Impacts of the COVID-19 pandemic on the daily lives of children with type 1 diabetes mellitus
Repercusiones de la pandemia de COVID-19 en la vida cotidiana de niños con diabetes tipo 1
Repercussões da pandemia de COVID-19 no cotidiano de crianças com diabetes tipo 1
Milena de Lucca; Mariana Silva Navarro; Tatiane Geralda André; Paula Saud De Bortoli; Fernanda Machado Silva Rodrigues; Lucila Castanheira Nascimento
Abstract
Objective to analyze the impact of the COVID-19 pandemic on the daily lives of children with type 1 diabetes mellitus (T1D).
Method this qualitative exploratory study was conducted through semi-structured interviews using puppets. Data were collected from children with T1DM at a pediatric hospital in the interior of São Paulo, Brazil, as well as remotely via video calls. The data underwent inductive thematic analysis.
Results a total of 14 children aged 7 to 11 years were interviewed. The analytical process yielded two main categories: (1) Psychosocial repercussions: the consequences of the COVID-19 pandemic and (2) Support networks and coping strategies: the role of social relationships and strategies to manage the challenges of the COVID-19 pandemic, each with its respective subcategories.
Final considerations and implications for practice this study highlights the significant repercussions of the COVID-19 pandemic on the daily lives of children with T1DM, emphasizing changes in their daily routines and treatment management. It also underscores the importance of continuous support for this vulnerable population during crises. This study reinforces the importance of personalized approaches to T1DM management during crises, focusing on mental health support and addressing the psychosocial needs of children.
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Resumo
Objetivo: Analisar as repercussões da pandemia de COVID-19 no cotidiano de crianças com diabetes mellitus tipo 1.
Método: Estudo qualitativo e exploratório, desenvolvido com base em entrevistas semiestruturadas utilizando fantoches. Foram submetidos à análise temática indutiva os dados de crianças com diabetes mellitus tipo 1 coletados presencialmente em um hospital pediátrico do interior paulista e remotamente mediante videochamadas.
Resultados: Foram entrevistadas 14 crianças entre 7 e 11 anos. Do processo analítico, emergiram duas categorias: 1) Repercussões psicossociais: as consequências da pandemia de COVID-19 e 2) Autocuidado e redes de apoio no enfrentamento da COVID-19: percepções infantis e estratégias de adaptação. Cada qual traz suas respectivas subcategorias.
Considerações finais e implicações para a prática: Este estudo abordou importantes consequências da pandemia de COVID-19 no cotidiano de crianças com diabetes mellitus tipo 1, sobretudo mudanças na rotina diária e no tratamento, além de ter reforçado a necessidade de apoio contínuo para essa população vulnerável em contextos de crise. Abordagens personalizadas mostram-se essenciais na gestão do diabetes mellitus tipo 1 durante crises, com foco no suporte à saúde mental e aos aspectos psicossociais das crianças.
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Referências
1 Petersmann A, Müller-Wieland D, Müller UA, Landgraf R, Nauck M, Freckmann G et al. Definition, classification and diagnosis of diabetes mellitus. Exp Clin Endocrinol Diabetes. 2019 Dec;127(S 01):S1-7.
2 Rodacki M, Teles M, Gabbay M, Lamounier R. Classificação do diabetes. Diretriz SDB. 2023.
3 Lindholm Olinder A, DeAbreu M, Greene S, Haugstvedt A, Lange K, Majaliwa ES et al. ISPAD Clinical Practice Consensus Guidelines 2022: diabetes education in children and adolescents. Pediatr Diabetes. 2022 Dec;23(8):1229-42.
4 World Health Organization. Coronavirus disease 2019 (COVID-19) [Internet]. Geneva: WHO; 2020 [citado 2025 maio 28]. (Situation Report; no. 51). Disponível em:
5 Magalhães AMM. A pandemia exacerbou os relacionamentos ou a solidão. Bol Acad Paul Psicol [Internet]. 2020 Dec; [citado 2025 maio 28];40(99):192-204. Disponível em:
6 Shi Y, Wu LQ, Wei P, Liao ZH. Children with type 1 diabetes in COVID-19 pandemic: difficulties and solutions. World J Clin Pediatr. 2022 Sep;11(5):408-18.
7 Geweniger A, Barth M, Haddad AD, Högl H, Insan S, Mund A et al. Impact of the COVID-19 pandemic on mental health outcomes of healthy children, children with special health care needs and their caregivers–results of a cross-sectional study. Front Pediatr. 2022 Feb;10:759066.
8 Rossi L, Behme N, Breuer C. Physical activity of children and adolescents during the COVID-19 pandemic—a scoping review. Int J Environ Res Public Health. 2021 Oct;18(21):11440.
9 Almeida P, Viana V, Tavares M, Reis-e-Melo A, Faria C. Impacto emocional imediato do COVID-19 em crianças e adolescentes e suas famílias. Psicol Saude Doencas. 2020 Dec;21(3):633-46.
