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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Quality of life and psychological burden of parents of children, adolescents, and young adults with type 1 diabetes: a cross-sectional study during the lockdown period of COVID-19

Nikolaos Rikos; Andreas Mpalaskas; Maria Fragiadaki (et al.)

Published: August 2022   Journal: Nursing Reports
The current study aimed to investigate how parents of children, adolescents, and young adults with DM1 perceived quality of life and psychological burden during the lockdown period of COVID-19. A cross-sectional study was carried out on 110 parents in Greece in spring 2021. Perceived quality of life was measured using the Parent Diabetes Distress Scale, and psychological burden was measured using the Spielberger State/Trait Anxiety Inventory, and both were assessed with correlational analysis.
Psychosocial impact of the COVID-19 pandemic for adolescents with type-1-diabetes: a qualitative interview study involving adolescents and parents

Michael Zeiler; Tanja Wittek; Theres Graf (et al.)

Published: July 2022   Journal: Behavioral Medicine
This study aims to investigate the psychosocial impact of the COVID-19 pandemic on adolescents with type-1-diabetes (T1D). We conducted 18 semi-structured interviews including adolescents with T1D (n = 10, 50% female, 15-18 years) and their parents (n = 8, 88% mothers). The main topics addressed were experiences during confinement regarding everyday life, lifestyle behaviors, diabetes management and treatment.
Healthy lifestyle gone bad: effect of the COVID-19 pandemic on the daily habits of children and adolescents with type 1 diabetes

Giovana B. de Oliveira; Janine Alessi; Isadora Nunes Erthal (et al.)

Published: June 2022   Journal: Archives of Endocrinology and Metabolism

This study aims to assess caregivers’ perception about the changes in the daily habits of children and adolescents with type 1 diabetes during the COVID-19 pandemic. Primary caregivers of youth aged ≤18 with or without type 1 diabetes were selected for the diabetes and the control groups. Caregivers estimated the youth’s time (hours) of physical activity and screen time before and during the pandemic, and rated the quality of eating habits and medication adherence from 0 to 10. The primary outcome was the change in physical activity time, screen time, and eating habits scores during isolation. Between-group analyses and within-group comparisons were conducted. A post hoc analysis was performed using logistic regression to correct for confounding factors.

Changes in type 2 diabetes trends in children and adolescents during the COVID-19 pandemic

Jessica A. Schmitt; Ambika P. Ashraf; David J. Becker (et al.)

Published: April 2022   Journal: The Journal of Clinical Endocrinology & Metabolism

There is concern that the growing incidence of pediatric type 2 diabetes (T2D) may have been further exacerbated by the COVID-19 pandemic. To examine whether trends in new-onset pediatric T2D—inclusive of patients requiring hospitalization and patients managed as outpatients—were impacted during the COVID-19 pandemic, and to compare patient characteristics prior to and during COVID-19. A retrospective single-center medical record review was conducted in a hospital which cares for 90% of Alabama’s pediatric T2D patients. Patients with new-onset T2D referred from March 2017 to March 2021 were included. Counts of patients presenting per month (“monthly rates”) were computed. Linear regression models were estimated for the full sample and stratified by Medicaid and non-Medicaid insurance status. Patient characteristics prior to vs during COVID-19 were compared.

Risk factors for COVID-19-related mortality in hospitalized children and adolescents with diabetes mellitus: an observational retrospective cohort study

Eduardo A. Oliveira; Robert H. Mak; Enrico A. Colosimo (et al.)

Published: March 2022   Journal: Pediatric Diabetes

Diabetes has been recognized as a major comorbidity for COVID-19 severity in adults. This study aimed to characterize the clinical outcomes and risk factors for COVID-19-related death in a large cohort of hospitalized pediatric patients with diabetes. It performed an analysis of all pediatric patients with diabetes and COVID-19 registered in SIVEP-Gripe, a Brazilian nationwide surveillance database, between February 2020 and May 2021. The primary outcome was time to death, which was evaluated considering discharge as a competitive risk by using cumulative incidence function.

