Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling

Vadstrup, Eva Soelberg; Frølich, Anne; Perrild, Hans; Borg, Eva; Röder, Michael

doi:10.1186/1477-7525-9-110

Cited by 38 publications

(42 citation statements)

References 28 publications

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“…Nevertheless, the average follow-up until now was merely 3.8 (SD 1.3) years, so inference of long-term effects, i.e., from long-standing control and diminishing carryover of pretreatment glycemic exposure, is not yet possible. Type 2 diabetes can seriously affect the patient’s quality of life, especially in the presence of diabetes-related complications (48). Bone fractures occurring on top of these altered conditions might further increase the health burden already observed in individuals with inadequate glucose control of their diabetes.…”

Section: Discussionmentioning

confidence: 99%

High Bone Mineral Density and Fracture Risk in Type 2 Diabetes as Skeletal Complications of Inadequate Glucose Control

et al. 2013

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OBJECTIVEIndividuals with type 2 diabetes have increased fracture risk despite higher bone mineral density (BMD). Our aim was to examine the influence of glucose control on skeletal complications.RESEARCH DESIGN AND METHODSData of 4,135 participants of the Rotterdam Study, a prospective population-based cohort, were available (mean follow-up 12.2 years). At baseline, 420 participants with type 2 diabetes were classified by glucose control (according to HbA1c calculated from fructosamine), resulting in three comparison groups: adequately controlled diabetes (ACD; n = 203; HbA1c <7.5%), inadequately controlled diabetes (ICD; n = 217; HbA1c ≥7.5%), and no diabetes (n = 3,715). Models adjusted for sex, age, height, and weight (and femoral neck BMD) were used to test for differences in bone parameters and fracture risk (hazard ratio [HR] [95% CI]).RESULTSThe ICD group had 1.1–5.6% higher BMD, 4.6–5.6% thicker cortices, and −1.2 to −1.8% narrower femoral necks than ACD and ND, respectively. Participants with ICD had 47–62% higher fracture risk than individuals without diabetes (HR 1.47 [1.12–1.92]) and ACD (1.62 [1.09–2.40]), whereas those with ACD had a risk similar to those without diabetes (0.91 [0.67–1.23]).CONCLUSIONSPoor glycemic control in type 2 diabetes is associated with fracture risk, high BMD, and thicker femoral cortices in narrower bones. We postulate that fragility in apparently “strong” bones in ICD can result from microcrack accumulation and/or cortical porosity, reflecting impaired bone repair.

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Section: Discussionmentioning

confidence: 99%

High Bone Mineral Density and Fracture Risk in Type 2 Diabetes as Skeletal Complications of Inadequate Glucose Control

et al. 2013

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“…Having diabetes may influence quality of life, which may affect self-assessment of health (Vadstrup, Frølich, Perrild, Borg, & Røder, 2011). Self-rated health (SRH), as an ordinal question asking individuals to rank their health (World Health Organization, 2002), has been established as a marker of morbidity (Sheldon, Kaplan, & Salonen, 1999) and a determinant of the population's well-being throughout the literature (DeSalvo, Fan, McDonnell, & Fihn, 2005;Idler & Benyamini, 1997;Jylhä, 2009;Tsai, Ford, Li, Zhao, & Balluz, 2010).…”

mentioning

confidence: 99%

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

2016

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Men, particularly minorities, have higher rates of diabetes as compared with their counterparts. Ongoing diabetes self-management education and support by specialists are essential components to prevent the risk of complications such as kidney disease, cardiovascular diseases, and neurological impairments. Diabetes self-management behaviors, in particular, as diet and physical activity, have been associated with glycemic control in the literature. Recommended medical care for diabetes may differ by race/ethnicity. This study examined data from the National Health and Nutrition Examination Surveys, 2007 to 2010 for men with diabetes ( N = 646) from four racial/ethnic groups: Mexican Americans, other Hispanics, non-Hispanic Blacks, and non-Hispanic Whites. Men with adequate dietary fiber intake had higher odds of glycemic control (odds ratio = 4.31, confidence interval [1.82, 10.20]), independent of race/ethnicity. There were racial/ethnic differences in reporting seeing a diabetes specialist. Non-Hispanic Blacks had the highest odds of reporting ever seeing a diabetes specialist (84.9%) followed by White non-Hispanics (74.7%), whereas Hispanics reported the lowest proportions (55.2% Mexican Americans and 62.1% other Hispanics). Men seeing a diabetes specialist had the lowest odds of glycemic control (odds ratio = 0.54, confidence interval [0.30, 0.96]). The results of this study suggest that diabetes education counseling may be selectively given to patients who are not in glycemic control. These findings indicate the need for examining referral systems and quality of diabetes care. Future studies should assess the effectiveness of patient-centered medical care provided by a diabetes specialist with consideration of sociodemographics, in particular, race/ethnicity and gender.

