{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1363670320100912000.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2337/diacare.24.11.1923"}},{"identifier":{"@type":"URI","@value":"https://diabetesjournals.org/care/article-pdf/24/11/1923/643374/dc1101001923.pdf"}},{"identifier":{"@type":"PMID","@value":"11679458"}},{"identifier":{"@type":"HANDLE","@value":"11564/268218"}},{"identifier":{"@type":"HANDLE","@value":"2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/92168"}},{"identifier":{"@type":"NAID","@value":"30026278210"}}],"dc:title":[{"@value":"Good Metabolic Control Is Associated With Better Quality of Life in 2,101 Adolescents With Type 1 Diabetes"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:p>OBJECTIVE—It is unclear whether the demands of good metabolic control or the consequences of poor control have a greater influence on quality of life (QOL) for adolescents with diabetes. This study aimed to assess these relations in a large international cohort of adolescents with diabetes and their families.</jats:p><jats:p>RESEARCH DESIGN AND METHODS—The study involved 2,101 adolescents, aged 10–18 years, from 21 centers in 17 countries in Europe, Japan, and North America. Clinical and demographic data were collected from March through August 1998. HbA1c was analyzed centrally (normal range 4.4–6.3%; mean 5.4%). Adolescent QOL was assessed by a previously developed Diabetes Quality of Life (DQOL) questionnaire for adolescents, measuring the impact of diabetes, worries about diabetes, satisfaction with life, and health perception. Parents and health professionals assessed family burden using newly constructed questionnaires.</jats:p><jats:p>RESULTS—Mean HbA1c was 8.7% (range 4.8–17.4). Lower HbA1c was associated with lower impact (P &lt; 0.0001), fewer worries (P &lt; 0.05), greater satisfaction (P &lt; 0.0001), and better health perception (P &lt; 0.0001) for adolescents. Girls showed increased worries (P &lt; 0.01), less satisfaction, and poorer health perception (P &lt; 0.01) earlier than boys. Parent and health professional perceptions of burden decreased with age of adolescent (P &lt; 0.0001). Patients from ethnic minorities had poorer scores for impact (P &lt; 0.0001), worries (P &lt; 0.05), and health perception (P &lt; 0.01). There was no correlation between adolescent and parent or between adolescent and professional scores.</jats:p><jats:p>CONCLUSIONS—In a multiple regression model, lower HbA1c was significantly associated with better adolescent-rated QOL on all four subscales and with lower perceived family burden as assessed by parents and health professionals.</jats:p>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1383670320100912130","@type":"Researcher","foaf:name":[{"@value":"Hilary Hoey"}],"jpcoar:affiliationName":[{"@value":"Department of Paediatrics, Trinity College, National Children’s Hospital, Dublin, Ireland"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912132","@type":"Researcher","foaf:name":[{"@value":"Henk-Jan Aanstoot"}],"jpcoar:affiliationName":[{"@value":"Ijsselland Hospital, Capelle, the Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912129","@type":"Researcher","foaf:name":[{"@value":"Francesco Chiarelli"}],"jpcoar:affiliationName":[{"@value":"Pediatric University Clinic, Chieti, Italy"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912005","@type":"Researcher","foaf:name":[{"@value":"Denis Daneman"}],"jpcoar:affiliationName":[{"@value":"Hospital for Sick Children, University of Toronto, Toronto, Canada"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912007","@type":"Researcher","foaf:name":[{"@value":"Thomas Danne"}],"jpcoar:affiliationName":[{"@value":"Charité, Humboldt University, Berlin, Germany"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912009","@type":"Researcher","foaf:name":[{"@value":"Harry Dorchy"}],"jpcoar:affiliationName":[{"@value":"University Children’s Hospital, Queen Fabiola, Brussels, Belgium"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912010","@type":"Researcher","foaf:name":[{"@value":"Michael Fitzgerald"}],"jpcoar:affiliationName":[{"@value":"Department of Psychiatry, Trinity College, Dublin, Ireland"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912001","@type":"Researcher","foaf:name":[{"@value":"Patrick Garandeau"}],"jpcoar:affiliationName":[{"@value":"Institut Saint Pierre, Montpellier, France"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912134","@type":"Researcher","foaf:name":[{"@value":"Stephen Greene"}],"jpcoar:affiliationName":[{"@value":"University of Dundee, Dundee, United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912006","@type":"Researcher","foaf:name":[{"@value":"Reinhard Holl"}],"jpcoar:affiliationName":[{"@value":"University of Ulm, Ulm, Germany"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912000","@type":"Researcher","foaf:name":[{"@value":"Philip Hougaard"}],"jpcoar:affiliationName":[{"@value":"Novo Nordisk, Bagsværd, Denmark"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912003","@type":"Researcher","foaf:name":[{"@value":"Eero Kaprio"}],"jpcoar:affiliationName":[{"@value":"Peijas Hospital, Peijas, Finland"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912131","@type":"Researcher","foaf:name":[{"@value":"Mirjana Kocova"}],"jpcoar:affiliationName":[{"@value":"Pediatric Clinic-Skopje, Skopje, Republic of Macedonia"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912004","@type":"Researcher","foaf:name":[{"@value":"Helle