{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:21:45Z","timestamp":1784247705187,"version":"3.55.0"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rocz Panstw Zakl Hig"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>Background.<\/strong> Nutrition education is one of the most important factors determining the effectiveness of treatment and\u00a0maintaining an adequate quality of life (QoL) in children and adolescents with type 1 diabetes.<br \/><strong>Objective.<\/strong> The primary objective was to compare the influence of two methods of nutrition education on the QoL. The\u00a0secondary objective was to identify other determinants of the QoL.<br \/><strong>Material and Methods.<\/strong> A randomized single-blind study was conducted between October 2017 and April 2019 at the\u00a0Children\u2019s Clinical Hospital in Warsaw. The study included 170 patients (aged 8-17) with at least 1-year history of type\u00a01 diabetes, treated with insulin pumps. The participants were randomly divided into two groups: a control group (C)\u00a0\u2013 traditional\/ informative education methods, and an experimental group (E) \u2013 modern\/interactive methods. PedsQL\u00a0Diabetes Module 3.0 questionnaire was used in the assessment of the QoL. Total PedsQL score was the primary outcome.\u00a0The secondary outcomes included the results obtained in five subscales of the questionnaire. The relationships between\u00a0selected variables and changes in scores were also verified.<br \/><strong>Results.<\/strong> Data obtained from 136 patients were analyzed. In both groups no significant changes regarding total PedsQL were\u00a0noted 6 months after the intervention. However, a significant reduction occurred as regards the scores of \u2018Communication\u2019\u00a0subscale in group C. Analyzing other determinants of the QoL, significant dependencies were observed between: the level\u00a0of physical activity and a change in \u2018Diabetes symptoms\u2019 subscale, and the level of parents\u2019 education and a change in\u00a0\u2018Treatment barriers\u2019 subscale.<br \/><strong>Conclusions.<\/strong> Both methods of nutrition education exerted a comparable influence on the total QoL. However, modern\u00a0methods were more effective in terms of the improvement in the aspect of communication. Additionally, moderate\u00a0physical activity and parents\u2019 tertiary education constituted valid determinants of various aspects of the QoL in children\u00a0and adolescents with type 1 diabetes.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>Wprowadzenie.<\/strong> Edukacja \u017cywieniowa stanowi jeden z najwa\u017cniejszych element\u00f3w warunkuj\u0105cych skuteczno\u015b\u0107 leczenia\u00a0oraz utrzymanie odpowiedniej jako\u015bci \u017cycia dzieci i m\u0142odzie\u017cy z cukrzyc\u0105 typu 1.<br \/><strong>Cel bada\u0144.<\/strong> G\u0142\u00f3wnym celem badania by\u0142o por\u00f3wnanie wp\u0142ywu dw\u00f3ch metod edukacji \u017cywieniowej na jako\u015b\u0107 \u017cycia. Cel\u00a0drugorz\u0119dny stanowi\u0142o zidentyfikowanie pozosta\u0142ych czynnik\u00f3w determinuj\u0105cych jako\u015b\u0107 \u017cycia.<br \/><strong>Materia\u0142 i metody.