S.R. Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Asokan Sharath
- Professor and Head, Department of Pedodontics, K.S.R. Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Pr Geetha Priya
- Reader, Department of Pedodontics, K.S.R. Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
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Noueiri B, Nassif N. Impact of Diabetes Mellitus Type 1 on Lebanese Families' Quality of Life. Int J Clin Pediatr Dent 2018; 11:61-65. [PMID: 29991854 PMCID: PMC6034057 DOI: 10.5005/jp-journals-10005-1486] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Accepted: 01/22/2018] [Indexed: 11/24/2022] Open
Abstract
Introduction Diabetes mellitus type 1 (DM1) markedly alters the lives of individuals and their families. Family members can be affected by diabetes and its treatment, causing burden, distress, and reduced quality of life (QOL). Objective The aim of this research is to study the relationship between the diabetic child and the family members, to evaluate the stress and emotional issues between siblings, and to weigh in on the psychological, affective, and financial burden that parents have to deal with in their daily life. Materials and methods A total of 37 diabetic Lebanese families recruited from the Chronic Care Center (CCC) answered two questionnaires, one about general information and the other related to psychological and financial impact of DM1 and its oral complications on the families. Results About 56.8% have monthly income below $1,000; 16.2% of parents have an educational upper limit of college degree; 83.8% of the mothers are housewives; 75.7% of parents feel guilty about their child’s condition; 89.2% feel that their diabetic child is frustrated with their diet. For 78.4%, the siblings are jealous of the diabetic child; 13.5% of parents are well aware of the oral complications of diabetes and 86.5% think that treating the diabetic child’s teeth is more important than the siblings’ ones; 91.9% assist their diabetic child’s toothbrushing, but 81.1% of family members do not visit the dentist regularly. A total of 100% allocate special budget for the diabetic child’s diet and 59.4% have an additional budget dedicated to the diabetic child’s treatment; 81.1% declared that their career is affected by their child’s illness. Conclusion The diabetic child expressed frustration with their diet. The child’s siblings are jealous as they feel left behind. The parents experienced guilt feeling and psychological stress. They have social restriction and financial problems. The QOL of families living with a diabetic child is altered negatively. How to cite this article: Noueiri B, Nassif N. Impact of Diabetes Mellitus Type 1 on Lebanese Families’ Quality of Life. Int J Clin Pediatr Dent 2018;11(2):61-65.
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Affiliation(s)
- Balsam Noueiri
- Associate Professor, Department of Pediatric Dentistry, Lebanese University Beirut, Lebanon
| | - Nahla Nassif
- Associate Professor, Department of Pediatric Dentistry, Lebanese University Beirut, Lebanon
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da Costa VM, de Carvalho Padilha P, de Lima GCF, Ferreira AA, Luescher JL, Porto L, Peres WAF. Overweight among children and adolescent with type I diabetes mellitus: prevalence and associated factors. Diabetol Metab Syndr 2016; 8:39. [PMID: 27429649 PMCID: PMC4947366 DOI: 10.1186/s13098-016-0154-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Accepted: 06/23/2016] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVES Describe the overweight frequency (overweight and obesity) and identify the factors associated with this in children and adolescents with type 1 diabetes mellitus (T1DM) treated at a University Children's Hospital in Rio de Janeiro. METHODS This is an analytical cross-sectional study, which included patients diagnosed with T1DM who had complete anthropometric data (weight and height) and excluded those using drugs with effect on weight gain, genetic syndromes, celiac disease, hypothyroidism, renal failure and other chronic diseases, and pregnant women. The data collection was referring to the last consultation, and with respect to laboratory tests, the most recent data was collected. The dependent variable was the overweight, defined as Z score ≥1. The independent variables were gender, age, insulin dose, duration of disease, lipid profile, glycated hemoglobin, type of prescribed food planning, and place of residence. A logistic regression model was built for each outcome studied, considering significant associations those with p < 0.05. RESULTS The study included 195 patients with a mean age of 10.6 (±3.8) years, and 49.7 % (n = 97) aged less than 10 years. The overweight frequency was 40 % (n = 78). The age ≥10 years (OR 0.41; 95 % CI 0.20-0.86; p = 0.019) and the dose of insulin/kg ideal weight (OR 3.38; 95 % CI 1:55-7:39; p = 0.002) were considered the variables associated with overweight. CONCLUSIONS There was a high prevalence of overweight, which explains strategies for promoting healthy eating habits and changing lifestyle with a focus on children and adolescents with diabetes.
