ORCID Profile
0000-0002-7207-8304
Current Organisations
Tilburg University
,
Syddansk Universitet
,
Steno Diabetes Center Odense
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Publisher: Bentham Science Publishers Ltd.
Date: 22-08-2023
DOI: 10.2174/1573399820666230822095939
Abstract: In type 1 diabetes, disordered eating behaviors (DEBs) can adversely impact HbA1c. Diabetes-adapted DEB questionnaires assess intentional insulin omission, whereas generic questionnaires do not. Given the number of studies describing DEB-HbA1c associations published over the past decade, an updated systematic review is warranted. The study aimed to examine the associations between disordered eating behaviors (DEBs) assessed by generic and diabetes-adapted questionnaires (and subscales) and HbA1c among young people ( years) with type 1 diabetes. A systematic search was conducted in PubMed, Embase, PsycInfo, and CINAHL databases. Observational studies examining associations between DEB as assessed by questionnaires and HbA1c were included. Publication information, DEB and HbA1c characteristics, and DEB-HbA1c associations were extracted. Hedges’ g was calculated for mean HbA1c differences between groups with and without DEB. The systematic search yielded 733 reports, of which 39 reports representing 35 unique studies met the inclusion criteria. Nineteen studies assessing DEB by diabetes-adapted questionnaires (n=5,795) and seven using generic questionnaires (n=2,162) provided data for meta-analysis. For diabetes-adapted questionnaires, DEB was associated with higher HbA1c (g=0.62 CI=0.52 0.73) with a similar effect size when restricted to validated questionnaires (g=0.61 CI=0.50 0.73). DEB was not associated with HbA1c for generic questionnaires (g=0.19 CI=-0.17 0.55), but significantly associated with higher HbA1c for validated generic questionnaires (g=0.32 95% CI=0.16-0.48). Participant and HbA1c collection characteristics were often inadequately described. Diabetes-adapted DEB questionnaires should be used in youth with type 1 diabetes because they capture intentional insulin omission and are more strongly associated with HbA1c than generic DEB questionnaires.
Publisher: Wiley
Date: 27-02-2018
DOI: 10.1111/DME.13594
Publisher: Wiley
Date: 12-04-2021
DOI: 10.1111/DME.14565
Abstract: To examine whether frequency, perceived severity and fear of hypoglycaemia are independently associated with diabetes‐specific quality of life in adolescents with type 1 diabetes. Cross‐sectional self‐reported data on demographics, frequency and perceived severity of both self‐treated and severe hypoglycaemia, fear of hypoglycaemia (Hypoglycaemia Fear Survey—Child version) and diabetes‐specific quality of life (Pediatric Quality of Life Diabetes Module PedsQL‐DM) were obtained from the project ‘Whose diabetes is it anyway?’. Hierarchical regression analyses were performed for the total scale and recommended summary scores of the PedsQL‐DM as dependent variables independent variables were entered in the following steps: (1) age, gender and HbA 1c , (2) frequency of hypoglycaemia, (3) perceived severity of hypoglycaemia and (4) fear of hypoglycaemia. Adolescents (12–18 years n = 96) completed questionnaires. In the first three steps, female gender ( p 0.05), higher HbA 1c ( p 0.05), higher frequency of severe hypoglycaemia ( p 0.05) and higher perceived severity of severe ( p 0.05) and self‐treated hypoglycaemia ( p 0.001) were significantly associated with lower diabetes‐specific quality of life ( β ranging from 0.20 to 0.35). However, in the final model only fear of hypoglycaemia was significantly associated with QoL ( p 0.001). Adolescents with greater fear reported lower diabetes‐specific quality of life, with 52% explained variance. This pattern was observed across subdomains of diabetes‐specific quality of life. Fear of hypoglycaemia was the only factor independently associated with diabetes‐specific quality of life, whereas frequency and perceived severity of hypoglycaemia were not. These findings highlight the importance of awareness and assessment of fear of hypoglycaemia in clinical practice.
Publisher: American Diabetes Association
Date: 10-05-2014
DOI: 10.2337/DC14-0062
Publisher: Bentham Science Publishers Ltd.
Date: 06-2022
DOI: 10.2174/1573399818666220510172511
Abstract: The ision of care responsibilities between parents and children with type 1 diabetes, and an optimal transfer of responsibilities from parent to child over time are assumed to be key for optimal diabetes outcomes during childhood and adolescence. However, an overview of instruments assessing this ision as well as their psychometric qualities is currently lacking. The study aims to 1) identify all existing instruments, 2) evaluate their psychometric properties, and 3) provide an overview of scoring methods. Pubmed and PsycINFO were searched using a priori-defined search string. Peerreviewed studies in English using an instrument assessing the ision of diabetes care responsibilities between children (6-18 years) and parents were included. In total, 84 of 725 articles qualified, covering 62 unique s les. Thirteen questionnaires were identified. The Diabetes Family Responsibility Questionnaire (DFRQ) was most frequently used across studies. Instructions, content and number of tasks, response options, and scoring methods varied across questionnaires. Recent studies often adapted questionnaires, contributing to the heterogeneity across measures. Overall, reporting and quality of psychometric properties was suboptimal. The ision of diabetes care responsibilities can be operationalized with various instruments, each having its strengths and weaknesses but all with limited psychometric support. To measure the ision of diabetes care responsibilities more adequately, an updated version of the popular DFRQ or a new scale needs to be developed and evaluated.
Publisher: Wiley
Date: 16-02-2021
DOI: 10.1111/JAN.14781
No related grants have been discovered for Jori Aalders.