Health-related quality of life in older Chinese patients with diabetes

Abstract

BackgroundAlthough older diabetes patients with unique characteristics should be cared carefully to improve their health-related quality of life (HRQOL), the association between diabetes and HRQOL remain unclear, especially in Asians. We aimed to compare the HRQOL between older Chinese patients with type 2 diabetes (T2D) and their age-gender-matched controls. MethodsOlder patients with T2D were recruited from a community hospital in Suzhou located in the east part of China while controls were selected from a community-based health survey of older adults aged 60 years or older. HRQOL of cases and controls was assessed by the EQ-5D-3L. The impact of T2D on HRQOL was investigated using a liner regression model and the relationship between T2D and EQ-5D health problems was evaluated using logistic regression models. ResultsA total of 220 cases and 440 controls were included. The mean age of the participants was 68.8 years and women accounted for 69.1% of the study sample. The EQ-5D-3L index score was lower for older people with T2D (0.886) than their controls (0.955). After multivariable adjustment, the difference in ED-5D-3L index score between older people with and without T2D was 0.072. In logistic regression analyses, T2D was positively associated with reporting of problems in mobility (odds ratio [OR] = 5.00); pain/discomfort (OR = 1.66), and anxiety/depression (OR = 3.2). ConclusionsT2D has a detrimental effect on HRQOL of older Chinese people.

Evaluation of health-related quality of life using EQ-5D in China during the COVID-19 pandemic

“…So, more people lived with disease for a long time, in particular, chronic non-communicable disease (NCD). Some study using EQ-5D also reported that QOL was lower among individuals with diabetes, gastrointestinal disease, hypertension, heart disease, and so on [29,30]. Our study showed that our respondents with three and above chronic diseases reported lower EQ-5D scores than other respondents, it similes to the Japan and Heilongjiang population results [25,26].…”

Effect of Eating Attitudes of Individuals With Type 2 Diabetes Upon Quality of Life

“…Of chronic diseases; T2DM is one of these diseases that physically, socially, and psychologically influence patients' quality of life in terms of both disease outcomes and treatment process. Literature reports a poor quality of life in T2DM individuals [3,4,13,18] and likewise, the current study yielded a low quality of life in T2DM individuals; which may be explained by the fact that DM complications damaging vital organs and nerves lead to life-threatening damages and thus, minimize patients' quality of life [13].…”

“…In Turkey; the number of people living with DM is estimated to be nearly 6.5 million and by 2045 the number of diabetic individuals will be almost 10.4 million by putting Turkey among one of the 10 countries where diabetes takes place most [2]. The prevalence of DM and diabetic complications increase morbidity and mortality and decrease quality of life [3,4]. İt is very essential to prevent complications in DM.…”

Continuity of Care and the Quality of Life among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Taiwan

“…Depression and diabetes distress can reduce control of HbA1c, blood pressure, and cholesterol, treatment adherence, and overall health among patients with type 2 diabetes [ 45 ]. Medication adherence, disease severity, and depression were also found to be closely correlated with QoL [ 44 , 46 ]. CoC and providing patients with self-care skills and disease-related information may prevent the risk of disability and development of complications in patients with diabetes.…”