Lynggaard"}],"jpcoar:affiliationName":[{"@value":"Novo Nordisk, Bagsværd, Denmark"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912008","@type":"Researcher","foaf:name":[{"@value":"Pedro Martul"}],"jpcoar:affiliationName":[{"@value":"Endocrinologia Pediatrica Hospital De Cruces, Cruces, Spain"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912136","@type":"Researcher","foaf:name":[{"@value":"Nobuo Matsuura"}],"jpcoar:affiliationName":[{"@value":"Kitasato University School of Medicine, Kitasato, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912139","@type":"Researcher","foaf:name":[{"@value":"Hannah M. McGee"}],"jpcoar:affiliationName":[{"@value":"Department of Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912002","@type":"Researcher","foaf:name":[{"@value":"Henrik B. Mortensen"}],"jpcoar:affiliationName":[{"@value":"Department of Pediatrics, Glostrup University Hospital, Glostrup, Denmark"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912135","@type":"Researcher","foaf:name":[{"@value":"Kenneth Robertson"}],"jpcoar:affiliationName":[{"@value":"Royal Hospital for Sick Children, Glasgow, United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912137","@type":"Researcher","foaf:name":[{"@value":"Eugen Schoenle"}],"jpcoar:affiliationName":[{"@value":"University Children’s Hospital, Zurich, Switzerland"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912141","@type":"Researcher","foaf:name":[{"@value":"Oddmund Sovik"}],"jpcoar:affiliationName":[{"@value":"Haukeland Hospital, Bergen, Norway"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912128","@type":"Researcher","foaf:name":[{"@value":"Peter Swift"}],"jpcoar:affiliationName":[{"@value":"Leicester Royal Infirmary Childrens Hospital, Leicester, United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912133","@type":"Researcher","foaf:name":[{"@value":"Rosa Maria Tsou"}],"jpcoar:affiliationName":[{"@value":"Hospital S. Joao, Porto, Portugal"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912138","@type":"Researcher","foaf:name":[{"@value":"Maurizio Vanelli"}],"jpcoar:affiliationName":[{"@value":"Department of Paediatrics, University of Parma, Italy"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320100912140","@type":"Researcher","foaf:name":[{"@value":"Jan Åman"}],"jpcoar:affiliationName":[{"@value":"Örebro Medical Centre Hospital, Örebro, Sweden"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"01495992"},{"@type":"EISSN","@value":"19355548"},{"@type":"NCID","@value":"AA00160920"}],"prism:publicationName":[{"@value":"Diabetes Care"}],"dc:publisher":[{"@value":"American Diabetes Association"}],"prism:publicationDate":"2001-11-01","prism:volume":"24","prism:number":"11","prism:startingPage":"1923","prism:endingPage":"1928"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://diabetesjournals.org/care/article-pdf/24/11/1923/643374/dc1101001923.pdf"}],"createdAt":"2007-03-05","modifiedAt":"2023-05-10","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Blood%20Glucose","dc:title":"Blood Glucose"},{"@id":"https://cir.nii.ac.jp/all?q=Cross-Cultural%20Comparison","dc:title":"Cross-Cultural Comparison"},{"@id":"https://cir.nii.ac.jp/all?q=Male","dc:title":"Male"},{"@id":"https://cir.nii.ac.jp/all?q=Adolescent","dc:title":"Adolescent"},{"@id":"https://cir.nii.ac.jp/all?q=Health%20Status","dc:title":"Health Status"},{"@id":"https://cir.nii.ac.jp/all?q=Normal%20Distribution","dc:title":"Normal Distribution"},{"@id":"https://cir.nii.ac.jp/all?q=Sex%20Factors","dc:title":"Sex Factors"},{"@id":"https://cir.nii.ac.jp/all?q=Japan","dc:title":"Japan"},{"@id":"https://cir.nii.ac.jp/all?q=Reference%20Values","dc:title":"Reference Values"},{"@id":"https://cir.nii.ac.jp/all?q=Surveys%20and%20Questionnaires","dc:title":"Surveys and Questionnaires"},{"@id":"https://cir.nii.ac.jp/all?q=Humans","dc:title":"Humans"},{"@id":"https://cir.nii.ac.jp/all?q=Child","dc:title":"Child"},{"@id":"https://cir.nii.ac.jp/all?q=Glycated%20Hemoglobin","dc:title":"Glycated Hemoglobin"},{"@id":"https://cir.nii.ac.jp/all?q=Sciences%20bio-m%C3%A9dicales%20et%20agricoles","dc:title":"Sciences bio-médicales et agricoles"},{"@id":"https://cir.nii.ac.jp/all?q=Europe","dc:title":"Europe"},{"@id":"https://cir.nii.ac.jp/all?q=Diabetes%20Mellitus,%20Type%201","dc:title":"Diabetes Mellitus, Type 1"},{"@id":"https://cir.nii.ac.jp/all?q=North%20America","dc:title":"North America"},{"@id":"https://cir.nii.ac.jp/all?q=Quality%20of%20Life","dc:title":"Quality of Life"},{"@id":"https://cir.nii.ac.jp/all?q=Regression%20Analysis","dc:title":"Regression Analysis"},{"@id":"https://cir.nii.ac.jp/all?q=Female","dc:title":"Female"},{"@id":"https://cir.nii.ac.jp/all?q=Biomarkers","dc:title":"Biomarkers"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390282681274252800","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy","isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes"}]},{"@id":"https://cir.nii.ac.jp/crid/1571417125807334912","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"日本における1型および2型糖尿病をもつ子ども/青年の健康関連・疾患関連QOL"},{"@language":"en","@value":"Health-related and diabetes-related quality of life in Japanese children and adolescents with type 1 and type 2 diabetes"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.2337/diacare.24.11.1923"},{"@type":"CIA","@value":"30026278210"},{"@type":"OPENAIRE","@value":"doi_dedup___::3f9c7b4e96064763977bd74969a0ea2e"},{"@type":"CROSSREF","@value":"10.1507/endocrj.51.407_references_DOI_VUe9GH2XNmS2uW2D987Wfa9l5MB"}]}