Cite this research | Open access | Vol.: 23 | Issue: 3 | No. of pages: 10 | Language: English | Topics: Health | Tags: adolescent health, child health, COVID-19, diabetes, hospitalization, infectious disease, mortality rate, pandemic | Countries: Brazil
Impact of the COVID-19 pandemic on management of children and adolescents with Type 1 diabetes

Abha Choudhary; Soumya Adhikari; Perrin C. White

Published: March 2022   Journal: BMC Pediatrics

The coronavirus disease-2019 (COVID-19) pandemic had widespread impacts on the lives of parents and children. This study determined how the pandemic affected Type 1 diabetes patients at a large urban pediatric teaching hospital. It compared patient characteristics, glycemic control, PHQ-9 depression screen, in person and virtual outpatient encounters, hospitalizations and continuous glucose monitor (CGM) utilization in approximately 1600 patients in 1 year periods preceding and following the local imposition of COVID-related restrictions on 3/15/2020 (“2019” and “2020” groups, respectively).

COVID-19 vaccination in adolescents and young adults with type 1 diabetes: glycemic control and side effects

Barbara Piccini; Benedetta Pessina; Francesco Pezzoli (et al.)

Published: February 2022   Journal: Pediatric diabetes

Two vaccines against SARS-CoV-2 are approved by the World Health Organization (WHO) for minors aged 12 years and over. Currently, people with both type 1 diabetes (T1D) and type 2 diabetes (T2D) are prioritized for vaccination. This study aimed to evaluate possible glycemic control modification, insulin dose adjustment and adverse effects after COVID-19 vaccination in young T1D individuals, users of different technology levels. 39 T1D individuals, who received a whole vaccination cycle of either Moderna or Pfizer- BioNTech vaccines, were enrolled, 24 of whom using advanced hybrid closed loop systems (AHCLs) and 15 using intermittently scanned continuous glucose monitoring (isCGM). Symptoms after each dose and the following variables were considered: time in range 70-180 mg/dl (TIR), time in different glucose ranges, mean glucose levels, coefficient of variation (CV), total daily dose (TDD) and bolus proportion.

Post-traumatic stress disorder (PTSD) in parents of children with type 1 diabetes during Covid-19 pandemic

C. Carducci; N. Rapini; A. Deodati (et al.)

Published: August 2021   Journal: Italian Journal of Pediatrics

The Post-traumatic Stress Disorder (PTSD) is a group of persistent psychological and physiological symptoms due to a traumatic, severe, event. Only few studies focused on the effects of Covid-19 on psychosocial outcomes in children with Type 1 Diabetes (T1D) and their parents. The aim of this study was to evaluate the presence PTSD in parents of children with T1D during COVID-19 pandemic lockdown. In the period between March and May 2020 we submitted the “Impact of Event Scale – Revised” (IES-R) questionnaire to the parents of 34 children with Type 1 Diabetes, asking them to express their emotions about the ongoing Covid-19 pandemic.

Predictors of mood, diabetes-specific and COVID-19-specific experiences among parents of early school-age children with type 1 diabetes during initial months of the COVID-19 pandemic

Christine H. Wang; Marisa E. Hilliard; Samantha A. Carreon (et al.)

Published: August 2021   Journal: Publishing Open Access? Your fees may be covered OA agreements Pediatric Diabetes
The current study explored pre-pandemic sociodemographics, medical characteristics, social/family support, and mood symptoms, and current COVID-19 experiences as predictors of mood, positive/negative diabetes-specific experiences, and COVID-19-specific distress among parents of children with type 1 diabetes during the COVID-19 pandemic. It hypothesized that parents from marginalized backgrounds, youth with higher pre-pandemic A1c and no CGM use, parents with lower pre-pandemic social/family support and more pre-pandemic mood/anxiety symptoms, and those with more negative COVID-19 experiences would have more depressive symptoms, fewer positive and more negative diabetes-specific experiences, and more COVID-19-specific distress during the initial months of the pandemic.
Glycemic control among children and adolescents with type 1 diabetes during COVID-19 pandemic in Egypt: a pilot study

Yasmine Ibrahim Elhenawy; Khadiga Yehia Eltonbary

Published: July 2021   Journal: International Journal of Diabetes in Developing Countries

The COVID-19 pandemic and the consequences of lockdown significantly impacted glycemic control. This study aims to evaluate the impact of the pandemic and lockdown on glycemic control among Egyptian children and adolescents with type 1 diabetes. Cross-sectional study conducted through an online questionnaire. The participants were patients with type 1 diabetes and/or their caregivers

Impact of COVID-19 lockdown on glycaemic control and lifestyle changes in children and adolescents with type 1 and type 2 diabetes mellitus

Hooi Peng Cheng; Jeanne Sze Lyn Wong; Nalini M. Selveindran (et al.)

