Health-related quality of life in type 2 diabetic patients

Abstract

BACKGROUND AND OBJECTIVESHealth-related quality of life (HRQOL) is an important health outcome, representing one of the most important goals of all health interventions. The objectives of this study were to determine HRQOL and the factors affecting it in type 2 diabetic patients.PATIENTS AND METHODSThis cross-sectional study was conducted in five primary health care (PHC) centers in the Al-Khobar area. From a random sample of 225 type 2 diabetic patients, 216 patients were included in the study along with 216 age-, sex- and nationality-matched controls. Nine patients refused to participate. Type 2 diabetic patients and controls were interviewed with the translated Arabic SF-12 questionnaire.RESULTSThe mean ages were 50.0±10.0 years for cases and of 49.3±10.3 years for controls (P=.526). Type 2 diabetic patients had lower socioeconomic status and educational level than controls. Obesity was significantly higher in diabetics than controls. HRQOL in type 2 diabetic patients was significantly lower than controls. The mean physical component score was 41.3±8.9 for cases vs. 47.5±9.5 for controls (P<.001), and the mean mental component score 47.8±9.1 in cases vs. 51.5±9.4 in controls (P<.001). HRQOL was significantly lower in females than males (P<.001). HRQOL was impaired in uncontrolled patients (fasting plasma glucose [FPG]>130 mg/dL) in comparison with controlled patients (FPG≤130 mg/dL) (P<.05).CONCLUSIONSHRQOL was lower in type 2 diabetic patients than controls and was affected by many factors. Females had lower HRQOL than males, possibly because of a higher incidence of obesity. Uncontrolled diabetic patients had a lower HRQOL than controlled diabetics. Improving HRQOL in diabetic patients is important.

Health Related Quality of Life of Patients with Diabetes in Romania

“…Respondents above 40 years and below 65 years agree to a larger extent with the statements that diabetes prevents me from eating as much as I want. Yet, this result differs from other previous studies reporting no significant differences between age and quality of life of diabetes patients [11,16].…”

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“…Two cities, Umm al-Qaiwain and Fujairah, were not accessible for data collection. The sample size was determined based on a review of similar research studies [6,7,13,14], as recommended by Bartlett et al [15].…”

“…Although diabetes is widely known to have a dramatic effect on the HR-QOL of people with the disease, the concept of HRQOL is subjective and influenced by both individual and disease-specific variables [5][6][7]10,11]. Sociodemographic variables such as sex [5][6][7][8]12,13], age, marital status [5,7,13], income [7], education [7,9,14], and disease-related variables such as type [3,5,11] and duration of diabetes [3,5,12] and presence of complications of diabetes [3,5,12] can influence the perceptions of HRQOL among people with diabetes.…”

“…The burdens associated with diabetes, such as anxiety, regimented lifestyle and long-term complications have prompted researchers and clinicians to examine the impact of the disease on the health-related quality of life (HRQOL) of people with diabetes. Several studies have demonstrated that diabetes has a negative influence on the overall HRQOL and its domains of physical, psychological and social relationships and environment [3][4][5][6][7][8][9][10][11][12].…”

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“…However, some of the studies from Saudi Arabia used random blood sugar for determining the level of control, which was a limitation to these studies. In addition, the majority of studies from Saudi Arabia involved a single centre, or were hospital-based [8][9][10]13,[18][19][20][21][22][23][24][25][26] and may not accurately represent the large and diverse population of the country.…”