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Affiliation(s)
- Verônica Medeiros da Costa
- />Diabetes Sector of the Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG/UFRJ), Rio de Janeiro-RJ, Brazil
| | - Patricia de Carvalho Padilha
- />Diabetes Sector of the Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG/UFRJ), Rio de Janeiro-RJ, Brazil
- />Department of Nutrition and Dietetics, Instituto de Nutrição Josué de Castro (INJC/UFRJ), Rio de Janeiro-RJ, Brazil
- />Research Group on Maternal and Child Health (GPSMI), INJC/UFRJ, Rio de Janeiro-RJ, Brazil
| | - Géssica Castor Fontes de Lima
- />Diabetes Sector of the Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG/UFRJ), Rio de Janeiro-RJ, Brazil
- />Research Group on Maternal and Child Health (GPSMI), INJC/UFRJ, Rio de Janeiro-RJ, Brazil
| | - Aline Alves Ferreira
- />Department of Social and Applied Nutrition, INJC/UFRJ, Rio de Janeiro-RJ, Brazil
| | - Jorge Luiz Luescher
- />Diabetes Sector of the Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG/UFRJ), Rio de Janeiro-RJ, Brazil
| | - Luciana Porto
- />Diabetes Sector of the Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG/UFRJ), Rio de Janeiro-RJ, Brazil
| | - Wilza Arantes Ferreira Peres
- />Department of Nutrition and Dietetics, Instituto de Nutrição Josué de Castro (INJC/UFRJ), Rio de Janeiro-RJ, Brazil
- />Hepatology Sector of the Hospital Universitário Clementino Fraga Filho (HUCFF)/UFRJ, Rio de Janeiro-RJ, Brazil
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13
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Rechenberg K, Whittemore R, Grey M, Jaser S. Contribution of income to self-management and health outcomes in pediatric type 1 diabetes. Pediatr Diabetes 2016; 17:120-6. [PMID: 25545117 PMCID: PMC4550560 DOI: 10.1111/pedi.12240] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 09/11/2014] [Accepted: 10/15/2014] [Indexed: 01/05/2023] Open
Abstract
Low income has been established as a risk factor for poorer outcomes in youth with type 1 diabetes; however, the effect of moderate income has not been studied. The purpose of this secondary analysis of baseline data from a multi-site study was to compare glycemic control, self-management, and psychosocial outcomes [depression, stress, and quality of life (QOL)] at different income levels in adolescents with type 1 diabetes. Youth (n = 320, mean age = 12.3 + 1.1, 55% female, 64% white, mean A1C = 8.3 ± 1.4) completed established self-management and psychosocial measures. A1C levels were collected from medical records. Caregivers reported annual family income, categorized as high (>$80K), moderate ($40-80K), or low (<$40K). Youth from high-income families had significantly lower A1C (mean = 7.9 ± 1.2) than those from the moderate-income group (8.6 ± 1.7, p < 0.001) or the low-income group (mean A1C = 8.6 ± 1.5, p = 0.003). Youth from the high-income group reported significantly better diabetes problem solving and more self-management goals than those from the moderate- or low-income groups (both p < 0.01). Youth from the high-income group also reported significantly fewer symptoms of depression, lower levels of perceived stress, and better QOL than those in the moderate or low-income groups (all p < 0.05). Multivariate linear regression models were used to test psychological and behavioral predictors of A1C and QOL. Parents' education status (p < 0.05) and self-management activities (p < 0.01) were significant predictors of hemoglobin A1c, while income (p < 0.01) and self-management activities (p < 0.05) were significant predictors of QOL.
