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1.

001-es BibID:BIBFORM042720
Első szerző:Kiss-Tóth Emőke
Cím:Health-conscious behaviour of health care college students in Hungary / E. Kiss-Tóth, A. Lukács, B. Varga, L. Szabó, L. Barkai
Dátum:2011
ISSN:1101-1262
Megjegyzések:Background: Pediatric health-related quality of life (HRQL) assessment in chronic diseases gained importance in clinical practice and research. Most research examined the HRQL together in sexes. The aim of our study was to evaluate the HRQL between type 1 diabetes girls (G) and boys (B) using child self-report and parent proxy-report, and to analyse the correlation between HRQL and HbA1c, and between HRQL and diabetes duration (dd). Methods: 216 type 1 diabetes youths took part in this cross-sectional survey from Northern-East Hungary in 2010. There were 107 G (age: 13.27?3.19 yrs, dd: 5.44?2.84 yrs, HbA1c: 8.87?1.40%) and 109 B (age: 13.34?3.09 yrs, dd: 5.04?3.25 yrs, HbA1c: 8.40 ?1.53%). No patient had diabetes complication. HRQL was evaluated with PedsQL? 3.0 Diabetes Module using child self-report (CSR) and parent proxy-report (PPR). The questionnaire analyses the diabetes symptoms (Ds), treatment barriers (Tb), treatment adherence, worry and communication. The higher scores indicate better HRQL. T-test and Mann-Whitney U test was employed according to the distribution of normality. Pearson coefficient was used for analysing the correlation between HRQL and HbA1c and HRQL and dd. Results: B reported significantly better HRQL (G: 67.29?12.06 vs B: 72,53?12.38; p=0.002). Patients had significantly higher scores in CSR than in PPR in both sexes (PPR of G: 64.22?12.92 vs PPR of B: 68.29?11.56, p=0.016). B had significantly better results in Ds subscale (G: 57.90?13.69 vs B: 65.18?14.04; p=0.000) and Tb subscale (G: 66.76?19.53 vs B: 73.70?18.05; p=0.000). We observed significant differences between the CSR and PPR both in G (CSR: 67.29?12.06 vs PPR: 64.22?12.92; p=0.000) and B (CSR: 72.53?12.38 vs PPR: 68.29?11.56; p=0.000). No significant correlation was found between HRQL and HbA1c and HRQL and dd in sexes. Conclusions: B had better HRQL than G and this is approved by the PPR. The difference in sexes was caused by the perception of Ds and the Tb (pricking fingers or giving insulin shots, embarrassed about having diabetes, arguing with parents about diabetes care, sticking to diabetes care plan). The parents underestimated their children HRQL in both sexes. The HRQL is not affected statistically significantly by the metabolic control and the diabetes duration.
Tárgyszavak:Orvostudományok Egészségtudományok idézhető absztrakt
Megjelenés:European Journal of Public Health 21 : Suppl. 1 (2011), p. 42-43. -
További szerzők:Lukács Andrea (1960-) (oktató) Varga Beatrix Szabó L. Barkai László (1958-) (gyermekgyógyász)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM042656
Első szerző:Lukács Andrea (oktató)
Cím:Physical fitness parametres of adolescents with type 1 diabetes / Andrea Lukács, Beatrix Varga, László Barkai
Dátum:2010
Megjegyzések:INTRODUCTION - Regular physical activity in conjunction with insulin therapy and nutrition management is an important component of the long-term care of diabetes. Adolescence is a period of rapid biological change that makes the diabetes management even more difficult. Physical fitness could have an impact on the attitude to regular exercise; therefore its level may influence the success of diabetes management in adolescents.OBJECTIVE - The aim of our survey was to compare the physical fitness parameters of type 1 diabetes adolescents to healthy age-matched peers with the Eurofit physical fitness test battery and to analyze the correlation between the diabetes metabolic control expressed by glycated haemoglobin and the fitness tests. MATERIAL AND METHOD - A total of 122 adolescent girls and boys aged 13-18, 52 IDDM (24 girls 15.83 ?1.78 mean y/o and 28 boys 15.76 ?1.75 mean y/o) and 70 healthy peers (37 girls 16.00 ?1.83 mean y/o and 33 boys 15.41 ?1.71 mean y/o) took part in this survey. This cross-sectional study was carried out between August 2009 and January 2010. Patients were from the Diabetes Centre of the County Hospital, Miskolc and have no signs or symptoms of diabetes complications. The healthy subjects were from the local school in Miskolc. All participants performed the Eurofit Test of Physical Fitness. The tests measured the general balance, speed of limb movement, flexibility, explosive and static strength, abdominal, arm and shoulder muscular endurance, speed, agility and aerobic endurance fitness. Anthropometrical