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首页> 外文期刊>Diabetes care >Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study
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Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study

机译：青年与1型糖尿病负责自我管理：执行功能在实现血糖控制方面的重要性：纵向尼诺研究的结果

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摘要

OBJECTIVESuccessful self-management of type 1 diabetes requires cognitive skills such as executive functioning (EF). In the transition to adolescence, youth take over responsibility for diabetes management. We set out to test: 1) the association between EF and glycemic control over time and 2) whether this association was moderated by: a) youth, shared, or parent responsibility for diabetes management and b) youth's age.RESEARCH DESIGN AND METHODSWithin the Diabetes IN DevelOpment study (DINO), parents of youth with type 1 diabetes (8-15 years at baseline; N = 174) completed a yearly assessment over 4 years. Glycemic control (HbA(1c)) was derived from hospital charts. Youth's EF was measured using the Behavior Rating Inventory of Executive Functioning (BRIEF)-parent report. The Diabetes Family Responsibility Questionnaire (DFRQ)-parent report was used to assess diabetes responsibility (youth, shared, and parent). Linear generalized estimating equations were used to analyze data including youth's sex, age, and age of diabetes onset as covariates.RESULTSRelatively more EF problems are significantly associated with higher HbA(1c) over time ( = 0.190; P = 0.002). More EF problems in combination with less youth responsibility ( = 0.501; P = 0.048) or more parental responsibility ( = -0.767; P = 0.006) are significantly associated with better glycemic control over time. Only age significantly moderates the relationship among EF problems, shared responsibility, and glycemic control ( = -0.024; P = 0.019).CONCLUSIONSPoorer EF is associated with worse glycemic control over time, and this association is moderated by responsibility for diabetes management tasks. This points to the importance of EF when youth take over responsibility for diabetes management in order to achieve glycemic control.
机译：1型糖尿病的非目标自我管理需要认知技能，如执行功能（EF）。在过渡到青春期，青年接管糖尿病管理责任。我们开始测试：1）EF与血糖控制之间的关联随着时间的推移和2）是否通过以下协会（这一协会）受到审核：a）糖尿病管理的青年，共享或父母责任，b）青年的岁月。研究设计和方法在开发研究（DINO）的糖尿病，青少年患有1型糖尿病（基线8-15岁）的青年父母完成了超过4年的年度评估。血糖对照（HBA（1C））来自医院图表。青少年的EF是使用高管运作（简短） - 透明报告的行为评级库存来衡量。糖尿病家庭责任调查问卷（DFRQ） - 助剂报告用于评估糖尿病责任（青年，共享和父母）。线性广义估计方程用于分析包括青少年性别，年龄和糖尿病年龄的数据作为协变量。结果更多的EF问题随着时间的推移与较高的HBA（1C）显着相关（= 0.190; p = 0.002）。与较少青少年责任（= 0.501; P = 0.048）或更多的父母责任（= -0.767; p = 0.006）组合的更多EF问题与更好的血糖控制随着时间的推移，显着相关。只有年龄显着调节EF问题，共同责任和血糖控制（= -0.024; p = 0.019）.Clclusionspoorer EF随着时间的推移与血糖控制更差，而这种关联受糖尿病管理任务的责任。这点EF的重要性时，青年接管糖尿病管理的责任，以达到控制血糖。

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  • 来源
    《Diabetes care》 |2019年第2期|共7页
  • 作者

    Vloemans Anne F.; Eilander Minke M. A.; Rotteveel Joost; Bakker-van Waarde Willie M.; Houdijk Euphemia C. A. M.; Nuboer Roos; Winterdijk Per; Snoek Frank J.; De Wit Maartje;

  • 作者单位

    Vrije Univ Amsterdam Med Ctr Dept Psychol Med Amsterdam Publ Hlth Res Inst Amsterdam Netherlands;

    Ctr Pediat &

    Adolescent Diabet Care &

    Res Rotterdam Netherlands;

    Vrije Univ Amsterdam Med Ctr Dept Pediat Amsterdam Publ Hlth Res Inst Amsterdam Netherlands;

    Univ Groningen Dept Pediat Univ Med Ctr Groningen Groningen Netherlands;

    Juliana Childrens Hosp HagaHosp Dept Pediat The Hague Netherlands;

    Meander Med Ctr Dept Pediat Amersfoort Netherlands;

    Ctr Pediat &

    Adolescent Diabet Care &

    Res Rotterdam Netherlands;

    Vrije Univ Amsterdam Med Ctr Dept Psychol Med Amsterdam Publ Hlth Res Inst Amsterdam Netherlands;

    Vrije Univ Amsterdam Med Ctr Dept Psychol Med Amsterdam Publ Hlth Res Inst Amsterdam Netherlands;

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  • 正文语种 eng
  • 中图分类 内分泌腺疾病及代谢病;
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