Academic skills in children with early-onset type 1 diabetes: the effects of diabetes-related risk factors.
Aim: The study aimed to assess the effects of diabetes-related risk factors, especially severe hypoglycaemia,on the academic skills of children with early-onset type 1 diabetes mellitus (T1DM).Method: The study comprised 63 children with T1DM (31 females, 32 males; mean age 9 y 11 mo,SD 4 mo) and 92...
| Publicado en: | Developmental Medicine & Child Neurology Vol. 54; no. 5; pp. 457 - 464 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
May2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104449587&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104449587 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00121622 1VN jtl: Developmental Medicine & Child Neurology issn: 00121622 maglogo: Y pubinfo: dt: May2012 vid: 54 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104449587 104449587 NLM22590723 2011555050 NLM22590723 104449587 ppf: 457 ppct: 7 formats: tig: atl: Academic skills in children with early-onset type 1 diabetes: the effects of diabetes-related risk factors. aug: au: Hannonen R Komulainen J Riikonen R Ahonen T Eklund K Tolvanen A Keskinen P Nuuja A Hannonen, Riitta Komulainen, Jorma Riikonen, Raili Ahonen, Timo Eklund, Kenneth Tolvanen, Asko Keskinen, Päivi Nuuja, Anja affil: Department of Child Neurology, Kymenlaakso Central Hospital, Carea, Kotkantie 41, Kotka, Finland sug: subj: Achievement Diabetes Mellitus, Type 1 Diagnosis Learning Disorders Diagnosis Child Diabetes Mellitus, Type 1 Therapy Diabetic Ketoacidosis Diagnosis Early Diagnosis Educational Measurement Female Finland Hospitals Hypoglycemia Diagnosis Male Mathematics Risk Factors Child: 6-12 years Female Male ab: Aim: The study aimed to assess the effects of diabetes-related risk factors, especially severe hypoglycaemia,on the academic skills of children with early-onset type 1 diabetes mellitus (T1DM).Method: The study comprised 63 children with T1DM (31 females, 32 males; mean age 9 y 11 mo,SD 4 mo) and 92 comparison children without diabetes (40 females, 52 males;mean age 9 y 9 mo,SD 3 mo). Children were included if T1DM had been diagnosed before the age of 5 years and if they were aged between 9 and 10 years at the time of study. Children were not included if their native language was not Finnish and if they had a diagnosed neurological disorder that affected their cognitive development. Among the T1DM group, 37 had and 26 had not experienced severe hypoglycaemia and 26 had avoided severe hypoglycaemia. Severe hypoglycaemia, diabetic ketoacidosis(DKA), and glycaemic control were used as T1DM-related factors. Task performance in reading, spelling, and mathematics was compared among the three groups, and the effects of the T1DM-related factors were analysed with general linear models.Results: The groups with (p<0.001) and without (p=0.001) severe hypoglycaemia demonstrated a poorer performance than the comparison group in spelling, and the group without severe hypoglycaemia showed a poorer performance than the comparison group in mathematics (p=0.003).Severe hypoglycaemia, DKA, and recent glycaemic control were not associated with poorer skills,but poorer first-year glycaemic control was associated with poorer spelling (p=0.013).Interpretation: An early onset of T1DM can increase the risk of learning problems, independently of the history of severe hypoglycaemia or DKA. Poorer glycaemic control after the first year of T1DM is associated with a poorer acquisition of academic skills indicating the effect of the timing of metabolic aberrations on cognitive development. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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