Chronic Disease Management of Children Followed with Type 1 Diabetes Mellitus

INTRODUCTION: With the diagnosis of chronic illness in children, a stressful period is likely to begin for both the affected child and their families. The aim of this study was to investigate the factors affecting chronic disease management by the parents of children diagnosed with type 1 diabetes mellitus (T1DM). METHODS: The sample consisted of 110 children, aged between 4-17 years and their mothers. The patients had been diagnosed with T1DM for at least one year, and had attended pediatric endocrinology outpatients or were hospitalized in a single center. First, sociodemographic information about the child with T1DM were obtained. Then, the “Family Management Measure” (FaMM) was applied. The FaMM is constructed to measure family functioning and management in families who have a child with a chronic illness. RESULTS: Paternal years of education (p=0.036), family income (p=0.008), insulin pump use (p=0.011), and time elapsed after diagnosis (p=0.048) positively affected both the management of T1DM and the child’s daily life. However, presence of chronic diseases in addition to T1DM (p=0.004) negatively affected diabetes management. Higher maternal education year (p=0.013) and family income level (p=0.001) increased parental mutuality scores. However, as the time after diagnosis increased, parental mutuality scores decreased. DISCUSSION AND CONCLUSION: It is important to evaluate the child with chronic disease with a biopsychosocial approach. This approach aims to evaluate the problems of the child and his/her family who experience the disease with a holistic approach

The effect of physical activity on body composition and blood lipids after sleeve gastrectomy surgery in adult obese women – A one year longitudinal study

<p>Obesity is a global health problem that is increasing in prevalence and poses significant risks to the health of individuals. In recent years, bariatric surgery, especially sleeve gastrectomy, has become a widely adopted approach in the treatment of obesity. However, the role of post-operative physical activity, especially in women, has not been adequately studied. The aim of this study is to compare the body composition and blood lipid levels of adult obese women who do physical activity and those who do not for a year after bariatric surgery. Twenty-one women (PA group / non-PA group) participants with a sedentary lifestyle and a body mass index above 35 were included in the study. The PA group performed regular aerobic exercises, while the non-PA group maintained a sedentary lifestyle. Measurements were made in both groups preoperatively, at 1, 3, 6 and 12 months. The results showed that physical activity has a significant effect on body composition. Regarding blood lipid levels, physical activity contributed to significantly improvements in cholesterol, low-density lipoprotein and triglyceride levels over the 12-month period. However, no significant relationship was found between physical activity and high-density lipoprotein levels. In summary, this study highlights the beneficial effects of physical activity on body composition and some blood lipid parameters in women after sleeve gastrectomy.</p&gt