{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T11:01:54Z","timestamp":1761562914981,"version":"3.40.5"},"reference-count":32,"publisher":"Walter de Gruyter GmbH","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2022-0290_abs_001\">\n                  <jats:title>\n                     <jats:bold>Objectives<\/jats:bold>\n                  <\/jats:title>\n                  <jats:p>The prevalence of type 1 diabetes mellitus (T1DM) is increasing in most developed and developing countries. This study described the clinical characteristics and compliance with care among Nigerian children and adolescents with T1DM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2022-0290_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a cross-sectional descriptive multi-center study of children seen at the paediatric endocrinology clinic of seven selected tertiary health facilities in Nigeria. Information was collected on socio-demographics, clinical characteristics and compliance of the children with dietary recommendations and insulin therapy. Compliance with dietary recommendations and insulin therapy was graded as either good or poor based on defined criteria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2022-0290_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean age of children was 13.1\u00a0\u00b1\u00a04.7 years. The mean age of children at the diagnosis of T1DM was 9.9\u00a0\u00b1\u00a04.2 years. Sixty-nine (60%) children were female while about half (47.8%) of the children were from the lower socioeconomic class. Compliance with insulin administration was good in 39.1% of the children and was significantly associated with the father\u2019s (p=0.001) and mother\u2019s educational\u00a0status (p=0.024) while compliance with dietary recommendations was good in 20.0% of the children and was significantly associated with mother\u2019s educational status (p=0.034) and family socioeconomic class (p=0.010). Only the mother\u2019s level of education was independently and significantly associated with compliance to recommendations on insulin therapy (OR 4.2, 95% CI=1.5\u201311.6, p=0.007).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2022-0290_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The compliance of children with dietary recommendations and insulin therapy was poor. Efforts should be strengthened at all healthcare facilities to educate parents on the need for compliance with management guidelines.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2022-0290","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T08:38:33Z","timestamp":1663922313000},"page":"1377-1384","source":"Crossref","is-referenced-by-count":2,"title":["Children and adolescents with type 1 diabetes mellitus in Nigeria: clinical characteristics and compliance with care"],"prefix":"10.1515","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9205-2577","authenticated-orcid":false,"given":"Idowu O.","family":"Senbanjo","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health , Lagos State University College of Medicine , Ikeja , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0081-1124","authenticated-orcid":false,"given":"Ibironke J.","family":"Akinola","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health , Lagos State University College of Medicine , Ikeja , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umar I.","family":"Umar","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Aminu Kano University Teaching Hospital , Kano , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chineme H.","family":"Anyabolu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Obafemi Awolowo University Teaching Hospital , Ile-Ife , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olufunmilola O.","family":"Abolurin","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Babcock University Teaching Hospital , Ilishan-Remo , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0515-7002","authenticated-orcid":false,"given":"Adesola O.","family":"Adekoya","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Babcock University Teaching Hospital , Ilishan-Remo , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olufunmilayo F.","family":"Adeniyi","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , College of Medicine, University of Lagos , Akoka , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinlolu A.","family":"Adepoju","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , College of Medicine, University of Ibadan , Ibadan , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad A.","family":"Salisu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health , Lagos State University College of Medicine , Ikeja , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garba D.","family":"Gwarzo","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Aminu Kano University Teaching Hospital , Kano , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwatosin E.","family":"Olorunmoteni","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Obafemi Awolowo University Teaching Hospital , Ile-Ife , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osagie J.","family":"Ugowe","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Obafemi Awolowo University Teaching Hospital , Ile-Ife , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salma","family":"Suwaid","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , Murtala Mohammed Specialist Hospital , Kano , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwakemi O.","family":"Ashubu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , College of Medicine, University of Ibadan , Ibadan , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Musili B.","family":"Fetuga","sequence":"additional","affiliation":[{"name":"Departments of Paediatrics , Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University , Sagamu , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abiola O.","family":"Oduwole","sequence":"additional","affiliation":[{"name":"Department of Paediatrics , College of Medicine, University of Lagos , Akoka , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"key":"2023040100342183032_j_jpem-2022-0290_ref_001","doi-asserted-by":"crossref","unstructured":"Maahs, DM, West, NA, Lawrence, JM, Mayer-Davis, EJ. 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