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Auditory function and motor proficiency in type 1 diabetic children: A case-control study
Jalali Mir Mohammad1, Soleimani Robabeh2, Koohmanai Shahin3
1Rhino-Sinus Ear Skull Base Research Center, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Summary
Children with insulin-dependent diabetes mellitus (IDDM) show impaired auditory and motor functions. Metabolic disturbances in Type 1 diabetes affect hearing, balance, and motor skills, particularly in girls.
Area of Science:
- Pediatric Endocrinology
- Neuroscience
- Audiology
Background:
- Insulin-dependent diabetes mellitus (Type 1 diabetes) is a chronic metabolic disorder.
- Potential impacts of diabetes on sensory and motor development in children are not fully understood.
Purpose of the Study:
- To evaluate auditory and motor functions in children diagnosed with insulin-dependent diabetes mellitus (IDDM).
Main Methods:
- A case-control study involving 65 children with IDDM and 130 matched controls.
- Auditory assessments included pure tone audiometry (PTA), distortion product otoacoustic emission (DPOAE), and auditory brainstem response (ABR).
- Motor function was assessed using the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2).
Main Results:
- Diabetic children exhibited significantly higher PTA thresholds and prolonged ABR wave V latency.
- Reduced odds of normal DPOAE responses were observed in children with IDDM.
- Lower overall motor composite scores on the BOT-2 were found in diabetic children, with girls showing more impairment.
Conclusions:
- Metabolic disturbances associated with Type 1 diabetes contribute to auditory and balance function impairments.
- Early detection and management of these functional deficits are crucial for children with IDDM.
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