Babiker, A; Elbarbary, N.S.; Alaqeel, B.; Al Noaim, K.; Al Yaarubi, S.; Al-Abdulrazzaq, D.; Al-Kandari, H.; Alkhayyat, H.; Odeh, R.; Babiker, O.; Abu-Libdeh, A.; Aljohani, A.; Al Abdul Salam, N.; Al-Juailla, F.; Masuadi, E.; Deeb, A.; Weissberg-Benchell, J.; Gregory, Alice M. and Al Alwan, I.. 2023. Lessons learned from COVID-19 Lockdown: An ASPED/MENA Study on Lifestyle Changes and Quality of Life during Ramadan Fasting in Children and Adolescents living with Type 1 Diabetes. Clinical Medicine Insights: Endocrinology and Diabetes, 16, pp. 1-12. ISSN 1179-5514 [Article]

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Abstract or Description

Background: Lockdown was a unique experience that affected many aspects of life, particularly during the challenge of Ramadan fasting (RF). Studying this can increase understanding of the effects of lifestyle changes on quality of life (QoL) for children with type 1 diabetes (T1D) during RF.

Methods: A cross-sectional study that assessed the effect of lockdown on lifestyle and QoL on fasting children living with T1D during Ramadan in the Middle East and North Africa region (2020-2021). We compared the child (self) and parent (proxy) reports using PEDQoL v3.0 disease specific questionnaire during lockdown and non-lockdown periods, and assessed correlations with lifestyle changes using regression and gap analyses.

Results: A total of 998 reports from 499 children with T1D aged 8-18 years (study=276, control=223), and their parents during RF in lockdown and non-lockdown periods. Fathers were more involved in their children’s care during lockdown (p=0.019). Patients had better compliance with treatment (p= 0.002), a reversed sleep pattern (p= 0.033), increased food intake (p=<0.001) and less exercise (p<0.001). Children and parents perceived better QoL during lockdown (p=<0.001) with no differences between their reports in “Diabetes Symptoms”, “Treatment Adherence” and “Communication” domains. Self and proxy reports were different in all domains during non-lockdown (p-values <0.001- 0.009). In gap analysis, although not statistically significant, the gap was approximated between children’s and parents’ perceptions in all domains during lockdown.

Conclusion: COVID-19 lockdown had a positive impact on QoL of children living with T1D during RF, possibly due to lifestyle changes and superior psychosocial family dynamics.

Item Type:	Article
Identification Number (DOI):	https://doi.org/10.1177/11795514231203907
Data Access Statement:	Data Availability: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
Keywords:	COVID-19, Lifestyle, Lockdown, Quality of life, Ramadan Fasting, Type 1 diabetes
Departments, Centres and Research Units:	Psychology
Dates:	Date Event 23 August 2023 Accepted 19 October 2023 Published Online 2023 Published
Item ID:	33935
Date Deposited:	14 Aug 2023 12:14
Last Modified:	01 Nov 2023 14:24
Peer Reviewed:	Yes, this version has been peer-reviewed.
URI:	https://research.gold.ac.uk/id/eprint/33935

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