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“…However, such reductions are important from the clinical point of view, and may interfere in the disease prognosis. A reduction not significant of such parameters was also identified in a study that compared effectiveness between collective and individual interventions and showed improvement of clinical data for individual intervention participants (11) . Finally, it was observed a reduction on pressure levels among participants of the intervention group, both in intergroup and intragroup comparisons.…”

Section: Discussionmentioning

confidence: 81%

“…Most interventions were applied in a collective way, covering groups of people with DM. However, individual interventions with an emphasis on behavior change can generate best clinical results and quality of life, according to a study conducted in Denmark with 143 people with DM2 (11) . According to what has been stated, nursing appointment is considered an opportunity for nurses to act effectively on empowerment for self-care and for the healthcare improvement of DM patients, since it is significantly associated with glycemic control (8,12,13) .…”

Section: Introductionmentioning

confidence: 99%

Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial

et al. 2017

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Objective: to verify the effect of nursing appointment on cardiometabolic profi le of people with Diabetes Mellitus type 2. Method: randomized controlled trial, developed with 134 individuals chosen for two groups: intervention and control. The intervention consisted of three nursing appointments alternated bimonthly, with two phone calls, over fi ve months. The control group received usual care offered by the Health Unit. Data were collected through semi-structured interviews before and after the intervention, in addition to conducting laboratory tests. Results: after the intervention, a signifi cant difference was shown in the amount of glycated hemoglobin (p = 0.006) and in the systolic blood pressure (p = 0.031), which were higher in the control group. Conclusion: besides being low-cost and easy to develop on the monitoring routine of people with diabetes, the intervention performed infl uenced positively the biochemical profi le. Descriptors: Diabetes Mellitus; Nursing; Self-Care. Chronic Disease; Clinical Trial. RESUMO Objetivo: verifi car o efeito da consulta de enfermagem sobre o perfi l cardiometabólico de pessoas com Diabetes Mellitus tipo 2. Método: ensaio clínico controlado e randomizado, desenvolvido com 134 indivíduos sorteados para dois grupos: intervenção e controle. A intervenção consistiu em três consultas de enfermagem bimensais alternadas, com duas ligações telefônicas, ao longo de cinco meses. O grupo-controle recebeu os cuidados habituais oferecidos pela Unidade de Saúde. Os dados foram coletados mediante entrevistas semiestruturadas antes e após a intervenção, além da realização de exames laboratoriais. Resultados: após a intervenção, foi evidenciada diferença signifi cativa no valor da hemoglobina glicada (p=0,006) e da pressão arterial sistólica (p=0,031), que se mostraram mais elevadas no grupo-controle. Conclusão: a intervenção realizada, além de ser de baixo custo e de fácil desenvolvimento na rotina de acompanhamento da pessoa com diabetes, infl uenciou positivamente a melhora do perfi l bioquímico. Descritores: Diabetes Mellitus; Enfermagem; Autocuidado. Doença Crônica; Ensaio Clínico. RESUMEN Objetivo: comprobar el resultado de la consulta de enfermería sobre el perfi l cardiometabólico en personas con Diabetes mellitus tipo 2. Método: ensayo clínico controlado y aleatorizado, en el cual participaron 134 sujetos. Se los dividieron de forma aleatoria en dos grupos: intervención y control. La intervención consistió en tres consultas de enfermería cada dos meses alternados, con dos llamadas, a lo largo de cinco meses. El grupo control recibió los cuidados usuales de la Unidad de Salud. Se recolectaron los datos a través de entrevistas semiestructuradas, antes y después de la intervención, y de análisis de laboratorio. Resultados: después de la intervención, se observaron diferencias signifi cativas en el valor de la hemoglobina glicosilada (p=0,006) y de la presión arterial sistólica (p=0,031), que fueron más elevados en el grupo control. Conclusión: la intervención realizada...

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Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling

Cited by 38 publications

References 28 publications

High Bone Mineral Density and Fracture Risk in Type 2 Diabetes as Skeletal Complications of Inadequate Glucose Control

High Bone Mineral Density and Fracture Risk in Type 2 Diabetes as Skeletal Complications of Inadequate Glucose Control

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial

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