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Affiliation(s)
| | | | - Margaret Grey
- School of Nursing; Yale University; West Haven CT USA
| | - Sarah Jaser
- School of Nursing; Yale University; West Haven CT USA
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14
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de Oliveira S, da Cunha Nascimento D, Tibana RA, de Oliveira SL, de Sousa Neto IV, Falleiros RKMM, Miranda LG, Pedrosa HC, Navalta JW, Pereira GB, Prestes J. Elevated glycated hemoglobin levels impair blood pressure in children and adolescents with type 1 diabetes mellitus. Diabetol Metab Syndr 2016; 8:4. [PMID: 26759608 PMCID: PMC4709890 DOI: 10.1186/s13098-015-0118-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Accepted: 12/23/2015] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Deregulation of glycemic and glycated hemoglobin (HbA1) levels accelerate the progression of cardiovascular complications in type 1 diabetes mellitus (T1DM). The aim of this study was to investigate the association between HbA1 and changes in blood pressure of children and adolescents with T1DM. METHODS A total of 60 children and adolescents were recruited and allocated into two groups (prehypertension and control group). Blood pressure and HbA1 were measured by the oscillometric method and high-performance liquid chromatography, respectively. RESULTS The prehypertensive group had (P < 0.05) higher disease duration, body weight, Z score for body weight, systolic blood pressure (SBP), diastolic blood pressure (DBP) and a higher HbA1 when compared with the control children and adolescents. Multiple regression to predict alterations in DBP from HbA1 adjusted for age, disease duration, and body mass index demonstrated a positive relationship with DBP (P < 0.05). A 1 % increase in HbA1 was associated with 1.73 mmHg increase in DBP. CONCLUSIONS High levels of HbA1 may be associated with increased blood pressure in T1DM. A tight control of HbA1 levels may provide long-term cardiovascular protection in children and adolescents with T1DM.
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Affiliation(s)
- Sandra de Oliveira
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
| | - Dahan da Cunha Nascimento
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
| | - Ramires Alsamir Tibana
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
| | - Samuel Lima de Oliveira
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
| | - Ivo Vieira de Sousa Neto
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
| | - Roberta Kelly Menezes Maciel Falleiros
- />Endocrinology Unity—Research Polo Foundation for Teaching and Research in Health Sciences—Regional Hospital of Taguatinga, Federal District, Brasilia, Brazil
| | - Leonardo Garcia Miranda
- />Endocrinology Unity—Research Polo Foundation for Teaching and Research in Health Sciences—Regional Hospital of Taguatinga, Federal District, Brasilia, Brazil
| | - Hermelinda Cordeiro Pedrosa
- />Endocrinology Unity—Research Polo Foundation for Teaching and Research in Health Sciences—Regional Hospital of Taguatinga, Federal District, Brasilia, Brazil
| | | | - Guilherme Borges Pereira
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
| | - Jonato Prestes
- />Department of Physical Education, Graduation Program on Physical Education—Catholic University of Brasilia (UCB), Q.S 7, lote 1—Bloco G—Aguas Claras, Taguatinga, Federal District, Brasilia, DF 71966-700 Brazil
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15
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Eik Filho W, Bonjorno LP, Franco AJM, dos Santos MLA, de Souza EM, Marcon SS. Evaluation, intervention, and follow-up of patients with diabetes in a primary health care setting in Brazil: the importance of a specialized mobile consultancy. Diabetol Metab Syndr 2016; 8:56. [PMID: 27508006 PMCID: PMC4977716 DOI: 10.1186/s13098-016-0173-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Accepted: 07/24/2016] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Studies show that educational interventions improve glycemic control in patients with diabetes mellitus (DM), reducing the occurrence of complications associated with the disease. OBJECTIVES To evaluate the effects of a mobile DM consultancy on clinical and laboratory parameters, disease knowledge, and quality of life in patients with type 2 DM (T2DM) at a primary health care network in Brazil. METHODS Randomized clinical trial conducted in a city in southern Brazil with 52 patients with T2DM receiving care at a primary health care setting. The intervention lasted for 6 months and consisted of a follow-up with an endocrinologist (five meetings), treatment adjustment based on clinical evaluation and laboratory tests, and educational activities with conversation maps in DM. The statistical analysis included comparison and association tests, considering p values ≤0.05 as statistically significant. RESULTS The mean age of the patients was 63.8 years. Most participants were female (63.5 %), had low educational level (59.6 %) and family history of T2DM (71.2 %), used only oral hypoglycemic agents to manage their DM (73.2 %), presented unfavorable anthropometric and laboratory parameters, a high or medium risk of complications (84.6 %), and inadequate glycemic control (67.3 %; with 71 % of the high-risk patients presenting a HbA1c level >9 %). Adjustment in pharmacological treatment was required in 63.5 % of the patients. After the intervention, we observed a significant 0.46 % decrease in mean HbA1c level (p = 0.0218), particularly among individuals with inadequate glycemic control (0.71 %; p = 0.0136). Additionally, there was an increase in disease knowledge scores and a significant decrease in mean body mass index, waist circumference, and disease impact scores. CONCLUSION The intervention improved glycemic control and disease knowledge, reduced the values of body mass index and waist circumference, and the impact of the disease on patients' lives. This indicates that care and educational measures improve the experience of the patients with DM and control of the disease.
