Péter László Sasvári

Generic and disease-specific quality of life in adolescents with type 1 diabetes: comparison to age-matched healthy peers.

Abstract Background: This study aimed to evaluate the health-related quality of life (HRQoL) of adolescents with type 1 diabetes (T1DM) on the basis of the pediatric quality of life inventory™ (PedsQL™) generic and diabetes-specific modules, and to compare it to that of healthy peers. Methods: This retrospective case-control study involved 650 participants between ages of 13 and 19 years including 296 adolescents with T1DM from four diabetes centers and 354 healthy peers matched for age and gender from three different cities of the country. Participants completed the validated PedsQL™ for assessing the HRQoL. The analysis included an independent t-test to compare the means of the total and subscales of the PedsQL™ between boys and girls as well as between a healthy group and a group with T1DM. Gender differences in exercise, insulin therapy modalities were evaluated with the Pearson χ2-test. Results: Adolescents with T1DM have similar HRQoL in all domains when compared to their healthy counterparts. Females report worse HRQoL regardless of the presence of the disease. Insulin pump therapy facilitates better glycemic control and HRQoL. Regular exercise positively correlates with the generic HRQoL in both groups; however, it has no relationship with glycemic control. Conclusions: Optimal metabolic control and improved HRQoL are the eventual goals of diabetes management. Despite the difficulties, adolescents with diabetes can manage their disease well and live normal lives, similar to their healthy peers. Although diabetes-related problems exist, it seems that regular exercise and staying physically active, as well as promoting insulin pump therapy where it is applicable are related to favorable HRQoL.

Health-related quality of life of adolescents with type 1 diabetes in the context of resilience

Adolescents with type 1 diabetes (T1D) can be faced with deterioration in glycemic control (GC), reduced health‐related quality of life (HRQoL), and other psychosocial problems. It is important to understand how the disease and its clinical conditions influence HRQoL and how adolescents are able to overcome the life adjustment difficulties.

Physical activity and physical fitness as protective factors of adolescent health

Abstract Objective This quantitative correlational design study aimed to examine the variation in adolescent health and lifestyle characteristics across self-reported physical activity (PA) and physical fitness (PF) levels. Methods Data were collected from 422 students (50.2% males) (16.33 SD = 1.66 y/o) attending a high school. An online questionnaire was used to gather data on the following characteristics: self-reported well-being, overall life satisfaction, depression (including self-harm and suicidal ideation), perceived health status, eating disorders, sleepiness, substance use (alcohol, tobacco and illicit drug use), body mass index, PA participation and PF levels. Results Of the participants, 42.4% reported at least 5 days of PA a week for 60 min per day. These high active individuals had significantly better well-being, health status, life satisfaction, PF and consumed fewer alcohol beverages. High PA and better PF inversely correlated with depression. Conclusions It seems that high PA and better PF have a positive impact on adolescent perceived health, health-risk behaviors and mental health. Increased levels of PA can play a vital role in the primary care, prevention of health risks and in adolescent health promotion. Accordingly, educational institutions are an excellent setting to promote and provide sport facilities and encourage students to be more physically active.

Interpreting the Correlation Between the Capacity of Generating Added Value and the Use of Business Information Systems Through the Example of SMEs

This research has two main objectives. It aims to investigate the relation between ICT development and enterprise capacity to generate added value and explore the IT infrastructure of enterprises with reference to Hungary, Slovakia, Italy and Portugal. Data have been obtained from international datasets and an online survey including about 300 enterprises classified into microenterprises, small and medium-sized enterprises, and corporations. With reference to company IT infrastructure, findings indicate that enterprises of the two Southern European countries are more developed in relation to the number of workstations, the use of server-based networks and business information systems regardless of their size. Hungarian and Slovakian businesses hardly seem to use any of these systems. In addition, results suggest that business size does play a role in IT adoption in all examined countries. This implies that policy-makers should pay attention to business size and country-specific conditions as these two factors might affect ICT policy implementation.