School performance in children with type 1 diabetes: a contemporary population-based study
School performance in children with type 1 diabetes: a contemporary population-based study
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DOI：
10.1111/pedi.12243
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发表时间：
2016-03-01
影响因子：
3.4
通讯作者：
Jones, Timothy W.
中科院分区：
文献类型：
--
作者：
Cooper, Matthew N.;McNamara, Kaitrin A. R.;Jones, Timothy W.
目的我们的目的是检查1型糖尿病儿童与同龄人相比的学校表现，探索随着时间的推移的变化以及临床因素对学校表现的影响。方法该研究包括来自西澳大利亚州的666名1型糖尿病儿童的数据儿童糖尿病数据库。（WACDD），一个基于人群的登记处，和3260名学校和学年匹配的非糖尿病儿童。国家评估方案-识字和识数（NAPLAN）（2008-2011年）的记录来自这两个群体，该方案审查了四个教育成果领域，每年对澳大利亚所有3、5、7和9年级儿童进行一次评估。从WACDD.ResultsNo显着差异，观察那些与1型糖尿病和他们的同龄人之间，在任何测试域和学年分析的儿童糖尿病的临床数据。未观察到随时间推移的下降，也未观察到诊断后的下降。1型糖尿病与入学率下降有关，每年入学天数减少3%。贫血控制[较高的血红蛋白A1 c（HbA 1c）]与较低的测试评分[HbA 1c每增加1%（10.9 mmol/mol）0.2-0.3 SD]和较差的出勤率[HbA 1c每增加1%（10.9 mmol/mol）降低1.8%]相关。没有观察到与严重的低血糖，糖尿病酮症酸中毒或发病年龄和学校的测试scores.ConclusionThese结果表明，1型糖尿病是不相关的，在学校表现的显着递减，由NAPLAN评估。较差的贫血控制与较差的学校表现的关联为临床医生关注改善贫血控制提供了进一步的证据。
AimsOur aim was to examine the school performance of children with type 1 diabetes in comparison to their peers, exploring changes over time, and the impact of clinical factors on school performance.MethodsThe study included data on 666 children with type 1 diabetes from the Western Australia Children's Diabetes Database. (WACDD), a population-based registry, and 3260 school and school year matched non-diabetic children. Records from the National Assessment Program - Literacy and Numeracy (NAPLAN) (2008-2011), which examines four educational outcome domains and is administered annually to all years 3, 5, 7, and 9 children in Australia, were sourced for both groups. Clinical data were obtained for the children with diabetes from the WACDD.ResultsNo significant difference was observed between those with type 1 diabetes and their peers, across any of the tested domains and school years analysed. No decline over time was observed, and no decline following diagnosis was observed. Type 1 diabetes was associated with decreased school attendance, 3% fewer days attended per year. Poorer glycaemic control [higher haemoglobin A1c (HbA1c)] was associated with a lower test score [0.2-0.3 SD per 1% (10.9 mmol/mol) increase in HbA1c], and with poorer attendance [1.8% decrease per 1% (10.9 mmol/mol) increase in HbA1c]. No association was observed with history of severe hypoglycaemia, diabetic ketoacidosis or age of onset and school test scores.ConclusionThese results suggest that type 1 diabetes is not associated with a significant decrement in school performance, as assessed by NAPLAN. The association of poorer glycaemic control with poorer school performance serves as further evidence for clinicians to focus on improving glycaemic control.