measurements were taken for evaluate the BMI and the skinfold thickness. All data were analyzed using the SPSS 17.0 Statistical Data Analysis System.RESULT - The diabetes boys performed all tests poorer, than the non-diabetes boys, although there were significant differences only in plate tapping (p=0.006), in sit-ups tests (p=0.013) and in the maximal oxygen consumption predicted from the 20 m shuttle run test (p=0.000). The diabetes girls carried out the sit and reach, the standing broad and the hand grip tests slightly better, but the differences were not significant. Similar to the boys there were significant differences in the plate tapping (p=0.016), in sit ups (p=0,036), in bent arm hang tests (p=0.017) and the maximal oxygen uptake (p=0,048). Regarding the anthropometrical measurements both control groups had slightly better parameters without any significance. The HbA1c significantly correlated to the most tests.CONCLUSION - Adolescents, especially boys with type 1 diabetes have poorer overall physical fitness than their non-diabetic peers. This should take into consideration when exercise programs are planned as a part of complex diabetes management and every effort should be done to encourage regular physical activity in order to increase fitness of the diabetes patients.
Tárgyszavak:Orvostudományok Egészségtudományok előadáskivonat
Megjelenés:7th International Conference of PhD Students, University of Miskolc, 08-12 August, 2010 : medical scienece / ed. Péter Bikfalvi. - p. 13-19. -
További szerzők:Varga Beatrix Barkai László (1958-) (gyermekgyógyász)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM042975
Első szerző:Lukács Andrea (oktató)
Cím:Factors influencing the diabetes-specific health-related quality of life in children and adolescents with type 1 diabetes mellitus / Lukács Andrea, Varga Beatrix, Kiss-Tóth Emőke, Soós Andrea, Barkai László
Dátum:2013
ISSN:1367-4935 1741-2889
Megjegyzések:This study aimed to investigate the association of the anthropometric, clinical variables and maximal oxygen uptake with diabetes-specific health-related quality of life (HRQoL) in youths with type 1 diabetes; and to find the predictors of HRQoL and metabolic control. A total of 239 diabetic youths (124 boys and 115 girls) were recruited from diabetes summer camps. HRQoL assessment was carried out with PedsQL 3.0 Diabetes Module; VO2max was evaluated by conducting the 20-m shuttle run test. Higher VO2max and the insulin pump therapy were significant predictors of the HRQoL in the multiple regression analysis, other clinical and anthropometric variables had no effect. The better metabolic control was explained only by the higher VO2max. The good cardiorespiratory fitness (expressed by VO2max) has clinical and quality of life benefits for paediatric patients with type 1 diabetes.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal of Child Health Care. - 18 : 3 (2013), p. 253-260. -
További szerzők:Varga Beatrix Kiss-Tóth Emőke Soós Andrea Barkai László (1958-) (gyermekgyógyász)
Pályázati támogatás:TÁMOP-4.2.1.B-10/2/KONV-2010-0001
TÁMOP
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM042207
Első szerző:Lukács Andrea (oktató)
Cím:A Pediatric Quality of Life Inventory(TM) : 3.0 Diabetes Moduljának magyarországi adaptálása / Lukács Andrea, Simon Nóra, Varga Beatrix, Kiss-Tóth Emőke, Barkai László
Dátum:2011
Megjegyzések:Bevezetés: Magyarországon elenyésző az 1-es típusú diabetes fiatalok egészséggel összefüggő életminőség vizsgálata a kor- és betegség-specifikus validált mérőműszer hiánya miatt. Célkitűzés: A Pediatric Quality of Life Inventory? 3.0 Diabetes Modul kulturális adaptálása. Módszer: A kérdőív használhatóságának, belső megbízhatóságának, reprodukálhatóságának, konvergencia, diszkriminancia, valamint konkurencia validitásának vizsgálata 134 fő (8-18 éves) 1-es típusú diabetes fiatalokon és szülein keresztül. Eredmények: A hiányzó válaszok alacsony átlag százalék értéke, a minimális padló és közepes plafon effektus alátámasztotta a mérőműszer megbízhatóságát. Cronbach ? elérte a 0,70 belső megbízhatóságot jelölő értéket. A gyermekek és a szülők válasza erős kapcsolatot mutatott minden doménben. A mérőműszer különbséget tudott tenni az elfogadható és a kedvezőtlen metabolikus kontrollal rendelkező betegek életminősége között. A Diabetes Modul közepes és erős kapcsolatot mutatott a Generic Modullal. Következtetések: Az eredmények a mérőműszer használhatóságát, megbízhatóságát és érvényességét támasztják alá, de további vizsgálat szükséges ahhoz, hogy általánosítást tehessünk az egész hazai populációra.
