Yetim Aylin, Alikaşifoğlu Müjgan, Baş Firdevs, Eliaçık Kayı, Çığ Gülnaz, Erginöz Ethem, Ercan Oya, Bundak Rüveyde
Division of Adolescent Medicine, Department of Pediatrics, Istanbul School of Medicine, Istanbul University, İstanbul, Turkey.
Division of Adolescent Medicine, Department of Pediatrics, Cerrahpaşa School of Medicine, Istanbul University, İstanbul, Turkey.
Turk J Pediatr. 2018;60(3):244-254. doi: 10.24953/turkjped.2018.03.003.
Yetim A, Alikaşifoğlu M, Baş F, Eliaçık K, Çığ G, Erginöz E, Ercan O, Bundak R. Glycemic control and health behaviors in adolescents with type 1 diabetes. Turk J Pediatr 2018; 60: 244-254. The purpose of this study was to determine the health/health risk behaviors of a group of Turkish adolescents with type 1 diabetes (T1D) to determine the prevalence and explore the exact effect of these behaviors on glycemic control (GC). A total of 210 adolescents (age 12-20 years; diabetes duration > 6 months; no additional comorbidities), completed a self-administered questionnaire (including some questions from Health Behavior in School-aged Children study questionnaire). Subjects were divided into two groups based on the hemoglobin A1c (HbA1c) levels, measured in the last 3 months: good GC (HbA1c < 8%) and poor GC (HbAc1≥8%). Chi-square tests and backward stepwise logistic regression analysis were used in statistical analyses. Of the patients, 57 had good GC and 153 had poor GC. The results of the backward stepwise logistic regression analysis indicated that being overweight and frequent electronic media use were risk factors for poor GC, whereas computer use for homework for long period of time (≥2 hours/day) was found to be a protective factor in terms of GC. Screening adolescents in terms of health/health risk behaviors such as frequent electronic media use, and giving adolescents health responsibilities should be an integral part of the follow-up of these patients, and intervention programs that lead to behavioral changes should be developed.
耶蒂姆·A、阿利卡什福卢·M、巴斯·F、埃利亚奇克·K、奇格·G、埃尔吉诺兹·E、埃尔坎·O、邦达克·R。1型糖尿病青少年的血糖控制与健康行为。《土耳其儿科学杂志》2018年；60: 244 - 254。本研究的目的是确定一组患有1型糖尿病（T1D）的土耳其青少年的健康/健康风险行为，以确定其患病率，并探讨这些行为对血糖控制（GC）的确切影响。共有210名青少年（年龄12 - 20岁；糖尿病病程>6个月；无其他合并症）完成了一份自填式问卷（包括一些来自学龄儿童健康行为研究问卷的问题）。根据过去3个月测量的糖化血红蛋白（HbA1c）水平将受试者分为两组：良好血糖控制组（HbA1c < 8%）和不良血糖控制组（HbAc1≥8%）。统计分析采用卡方检验和向后逐步逻辑回归分析。患者中，57人血糖控制良好，153人血糖控制不佳。向后逐步逻辑回归分析结果表明，超重和频繁使用电子媒体是血糖控制不佳的危险因素，而长时间（≥2小时/天）使用电脑做作业在血糖控制方面被发现是一个保护因素。对青少年进行诸如频繁使用电子媒体等健康/健康风险行为的筛查，并赋予青少年健康责任，应成为这些患者随访的一个组成部分，并且应制定导致行为改变的干预计划。
