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Children and adolescents with type 1 diabetes mellitus in Nigeria: clinical characteristics and compliance with care.
Senbanjo, Idowu O; Akinola, Ibironke J; Umar, Umar I; Anyabolu, Chineme H; Abolurin, Olufunmilola O; Adekoya, Adesola O; Adeniyi, Olufunmilayo F; Adepoju, Akinlolu A; Salisu, Mohammad A; Gwarzo, Garba D; Olorunmoteni, Oluwatosin E; Ugowe, Osagie J; Suwaid, Salma; Ashubu, Oluwakemi O; Fetuga, Musili B; Oduwole, Abiola O.
Afiliación
  • Senbanjo IO; Department of Paediatrics and Child Health, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
  • Akinola IJ; Department of Paediatrics and Child Health, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
  • Umar UI; Department of Paediatrics, Aminu Kano University Teaching Hospital, Kano, Nigeria.
  • Anyabolu CH; Department of Paediatrics, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
  • Abolurin OO; Department of Paediatrics, Babcock University Teaching Hospital, Ilishan-Remo, Nigeria.
  • Adekoya AO; Department of Paediatrics, Babcock University Teaching Hospital, Ilishan-Remo, Nigeria.
  • Adeniyi OF; Department of Paediatrics, College of Medicine, University of Lagos, Akoka, Lagos, Nigeria.
  • Adepoju AA; Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Salisu MA; Department of Paediatrics and Child Health, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
  • Gwarzo GD; Department of Paediatrics, Aminu Kano University Teaching Hospital, Kano, Nigeria.
  • Olorunmoteni OE; Department of Paediatrics, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
  • Ugowe OJ; Department of Paediatrics, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
  • Suwaid S; Department of Paediatrics, Murtala Mohammed Specialist Hospital, Kano, Nigeria.
  • Ashubu OO; Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Fetuga MB; Departments of Paediatrics, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Sagamu, Nigeria.
  • Oduwole AO; Department of Paediatrics, College of Medicine, University of Lagos, Akoka, Lagos, Nigeria.
J Pediatr Endocrinol Metab ; 35(11): 1377-1384, 2022 Nov 25.
Article en En | MEDLINE | ID: mdl-36148598
OBJECTIVES: The prevalence of type 1 diabetes mellitus (T1DM) is increasing in most developed and developing countries. This study described the clinical characteristics and compliance with care among Nigerian children and adolescents with T1DM. METHODS: This was a cross-sectional descriptive multi-center study of children seen at the paediatric endocrinology clinic of seven selected tertiary health facilities in Nigeria. Information was collected on socio-demographics, clinical characteristics and compliance of the children with dietary recommendations and insulin therapy. Compliance with dietary recommendations and insulin therapy was graded as either good or poor based on defined criteria. RESULTS: The mean age of children was 13.1 ± 4.7 years. The mean age of children at the diagnosis of T1DM was 9.9 ± 4.2 years. Sixty-nine (60%) children were female while about half (47.8%) of the children were from the lower socioeconomic class. Compliance with insulin administration was good in 39.1% of the children and was significantly associated with the father's (p=0.001) and mother's educational status (p=0.024) while compliance with dietary recommendations was good in 20.0% of the children and was significantly associated with mother's educational status (p=0.034) and family socioeconomic class (p=0.010). Only the mother's level of education was independently and significantly associated with compliance to recommendations on insulin therapy (OR 4.2, 95% CI=1.5-11.6, p=0.007). CONCLUSIONS: The compliance of children with dietary recommendations and insulin therapy was poor. Efforts should be strengthened at all healthcare facilities to educate parents on the need for compliance with management guidelines.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 1 Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: J Pediatr Endocrinol Metab Asunto de la revista: ENDOCRINOLOGIA / PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Alemania
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 1 Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: J Pediatr Endocrinol Metab Asunto de la revista: ENDOCRINOLOGIA / PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Alemania