Tárgyszavak:Orvostudományok Egészségtudományok magyar nyelvű folyóiratközlemény hazai lapban
Megjelenés:Orvosi Hetilap. - 152 : 46 (2011), p. 1837-1842. -
További szerzők:Simon Nóra Varga Beatrix Kiss-Tóth Emőke Barkai László (1958-) (gyermekgyógyász)
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5.

001-es BibID:BIBFORM042183
Első szerző:Lukács Andrea (oktató)
Cím:Reduced physical fitness in children and adolescents with type 1 diabetes / Andrea Lukács, Krisztina Mayer, Eleonóra Juhász, Beatrix Varga, Bertalan Fodor, László Barkai
Dátum:2012
ISSN:1399-543X
Megjegyzések:AIMS: To evaluate motor performance and cardiorespiratory function in youths with type 1 diabetes in comparison with age-matched control groups and to analyze the influence of physical activity level, anthropometric and physical fitness parameters on long-term metabolic control.METHODS:106 youths with diabetes and 130 healthy youths aged 8-18 were assessed by the Eurofit test regarding motor performances, cardiorespiratory fitness (VO2max), skinfold thickness, and body mass index. Physical activity level was assessed through the use of questionnaires. Predictors of physical fitness and metabolic control were determined with regression analysis.RESULTS:There were no differences either in body composition or in physical activity level, but younger girls with diabetes had impaired results in speed of upper limb movement, abdominal muscle strength, upper body strength, running speed, and VO2max ; older girls with diabetes had poor results in speed of upper limb movement, abdominal muscle strength, upper body strength and VO2max . Younger boys with diabetes had impaired results in speed of upper limb movement, flexibility, static strength of hand, and abdominal muscle strength; and older boys with diabetes had poor results in speed of upper limb movement, flexibility, abdominal muscle strength, upper body strength, and VO2max compared with control groups. Older age, female gender, lower physical activity level, and higher HbA1c were significant independent predictors of poorer VO2max. Better VO2max proved to be the single predictor of favorable HbA1c .CONCLUSIONS:Youths with diabetes have reduced fitness parameters. Efforts should be carried out to improve physical fitness as part of treatment and care of children and adolescents with type 1 diabetes.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Pediatric Diabetes. - 13 : 5 (2012), p. 432-437. -
További szerzők:Mayer Krisztina Juhász Eleonóra Varga Beatrix Fodor Bertalan Barkai László (1958-) (gyermekgyógyász)
Pályázati támogatás:TAMOP-4.2.1.B-10/2/KONV-2010-0001
TÁMOP
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6.