Published: July 2021   Journal: Endocrine

Malaysia implemented nationwide lockdown from 18th March till 3rd May 2020 to mitigate the spread of coronavirus disease (COVID-19). This study aimed to examine the impact of the lockdown on glycaemic control and lifestyle changes in children and adolescents with type 1 (T1DM) and 2 diabetes mellitus (T2DM) aged less than 18 years old. In this cross-sectional study, interviews and a standardised questionnaire comparing lifestyle changes before and during the lockdown were performed in follow-up clinic visits after the lockdown. Anthropometry measurements and glycated haemoglobin (HbA1c) values were compared 3 months prior and after the lockdown.

CoVidentary: an online exercise training program to reduce sedentary behaviours in children with type 1 diabetes during the COVID-19 pandemic

Valeria Calcaterra; Dario Iafusco; Vittoria Carnevale Pellino (et al.)

Published: July 2021   Journal: Journal of Clinical & Translational Endocrinology

This research explored the physical activity (PA) level and the variation in glycaemic control in children with type 1 diabetes (T1D) before and during the lockdown. Then, it proposed an online training program supported by sport-science specialists. Parents of children with T1D (<18 years) filled out an online survey. Anthropometric characteristics, PA, play, sport and sedentary time and the medical related outcomes were recorded. An adapted online program “Covidentary” was proposed through full-training (FT) and active breaks (AB) modality.

Vaccination against COVID-19 infection: the need of evidence for diabetic and obese pregnant women

A. Lapolla; M. G. Dalfrà; S. Burlina

Published: June 2021   Journal: Acta Diabetologica

The recent availability of vaccines against COVID-19 has sparked national and international debate on the feasibility of administering them to pregnant and lactating women, given that these vaccines have not been tested to assess their safety and efficacy in such women. As concerns the risks of COVID-induced disease, published data show that pregnant women who develop COVID-19 have fewer symptoms than patients who are not pregnant, but they are more likely to need hospitalization in intensive care, and neonatal morbidity. Aim of the present perspective paper is to analyze the current literature regarding the use of the vaccine against COVID-19 infection, in terms of safety and protection, in high risk pregnant women as those affected by diabetes and obesity. Analysis of literature about vaccination against COVID-19 infection in pregnancy.

Effect of the COVID-19 quarantine on metabolic control in children and adolescents with type 1 diabetes

Hande Turan; Didem Kaya Güneş; Gürkan Tarçın (et al.)

Published: June 2021   Journal: Endocrinología, Diabetes y Nutrición

Metabolic control in type 1 diabetes (T1D) depends on many factors such as eating habits, exercise and lifestyle. The objective of this study was to investigate how these factors were affected during the coronavirus disease 2019 (COVID-19) lockdown and impacted metabolic control in children with T1D. One hundred children with T1D were enrolled in the study. Anthropometric measurements, snack and meal frequency, carbohydrate consumption, HbA1c levels, and exercise patterns were recorded and compared before and after the lockdown. Subjects were divided into two subgroups — patients with decreased and patients with increased HbA1c levels after the lockdown — and comparisons of the same parameters were also made between these two subgroups.

Effect of Covid-19 quarantine on diabetes care in children

Miriannette Gayoso; Whei Ying Lim; Madhuri S. Mulekar (et al.)

Published: May 2021   Journal: Clinical Diabetes and Endocrinology

With the onset of the COVID-19 pandemic and state-mandated school closures in the spring of 2020, the management of type 1 diabetes in children underwent significant changes. The aim of this study was to assess the effect of stay-at-home orders on glycemic control in children. This study is a retrospective review of 238 children with type 1 and type 2 diabetes who were seen in the Pediatric Endocrinology Clinic at the University of South Alabama. Average Hemoglobin A1c (A1c) levels in the year prior to stay-at home orders (May 2019–April 2020) were compared with A1c values during the quarantine period (May 2020–July 2020) using a paired t-test. It also analyzed the change of A1c level with respect to sex, race, type of diabetes, type of insurance, and mode of insulin administration, using a 2-sample t-test.

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