Quality of life in children with diabetes and celiac disease: minimal impact of the 'double diagnosis'.
Pediatr Diabetes
; 13(2): 163-9, 2012 Mar.
Article
em En
| MEDLINE
| ID: mdl-21672108
ABSTRACT
BACKGROUND:
Despite the advent of sensitive testing to detect celiac disease (CD), screening in type 1 diabetes (T1D) remains controversial. Many diabetes clinics are apprehensive about the prospect of introducing a second illness requiring intensive lifestyle changes in patients and families already managing a chronic condition, especially in asymptomatic patients.OBJECTIVE:
To determine the impact of managing CD + T1D on quality of life in families, with attention to the effect of adherence with a gluten-free diet (GFD) and metabolic control. PATIENTS ANDMETHODS:
Cross-sectional assessment using a validated self-reported quality of lifemeasure:
28 children with biopsy-proven CD + T1D were compared with 40 subjects with T1D aged 8-18 yr. Parental and child reports were assessed as well as symptoms at the time of CD diagnosis and adherence with a GFD at the quality of life assessment.RESULTS:
No significant differences in quality of life were observed between subjects with established CD + T1D and subjects with T1D alone. Parents of children with CD + T1D reported lower social functioning scores than parents of children with T1D (p = 0.03). In the CD + T1D group no differences in quality of life were observed with regard to age at CD diagnosis, CD duration, or on the basis of adherence with a GFD.CONCLUSIONS:
The additional diagnosis of CD has minimal impact on quality of life in children with T1D; however, parents of CD + T1D children did express greater concern about their child's social functioning.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Doença Celíaca
/
Diabetes Mellitus Tipo 1
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article