Lessons Learned From COVID-19 Lockdown: An ASPED/MENA Study on Lifestyle Changes and Quality of Life During Ramadan Fasting in Children and Adolescents Living With Type 1 Diabetes.

Autor: Babiker A; King Abdullah Specialized Children's Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia., Elbarbary NS; Department of Pediatrics, Diabetes Unit, Ain shams University, Cairo, Egypt., Alaqeel B; King Abdullah Specialized Children's Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Al Noaim K; Department of Pediatrics, King Faisal University Medical Center, AlAhsa, Saudi Arabia., Al Yaarubi S; College of Medicine & Health Science, Sultan Qaboos University, Muscat, Oman., Al-Abdulrazzaq D; Department of Pediatrics, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait., Al-Kandari H; Department of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait.; Department of Pediatrics, Farwaniya Hospital, Ministry of Health, Farwaniya, Kuwait., Alkhayyat H; Pediatric Department, Bahrain Defense Force Royal Medical Services, Riffa, Bahrain., Odeh R; Department of Pediatrics, School of Medicine, The University of Jordan, Amman, Jordan., Babiker O; Sudan Childhood Diabetes Center, Khartoum, Sudan., Abu-Libdeh A; Department of Pediatrics, Endocrinology Unit, Makassed Islamic Hospital & Al-Quds Medical School, Jerusalem, Palestine, Israel., Aljohani A; King Abdullah Specialized Children's Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Al Abdul Salam N; College of Medicine & Health Science, Sultan Qaboos University, Muscat, Oman., Al-Juailla F; Department of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait., Masuadi E; King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia., Deeb A; Sheikh Shakhbout Medical City & Khalifa University, Pediatric Endocrinology, Abu Dhabi, UAE., Weissberg-Benchell J; Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Pritzker Department of Psychiatry and Behavioral Health, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA., Gregory AM; Department of Psychology, Goldsmiths, University of London, London, UK., Hassanein M; Department of Endocrinology and Diabetes, Dubai Hospital, Dubai, UAE., Al Alwan I; King Abdullah Specialized Children's Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.; King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: Clinical medicine insights. Endocrinology and diabetes [Clin Med Insights Endocrinol Diabetes] 2023 Oct 19; Vol. 16, pp. 11795514231203907. Date of Electronic Publication: 2023 Oct 19 (Print Publication: 2023).
DOI: 10.1177/11795514231203907
Abstrakt: Background: Lockdown was a unique experience that affected many aspects of life, particularly during the challenge of Ramadan fasting (RF). Studying this can increase understanding of the effects of lifestyle changes on quality of life (QoL) for children with type 1 diabetes (T1D) during RF.
Methods: A cross-sectional study that assessed the effect of lockdown on lifestyle and QoL on fasting children living with T1D during Ramadan in the Middle East and North Africa region (2020-2021). We compared the child (self) and parent (proxy) reports using PEDQoL v3.0 disease specific questionnaire during lockdown and non-lockdown periods, and assessed correlations with lifestyle changes using regression and gap analyses.
Results: A total of 998 reports from 499 children with T1D aged 8 to 18 years (study = 276, control = 223), and their parents during RF in lockdown and non-lockdown periods. Fathers were more involved in their children's care during lockdown ( P  = .019). Patients had better compliance with treatment ( P  = .002), a reversed sleep pattern ( P  = .033), increased food intake ( P  ⩽ .001), and less exercise ( P  < .001). Children and parents perceived better QoL during lockdown ( P  ⩽.001) with no differences between their reports in "Diabetes Symptoms", "Treatment Adherence," and "Communication" domains. Self and proxy reports were different in all domains during non-lockdown ( P  = <.001-.009). In gap analysis, although not statistically significant, the gap was approximated between children's and parents' perceptions in all domains during lockdown.
Conclusion: COVID-19 lockdown had a positive impact on QoL of children living with T1D during RF, possibly due to lifestyle changes and superior psychosocial family dynamics.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2023.)
Databáze: MEDLINE
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