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Changes in glycated hemoglobin, diabetes knowledge, quality of life, and anxiety in children and adolescents with type 1 diabetes attending summer camps

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dc.contributor.author Hasan, Istiaque
dc.contributor.author Chowdhury, A. B. M. Alauddin
dc.contributor.author Haque, Md. Imdadul
dc.contributor.author Patterson, Christopher C.
dc.date.accessioned 2021-06-26T07:12:39Z
dc.date.available 2021-06-26T07:12:39Z
dc.date.issued 2020-11-12
dc.identifier.uri http://dspace.daffodilvarsity.edu.bd:8080/handle/123456789/5850
dc.description.abstract Diabetes summer camps provide children and adolescents with type 1 diabetes opportunities to learn about the disease and its management in a supportive environment to help improve glycemic control, self-reliance, and quality of life. The objective of this quantitative review was to assess the advantages of attending summer camps and study any adverse psychological effects. Studies with a pre/post study design in children and adolescents attending summer camp were systematically reviewed. Five bibliographic databases were searched and relevant data extracted. Random effects meta-analyses were used to combine the individual study results to derive pooled estimates and meta-regression was used to explore between-study heterogeneity. Studies in the literature report short-term improvements in the glycemic control, diabetes knowledge (DK), quality of life (QOL) anxiety, diabetes self-management, and self-esteem. Thirty-three studies were identified, and those outcomes reported in five or more studies were included in meta-analyses. There were significant benefits with a pooled mean change for glycated hemoglobin (95% CI) of −0.59(−0.95,-0.23)% (−6.4[−10.4,-2.5]mmol/mol), and for standardized DK score of 1.99(1.28,2.70) but corresponding changes for QOL 0.17(−0.06,0.39) and for anxiety −0.32(−0.70, 0.06) were not significant. However, all outcomes showed considerable between-study heterogeneity little of which was explained by study characteristics. The findings suggest short-term benefits of camp on metabolic control, DK, QOL and anxiety in T1D children and adolescents, although the latter two were not statistically significant. Further research is warranted with more methodological rigor and longer-term follow-up to determine if there are long-term benefits associated with camp attendance. en_US
dc.language.iso en_US en_US
dc.publisher Pediatric Diabetes, Wiley Online Library en_US
dc.subject Diabetes en_US
dc.subject Glycosylated hemoglobin en_US
dc.subject Anxiety in children en_US
dc.subject Anxiety in adolescence en_US
dc.title Changes in glycated hemoglobin, diabetes knowledge, quality of life, and anxiety in children and adolescents with type 1 diabetes attending summer camps en_US
dc.title.alternative A systematic review and meta-analysis en_US
dc.type Article en_US


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