10 Plevinsky JM, Young MA, Carmody JK, Durkin LK, Gamwell KL, Klages KL et al. The Impact of COVID-19 on Pediatric Adherence and Self-Management. J Pediatr Psychol. 2020 Sep;45(9):977-82.
11 Ademhan Tural D, Emiralioglu N, Tural Hesapcioglu S, Karahan S, Ozsezen B, Sunman B et al. Psychiatric and general health effects of COVID‐19 pandemic on children with chronic lung disease and parents’ coping styles. Pediatr Pulmonol. 2020 Sep;55(12):3579-86.
12 Howard‐Jones AR, Bowen AC, Danchin M, Koirala A, Sharma K, Yeoh DK et al. COVID ‐19 in children: I. Epidemiology, prevention and indirect impacts. J Paediatr Child Health. 2021 Oct;58(1):39-45.
13 Howard‐Jones AR, Burgner DP, Crawford NW, Goeman E, Gray PE, Hsu P et al. COVID ‐19 in children. II : Pathogenesis, disease spectrum and management. J Paediatr Child Health. 2021 Oct;58(1):46-53.
14 Mann M, McMillan JE, Silver EJ, Stein REK. Children and Adolescents with Disabilities and Exposure to Disasters, Terrorism, and the COVID-19 Pandemic: a Scoping Review. Curr Psychiatry Rep. 2021 Oct;23(12):80.
15 Valentino MS, Marzuillo P, Esposito C, Bartiromo M, Nardolillo M, Villani AV et al. The Impact of COVID-19 Pandemic Lockdown on the Relationship between Pediatric MAFLD and Renal Function. J Clin Med. 2023 Mar;12(5):2037.
16 Morse JM. Emerging from the data: the cognitive processes of analysis in qualitative inquiry. In: Morse JM, editor. Critical issues in qualitative research methods [Internet]. Melno Park (CA): Sage; 1994 [citado 2025 maio 28]. p. 23-43. Disponível em:
17 Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57.
18 Piaget J. O nascimento da inteligência na criança. 4. ed. Rio de Janeiro: LTC; 1982.
19 Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018 Sep;52(4):1893-907.
20 Naderifar M, Goli H, Ghaljaie F. Snowball sampling: a purposeful method of sampling in qualitative research. Strides Dev Med Educ. 2017 Sep 30;14(3).
21 Leite ACAB, Alvarenga WA, Machado JR, Luchetta LF, Banca ROL, Sparapani VC et al. Children in outpatient follow-up: perspectives of care identified in interviews with puppet. Rev Gaúcha Enferm. 2019;40:e20180103.
22 Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-15.
23 Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative Content analysis: a Focus on Trustworthiness. SAGE Open. 2014 Feb;4(1):1-10.
24 Meherali S, Punjani N, Louie-Poon S, Abdul Rahim K, Das JK, Salam RA et al. Mental health of children and adolescents amidst COVID-19 and past pandemics: a rapid systematic review. Int J Environ Res Public Health. 2021 Jan;18(7):3432.
25 Samji H, Wu J, Ladak A, Vossen C, Stewart E, Dove N et al. Review: mental health impacts of the COVID‐19 pandemic on children and youth – a systematic review. Child Adolesc Ment Health. 2021 Aug;27(2):173-89.
26 Sicouri G, March S, Pellicano E, De Young AC, Donovan CL, Cobham VE et al. Mental health symptoms in children and adolescents during COVID-19 in Australia. Aust N Z J Psychiatry. 2022 Apr;57(2):213-29.
27 Zuccolo PF, Casella CB, Fatori D, Shephard E, Sugaya L, Gurgel W et al. Children and adolescents’ emotional problems during the COVID-19 pandemic in Brazil. Eur Child Adolesc Psychiatry. 2022 May;32(6):1083-95.
28 Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A et al. Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry. 2020 Jun;59(11):1218-39.
29 Tso WWY, Wong RS, Tung KTS, Rao N, Fu KW, Yam JCS et al. Vulnerability and resilience in children during the COVID-19 pandemic. Eur Child Adolesc Psychiatry. 2020 Nov;31(1):161-76.
30 Cheng HP, Wong JSL, Selveindran NM, Hong JYH. Impact of COVID-19 lockdown on glycaemic control and lifestyle changes in children and adolescents with type 1 and type 2 diabetes mellitus. Endocrine. 2021 Jul;73(3):499-506.
31 Passanisi S, Pecoraro M, Pira F, Alibrandi A, Donia V, Lonia P et al. Quarantine Due to the COVID-19 Pandemic From the Perspective of Pediatric Patients With Type 1 Diabetes: A Web-Based Survey. Front Pediatr. 2020 Jul;8(491):491.
32 Mitra R, Moore SA, Gillespie M, Faulkner G, Vanderloo LM, Chulak-Bozzer T et al. Healthy movement behaviours in children and youth during the COVID-19 pandemic: exploring the role of the neighbourhood environment. Health Place. 2020;65:102418.
Aceito em:
10/12/2025
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