Babiker Amir, Elbarbary Nancy Samir, Alaqeel Bothainah, Al Noaim Khalid, Al Yaarubi Saif, Al-Abdulrazzaq Dalia, Al-Kandari Hessa, Alkhayyat Haya, Odeh Rasha, Babiker Omer, Abu-Libdeh Abdulsalam, Aljohani Amal, Al Abdul Salam Noof, Al-Juailla Fatima, Masuadi Emad, Deeb Asma, Weissberg-Benchell Jill, Gregory Alice M, Hassanein Mohamed, Al Alwan Ibrahim
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.
Clin Med Insights Endocrinol Diabetes. 2023 Oct 19;16:11795514231203907. doi: 10.1177/11795514231203907. eCollection 2023.
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.
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.
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 ( = .019). Patients had better compliance with treatment ( = .002), a reversed sleep pattern ( = .033), increased food intake ( ⩽ .001), and less exercise ( < .001). Children and parents perceived better QoL during lockdown ( ⩽.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 ( = <.001-.009). In gap analysis, although not statistically significant, the gap was approximated between children's and parents' perceptions in all domains during lockdown.
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.
封锁是一种独特的经历，影响了生活的许多方面，尤其是在斋月禁食（RF）的挑战期间。对此进行研究有助于增进对生活方式改变对中东和北非地区1型糖尿病（T1D）儿童斋月期间生活质量（QoL）影响的理解。
一项横断面研究，评估了2020 - 2021年斋月期间中东和北非地区封锁对T1D患儿生活方式和生活质量的影响。我们在封锁期和非封锁期使用PEDQoL v3.0疾病特异性问卷比较了儿童（自我）和家长（代理）报告，并通过回归和差距分析评估了与生活方式变化的相关性。
在封锁期和非封锁期，共收到499名8至18岁T1D患儿（研究组 = 276，对照组 = 223）及其家长的998份报告。在封锁期间，父亲更多地参与了孩子的护理（P = 0.019）。患者对治疗的依从性更好（P = 0.002），睡眠模式颠倒（P = 0.033），食物摄入量增加（P ≤ 0.001），运动量减少（P < 0.001）。儿童和家长在封锁期间认为生活质量更好（P ≤ 0.001），在“糖尿病症状”、“治疗依从性”和“沟通”领域他们的报告没有差异。在非封锁期，自我报告和代理报告在所有领域都不同（P = < 0.001 - 0.009）。在差距分析中，尽管无统计学意义，但在封锁期间所有领域儿童和家长的认知差距接近。
COVID - 19封锁对斋月期间T1D患儿的生活质量有积极影响，可能是由于生活方式的改变和良好的心理社会家庭动态。
