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School performance in children with type 1 diabetes - a population-based register study

Dahlquist, G. and Källén, Bengt LU (2007) In Diabetologia 50(5). p.957-964
Abstract
Aims/hypothesis We examined the school marks of diabetic children in Sweden at the time of leaving compulsory education. Marks were examined in comparison with non-diabetic children and with special regard to age at onset of diabetes. Subjects and methods The study involved 5,159 children who developed diabetes between 1 July 1977 and 1 July 2000, and 1,330,968 non-diabetic children. We linked the nationwide Swedish Childhood Diabetes Register to the Swedish School-Mark Register, which contains school marks for all children in Sweden at the time of leaving compulsory education (usually at 16 years old). Adjustment was made for potential confounders such as year of birth, maternal age, parity and educational level. Results The mean of all... (More)
Aims/hypothesis We examined the school marks of diabetic children in Sweden at the time of leaving compulsory education. Marks were examined in comparison with non-diabetic children and with special regard to age at onset of diabetes. Subjects and methods The study involved 5,159 children who developed diabetes between 1 July 1977 and 1 July 2000, and 1,330,968 non-diabetic children. We linked the nationwide Swedish Childhood Diabetes Register to the Swedish School-Mark Register, which contains school marks for all children in Sweden at the time of leaving compulsory education (usually at 16 years old). Adjustment was made for potential confounders such as year of birth, maternal age, parity and educational level. Results The mean of all numerical school marks for diabetic children was slightly but statistically significantly lower than those of the referent children (3.15 +/- 0.01 [mean + SD] vs 3.23, p < 0.001). The lowest mean score was among children with diabetes diagnosis before the age of 2 years (2.97 +/- 0.09 vs 3.08-3.17 in the older age groups, p = 0.10). When individual subjects were studied (sports, mathematics, English and Swedish), a more complex picture emerged. In four subjects (mathematics, English, Swedish and sports) the risk of a diabetic child not getting a school mark or not passing was increased; in sports and English the diabetic children had significantly reduced odds of getting a high mark. Conclusions/interpretation Despite a well-developed diabetes care system, we have not succeeded in preventing the disease from affecting school achievements. Among children with a young age at onset and therefore longer duration, the negative effects tend to be greater. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
sex, type 1 diabetes, school performance, gender, age of onset, children
in
Diabetologia
volume
50
issue
5
pages
957 - 964
publisher
Springer Verlag
external identifiers
  • wos:000245521400009
  • scopus:34147130778
ISSN
1432-0428
DOI
10.1007/s00125-007-0615-2
language
English
LU publication?
yes
id
5488f994-7f10-4183-b90a-b3cab3322f34 (old id 667936)
date added to LUP
2007-12-06 12:38:24
date last changed
2017-08-13 03:27:58
@article{5488f994-7f10-4183-b90a-b3cab3322f34,
  abstract     = {Aims/hypothesis We examined the school marks of diabetic children in Sweden at the time of leaving compulsory education. Marks were examined in comparison with non-diabetic children and with special regard to age at onset of diabetes. Subjects and methods The study involved 5,159 children who developed diabetes between 1 July 1977 and 1 July 2000, and 1,330,968 non-diabetic children. We linked the nationwide Swedish Childhood Diabetes Register to the Swedish School-Mark Register, which contains school marks for all children in Sweden at the time of leaving compulsory education (usually at 16 years old). Adjustment was made for potential confounders such as year of birth, maternal age, parity and educational level. Results The mean of all numerical school marks for diabetic children was slightly but statistically significantly lower than those of the referent children (3.15 +/- 0.01 [mean + SD] vs 3.23, p &lt; 0.001). The lowest mean score was among children with diabetes diagnosis before the age of 2 years (2.97 +/- 0.09 vs 3.08-3.17 in the older age groups, p = 0.10). When individual subjects were studied (sports, mathematics, English and Swedish), a more complex picture emerged. In four subjects (mathematics, English, Swedish and sports) the risk of a diabetic child not getting a school mark or not passing was increased; in sports and English the diabetic children had significantly reduced odds of getting a high mark. Conclusions/interpretation Despite a well-developed diabetes care system, we have not succeeded in preventing the disease from affecting school achievements. Among children with a young age at onset and therefore longer duration, the negative effects tend to be greater.},
  author       = {Dahlquist, G. and Källén, Bengt},
  issn         = {1432-0428},
  keyword      = {sex,type 1 diabetes,school performance,gender,age of onset,children},
  language     = {eng},
  number       = {5},
  pages        = {957--964},
  publisher    = {Springer Verlag},
  series       = {Diabetologia},
  title        = {School performance in children with type 1 diabetes - a population-based register study},
  url          = {http://dx.doi.org/10.1007/s00125-007-0615-2},
  volume       = {50},
  year         = {2007},
}