001-es BibID:BIBFORM042196
Első szerző:Lukács Andrea (oktató)
Cím:Health-related quality of life of youths with type 1 diabetes : reliability and validity of the Hungarian version of the PedsQL 3.0 diabetes module / Andrea Lukács, Beatrix Varga, Szabolcs Barótfi, Emőke Kiss-Tóth, László Barkai
Dátum:2012
Megjegyzések:Background: In the routine care of diabetes, mostly the clinical parameters are controlled and little attention is paid to the quality of life assessment. A questionnaire must be culturally adapted in the country where it is intended to be used. The aim of the study was to assess health-related quality of life in youths with type 1 diabetes using the PedsQL 3.0 Diabetes Module and to evaluate the psychometric properties in patient and control subjects. Methods: Diabetes and Generic Module were administered to 355 youths with type 1 diabetes (8-18 y/o) and their parents. Generic Module was completed by 294 age-matched control participants and their parents. Feasibility, internal consistency reliability, reproducibility, convergent, discriminant and concurrent validities were evaluated. Results: Minimal floor and moderate ceiling effects and hardly any missing item responses proved the feasibility. Cronbach's ? was gretaer than 0.70 in all subscales and met the criterion of 0.90 in total-items reliability. Testretest reliability was demonstrated with Pearson coefficients. We found good agreement between the children's and parents's answers, although parents underestimated their diabetic children in all subscales. The instrument was able to differentiate between the health-related quality of life of optimal, suboptimal and high risk metabolic control. The Diabetes Modul subscales and the Generic Module total scale correlated well, except the worry subscale. Conclusions: Diabetic youths had similar health-related quality of life as their non-diabetic peers. Parents underestimated their diabetic child's quality of life, but this was not the case in the healthy population. Both diabetic and healthy boys had better perception of quality of life than girls. The nationally adapted version of the Pediatric Quality of Life Inventory 3.0 Diabetes Module designed for children and adolescents was reliable and valid instrument for assessing health-related quality of life in youths with type 1 diabetes.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal of Diabetes & Metabolism. - 3 : 4 (2012), p. 1000191. -
További szerzők:Varga Beatrix Barótfi Szabolcs Kiss-Tóth Emőke Barkai László (1958-) (gyermekgyógyász)
Pályázati támogatás:TÁMOP-4.2.1.B-10/2/KONV-2010-0001
TÁMOP
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Intézményi repozitóriumban (DEA) tárolt változat
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7.

001-es BibID:BIBFORM042205
Első szerző:Lukács Andrea (oktató)
Cím:Benefits of continuous subcutaneous insulin infusion on quality of life / Lukács Andrea, Varga Beatrix, Soós Andrea, Takác Peter, Barkai László
Dátum:2013
ISSN:0266-4623
Megjegyzések:Purpose: The aim of this study was to compare the general health-related quality of life (HRQoL), the metabolic control (HbA1c), the anthropometric measurement, and the cardiorespiratory fitness (expressed by VO2max) in youths with type 1 diabetes treated with continuous subcutaneous insulin infusion (CSII) to those receiving multiple daily injections (MDI). We looked for factors influencing the HRQoL and metabolic control.Methods: A total of 239 patients treated with CSII (51 girls and 53 boys) or MDI (64 girls and 71 boys) between ages 8 and 18 years were assessed with the Pediatric Quality of Life Inventory, Generic Core Scales, and Diabetes Module. VO2max was evaluated using the 20-meter shuttle run test.Results: CSII group had significantly better HRQoL according to both child self-report and parent proxy-report. Youths with CSII reported better physical, emotional, and school-related functioning, and had less diabetes-related fear and symptoms than the MDI group. There were no significant differences in body mass index z-scores, insulin doses, HbA1c, and VO2max between the groups. HRQoL was predicted by the CSII therapy (? = ?0.220; p = .000) and the VO2max (? = 0.386; p = .000), other clinical and anthropometric parameters had no effect; the HbA1c was predicted only by VO2max (? = ?0.353; p = .000).Conclusions: Diabetic youths treated with CSII therapy have better HRQoL than those treated with MDI. There are no differences between the investigated groups in anthropometric data, glycated hemoglobin, and physical fitness. Moreover, good physical fitness has an important role in achieving better metabolic control and HRQoL, which underlines the importance of regular aerobic exercise in the treatment and care of type 1 diabetes in childhood.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:International Journal Of Technology Assessment In Health Care. - 29 : 1 (2013), p. 48-52. -
További szerzők:Varga Beatrix Soós Andrea Takác Peter Barkai László (1958-) (gyermekgyógyász)
Pályázati támogatás:TÁMOP-4.2.1.B-10/2/KONV-2010-0001
TÁMOP
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8.

001-es BibID:BIBFORM041461
Első szerző:Lukács Andrea (oktató)
Cím:Comparison of health-related quality of life between type 1 diabetes girls and boys using child self-report and parent proxy-report / A. Lukács, B. Varga, A. Soós, E. Kiss-Tóth, L. Barkai
Dátum:2011
ISSN:1101-1262
Tárgyszavak:Orvostudományok Klinikai orvostudományok idézhető absztrakt
Parallel presentations: oral presentations
egyetemen (Magyarországon) készült közlemény
Megjelenés:European Journal of Public Health. - 21 : Suppl. 1 (2011), p. 250-251. -
További szerzők:Varga Beatrix Soós Andrea Kiss-Tóth Emőke Barkai László (1958-) (gyermekgyógyász)
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Intézményi repozitóriumban (DEA) tárolt változat
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