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Affiliation(s)
- Wilson Eik Filho
- Endocrinology Unit, Department of Medicine, Universidade Estadual de Maringá, and Postgraduate Program in Health Sciences, Health Sciences Center, Universidade Estadual de Maringá, Maringá, Parana Brazil
- Avenida Mandacarú, 1590-Zona 07, Maringá, PR CEP: 87083-240 Brazil
| | | | | | - Márcia Lorena Alves dos Santos
- Department of Statistics, Universidade Estadual de Maringá and Postgraduate Program in Biostatistics, Universidade Estadual de Maringá, Maringá, Parana Brazil
| | - Eniuce Menezes de Souza
- Department of Statistics, Universidade Estadual de Maringá and Postgraduate Program in Biostatistics, Universidade Estadual de Maringá, Maringá, Parana Brazil
| | - Sonia Silva Marcon
- Postgraduate Program in Health Sciences, Health Sciences Center, Universidade Estadual de Maringá, Maringá, Parana Brazil
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16
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Gardim CB, de Oliveira BAP, Bernardo AFB, Gomes RL, Pacagnelli FL, Lorençoni RMR, Vanderlei LCM. Heart rate variability in children with type 1 diabetes mellitus. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2014; 32:279-85. [PMID: 25119762 PMCID: PMC4183025 DOI: 10.1590/0103-0582201432215513] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2013] [Accepted: 12/18/2013] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To gather current information about the effects of type 1 diabetes mellitus on children's cardiac autonomic behavior. DATA SOURCES The search of articles was conducted on PubMed, Ibecs, Medline, Cochrane, Lilacs, SciELO and PEDro databases using the MeSH terms: "autonomic nervous system", "diabetes mellitus", "child", "type 1 diabetes mellitus", "sympathetic nervous system" and "parasympathetic nervous system", and their respective versions in Portuguese (DeCS). Articles published from January 2003 to February 2013 that enrolled children with 9-12 years old with type 1 diabetes mellitus were included in the review. DATA SYNTHESIS The electronic search resulted in four articles that approached the heart rate variability in children with type 1 diabetes mellitus, showing that, in general, these children present decreased global heart rate variability and vagal activity. The practice of physical activity promoted benefits for these individuals. CONCLUSIONS Children with type 1 diabetes mellitus present changes on autonomic modulation, indicating the need for early attention to avoid future complications in this group.
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Affiliation(s)
| | | | | | - Rayana Loch Gomes
- Faculdade de Ciências e Tecnologia da Unesp, Presidente Prudente, SP,
Brasil
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17
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Socioeconomic status. The relationship with health and autoimmune diseases. Autoimmun Rev 2014; 13:641-54. [PMID: 24418307 DOI: 10.1016/j.autrev.2013.12.002] [Citation(s) in RCA: 89] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2013] [Accepted: 12/24/2013] [Indexed: 12/15/2022]
Abstract
Socioeconomic status (SES) is a hierarchical social classification associated with different outcomes in health and disease. The most important factors influencing SES are income, educational level, occupational class, social class, and ancestry. These factors are closely related to each other as they present certain dependent interactions. Since there is a need to improve the understanding of the concept of SES and the ways it affects health and disease, we review herein the tools currently available to evaluate SES and its relationship with health and autoimmune diseases.
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