Factors associated with academic achievement in children with type 1 diabetes
Factors associated with academic achievement in children with type 1 diabetes
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DOI：
10.2337/diacare.26.1.112
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发表时间：
2003-01-01
期刊：
影响因子：
16.2
通讯作者：
Engvall, J
中科院分区：
文献类型：
--
作者：
McCarthy, AM;Lindgren, S;Engvall, J
目的-研究糖尿病儿童的学习成绩，并确定预测指标的achievement.RESEARCH设计和方法-参与者是244名儿童，年龄8-18岁，1型糖尿病。测量指标包括学校管理的标准化成绩测试（爱荷华州基本技能测试和爱荷华州教育发展测试[ITBS/ITED]）、平均成绩（GPA）、缺课、行为评估、发病年龄、住院和HbA（1c）。使用t检验和ANOVA评估儿童亚组之间的统计学差异，统计学上控制了社会经济地位。进行回归分析，以检查预测的学业performance.Results -阅读分数和GPA较低的代谢控制不良的儿童比平均控制的儿童。因高血糖住院的儿童总体成就评分低于代谢控制较好和因高血糖住院较少的儿童。代谢控制严格和低血糖住院治疗的一小组儿童在ITBS/ITED中得分特别低。其他变量与学业成绩的关系不太明确。无论是早发糖尿病还是频繁缺课都与ITBS/ITED的低分数无关。性别比较发现，男孩比女孩表现更好，只有在mathematic. Socioeconomic地位和父母的行为问题的评级与学业成绩显着相关，但医疗变量只增加了轻微的预测precision.CONCLUSIONS -对于大多数儿童糖尿病，医疗变量是不是强烈相关的因素，如社会经济地位和行为因素与学业成绩。然而，代谢控制不良和严重的低血糖是这些儿童中的一个子集的潜在问题。
OBJECTIVE - To examine academic achievement in children with diabetes and to identify predictors of achievement.RESEARCH DESIGN AND METHODS - Participants were 244 children, ages 8-18 years, with type 1 diabetes. Measures included school-administered standardized achievement tests (Iowa Tests of Basic Skills and Iowa Tests of Educational Development [ITBS/ITED]), grade point averages (GPAs), school absences, behavioral assessment, age at disease onset, hospitalizations, and HbA(1c). Statistical differences between subgroups of children were evaluated using t test and ANOVA, statistically controlling for socioeconomic status. Regression analyses were carried out to examine predictors of academic performance.RESULTS - Reading scores and GPA were lower for children with poor metabolic control than for children with average control. Children with hospitalizations for hyperglycemia had lower overall achievement scores than children with better metabolic control and fewer hospitalizations for hyperglycemia. The small group of children with tight metabolic control and hypoglycemic hospitalizations scored particularly low on the ITBS/ITED. Other variables had less clear relationships with academic achievement. Neither early onset of diabetes nor frequent school absence was associated with lower scores on the ITBS/ITED. Sex comparisons found that boys performed better than girls only in math. Socioeconomic status and parent ratings of behavior problems were significantly correlated with academic achievement, but medical variables added only slightly to predictive precision.CONCLUSIONS - For most children with diabetes, medical variables are not as strongly associated with academic achievement as are factors such as socioeconomic status and behavioral factors. Poor metabolic control and serious hypoglycemia, however, are a potential concern for a subset of these children.