Faculdade de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brasil,
Programa de Ciências Médicas: Endocrinologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Arch Endocrinol Metab. 2022 Jun 3;66(3):345-354. doi: 10.20945/2359-3997000000490. Epub 2022 Jun 2.
To assess caregivers' perception about the changes in the daily habits of children and adolescents with type 1 diabetes during the COVID-19 pandemic.
Primary caregivers of youth aged ≤18 with or without type 1 diabetes were selected for the diabetes and the control groups. Caregivers estimated the youth's time (hours) of physical activity and screen time before and during the pandemic, and rated the quality of eating habits and medication adherence from 0 to 10. The primary outcome was the change in physical activity time, screen time, and eating habits scores during isolation. Between-group analyses and within-group comparisons were conducted. A post hoc analysis was performed using logistic regression to correct for confounding factors.
In total, 764 participants were included (381 diabetes group 383 control group). Before the pandemic, the diabetes group presented a reduced median of physical activity (P < 0.001) and screen time (P < 0.001). During the pandemic, the difference between both groups remained similar (P = 0.58). Scores of quality of eating habits were similar in both groups before the pandemic [8.0 (7.0-9.0) 8.0 (7.0-9.0), P = 0.31] but decreased during the pandemic [7.0 (5.1-8.1) 8.0 (6.0-9.0), P < 0.001]. The diabetes group had a significantly worse change in eating habits scores (P < 0.01).
During the pandemic, eating habits were significantly worse in youth with diabetes than in those without diabetes.
评估照料者对 1 型糖尿病儿童和青少年在 COVID-19 大流行期间日常生活习惯变化的看法。
选择 18 岁以下的青少年 1 型糖尿病患者和非糖尿病患者的主要照料者纳入糖尿病组和对照组。照料者分别估计疫情前后青少年的体力活动和屏幕时间（小时），并从 0 到 10 分对饮食习惯质量和药物依从性进行评分。主要结局是隔离期间体力活动时间、屏幕时间和饮食习惯评分的变化。进行了组间分析和组内比较。采用逻辑回归进行事后分析，以校正混杂因素。
共纳入 764 名参与者（381 名糖尿病组和 383 名对照组）。大流行前，糖尿病组体力活动中位数减少（P < 0.001）和屏幕时间（P < 0.001）。大流行期间，两组之间的差异仍然相似（P = 0.58）。大流行前两组的饮食习惯质量评分相似[8.0（7.0-9.0）和 8.0（7.0-9.0），P = 0.31]，但在大流行期间下降[7.0（5.1-8.1）和 8.0（6.0-9.0），P < 0.001]。糖尿病组饮食习惯评分的变化明显更差（P < 0.01）。
在大流行期间，糖尿病青少年的饮食习惯明显差于非糖尿病青少年。
