Assessment of quality of life of type 2 diabetes patients with newly diagnosed non alcoholic fatty liver disease using quality of life instrument for Indian diabetes patients

Abstract

Introduction: Non alcoholic fatty liver disease is emerging as a public health problem among type 2 diabetes mellitus patients. It has an impact on quality of life, which is meagrely explored. Aim: To assess quality of life of type 2 diabetes patients with newly diagnosed non alcoholic fatty liver disease. Materials and Methods: Confirmed cases of newly diagnosed non alcoholic fatty liver disease with type 2 diabetes mellitus (n = 55) were enrolled. Clinical, anthropometric and medical profiles were assessed. Quality of life was assessed with the help of quality of life instrument for Indian diabetes patients. Results: Weight (P = 0.005) and body mass index (P 0.008) in grade 3 hepatic steatosis were higher than grade 2 steatosis. Physical health deteriorated from grade 1 to grade 3 hepatic steatosis. The mean likert scores decreased significantly (P 0.000) from grade 2 to grade 3 and between grade 1 and grade 3 (P 0.0014) hepatic steatosis in the physical endurance domain. Perceptions regarding general health and treatment satisfaction revealed existing loopholes in the health system and one′s general attitude towards health. The dietary domain was marked with gross dissatisfaction amongst most with hepatic steatosis with a significant reduction in mean likert scale score between grade 1 and grade 2 (P 0.012) of hepatic steatosis. Conclusions: Modifiable domains of quality of life should be addressed as a core component of standard care in newly diagnosed non alcoholic fatty liver disease with type 2 diabetes mellitus to avert future cardiac and hepatic events.

Evaluation of quality of life in type 2 diabetes mellitus patients using quality of life instrument for indian diabetic patients: A cross-sectional study

“…This finding was inconsistent to that of the cross-sectional studies conducted in Japan,[26] Bangladesh,[12] Korea,[27] and Singapore[20] where there was significant association of mobility and self-care in determination of QoL in T2DM patients. Despite the results of number of previous studies,[161828293031] no significant association between age, social habits, duration of diabetes, and complications with QoL was found; the reason to which is diabetic patients get adapted to the fact of disease and its associated complication. The study findings are similar to the study conducted in Greece[18] except there was no correlation with age parameter.…”

Metabolic Correlates of Health-Related Quality of Life in Patients With Type 2 Diabetes Mellitus

“…25,31 Taking Indian scenario into consideration, various Indian studies have assessed the HRQOL with generic instruments such as SF-36, World Health Organization Quality of Life (WHOQOL)-BREF as well as diabetes-specific instruments, Appraisal of Diabetes Scale, Quality of Life Instrument for Indian Diabetes patients, and so on. [36][37][38][39][40] A specific questionnaire was prepared for Asian diabetes population also, 41 but none of the Indian study presumed the worsening effects of associated metabolic factors on QOL in patients with T2DM.…”