<\/strong> Przeprowadzono badanie randomizowane, pojedynczo za\u015blepione. Badanie by\u0142o realizowane od pa\u017adziernika\u00a02017 r. do kwietnia 2019 r. w Dzieci\u0119cym Szpitalu Klinicznym w Warszawie. Do badania zakwalifikowano\u00a0170 pacjent\u00f3w (w wieku 8-17 lat) z cukrzyc\u0105 typu 1 rozpoznan\u0105 przynajmniej rok wcze\u015bniej, leczonych za pomoc\u0105 pomp\u00a0insulinowych. Uczestnicy zostali losowo podzieleni na dwie grupy: kontroln\u0105 (C), w kt\u00f3rej zastosowano tradycyjne\/informacyjne\u00a0metody edukacji oraz eksperymentaln\u0105 (E), w kt\u00f3rej wdro\u017cono metody nowoczesne\/interaktywne. Do oceny\u00a0jako\u015bci \u017cycia wykorzystano kwestionariusz PedsQL Diabetes Module 3.0. Pierwszorz\u0119dowy punkt ko\u0144cowy stanowi\u0142a\u00a0ca\u0142kowita punktacja uzyskana w kwestionariuszu. Do drugorz\u0119dowych punkt\u00f3w ko\u0144cowych nale\u017ca\u0142y rezultaty osi\u0105gni\u0119te w pi\u0119ciu podskalach kwestionariusza. Zweryfikowano r\u00f3wnie\u017c wyst\u0119powanie zale\u017cno\u015bci pomi\u0119dzy wybranymi\u00a0zmiennymi a zmianami w punktacji.<br \/><strong>Wyniki.<\/strong> Przeanalizowano dane 136 pacjent\u00f3w. Po up\u0142ywie 6 miesi\u0119cy od zastosowanej interwencji w obydwu grupach\u00a0nie odnotowano istotnych zmian w zakresie ca\u0142kowitej punktacji. W grupie C stwierdzono jednak znamienne pogorszenie\u00a0wynik\u00f3w w podskali \u201eKomunikacja\u201d. Analizuj\u0105c inne determinanty jako\u015bci \u017cycia pacjent\u00f3w, zaobserwowano znamienne\u00a0zale\u017cno\u015bci pomi\u0119dzy: poziomem aktywno\u015bci fizycznej a zmian\u0105 w podskali \u201eObjawy cukrzycy\u201d oraz stopniem\u00a0wykszta\u0142cenia rodzic\u00f3w a zmian\u0105 w podskali \u201eBariery zwi\u0105zane z leczeniem\u201d.<br \/><strong>Wnioski.<\/strong> Obydwie metody edukacji \u017cywieniowej mia\u0142y por\u00f3wnywalny wp\u0142yw na og\u00f3ln\u0105 jako\u015b\u0107 \u017cycia. Metody nowoczesne\u00a0by\u0142y jednak skuteczniejsze w zakresie poprawy aspektu komunikacji. Co wi\u0119cej, umiarkowany stopie\u0144 aktywno\u015bci\u00a0fizycznej oraz wy\u017csze wykszta\u0142cenie rodzic\u00f3w stanowi\u0142y istotne determinanty r\u00f3\u017cnych aspekt\u00f3w jako\u015bci \u017cycia dzieci\u00a0i m\u0142odzie\u017cy z cukrzyc\u0105 typu 1.<\/p><\/jats:p>","DOI":"10.32394\/rpzh.2020.0117","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T08:59:38Z","timestamp":1591952378000},"page":"197-206","source":"Crossref","is-referenced-by-count":9,"title":["Influence of two different methods of nutrition education on the quality of life in children and adolescents with type 1 diabetes mellitus \u2013 a randomized study"],"prefix":"10.32394","volume":"71","author":[{"given":"Karolina","family":"D\u0142u\u017cniak-Go\u0142aska","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariusz","family":"Panczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Szypowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Si\u0144ska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorota","family":"Szostak-W\u0119gierek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"17323","published-online":{"date-parts":[[2020,6,30]]},"container-title":["Roczniki Pa\u0144stwowego Zak\u0142adu Higieny"],"original-title":[],"link":[{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182613-103109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182613-103109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T11:10:08Z","timestamp":1768475408000},"score":1,"resource":{"primary":{"URL":"https:\/\/roczniki.pzh.gov.pl\/Influence-of-two-different-methods-of-nutrition-education-on-the-quality-of-life,182613,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,30]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020]]}},"alternative-id":["182613"],"URL":"https:\/\/doi.org\/10.32394\/rpzh.2020.0117","relation":{},"ISSN":["0035-7715","2451-2311"],"issn-type":[{"value":"0035-7715","type":"print"},{"value":"2451-2311","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,30]]}}}