AI Article Synopsis
- The study aimed to determine how having both type 1 diabetes (T1D) and celiac disease (CD) affects the quality of life (QoL) in youths compared to those with T1D only.
- Researchers compared 86 youths with both conditions and their parents to 167 youths with T1D, using the KINDL questionnaire for QoL assessment and dietary interviews to evaluate gluten-free diet (GFD) adherence.
- Results showed that while the combination of T1D and CD minimally impacts overall QoL, those not strictly following a GFD reported significantly lower QoL scores, highlighting the need for psychological support in managing the diet to improve QoL.
Article Abstract
Aim: Conflicting findings have been reported on whether in youths, the double diagnosis of type 1 diabetes (T1D) and celiac disease (CD) substantially impacts quality of life QoL, compared to subjects with T1D only.
Methods: In this study, 86 youths with double diagnosis and their parents were compared to 167 subjects with T1D only. QoL was assessed through the KINDL questionnaire. Anti-tissue transglutaminase antibodies and dietary interviews evaluated the degree of maintaining a gluten-free diet (GFD).
Results: We found that having CD in addition to T1D has little effect on overall QoL. However, analysis of the degree of maintaining GFD revealed significantly lower total QoL scores in groups with T1D + CD not strictly maintaining GFD compared to T1D only (p = 0.0014). The multivariable linear regression model confirmed the importance of maintaining GFD on QoL in subjects (p = 0.0066) and parents (p = 0.023).
Conclusion: The coexistence of T1D and CD and the adoption of a GFD resulted in poor QoL levels, as in youth as in their parents, when difficulties implementing the GFD are present. Psychological support should consider the importance of maintaining GFD not only to prevent potential complications in the future but also to improve actual QoL in different subdomains.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11329396 | PMC |
| http://dx.doi.org/10.1007/s00592-024-02281-6 | DOI Listing |
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