PurposeDiabetes mellitus is prevalent among older adults, and affects their quality of life. Furthermore, the number is growing as the elderly population increases. Thus, this study aims to explore the predictors of quality of life among hospitalized geriatric patients with diabetes mellitus upon discharge in Malaysia.MethodsA total of 110 hospitalized geriatric patients aged 60 years and older were selected using convenience sampling method in a cross-sectional study. Sociodemographic data and medical history were obtained from the medical records. Questionnaires were used during the in-person semistructured interviews, which were conducted in the wards. Linear regression analyses were used to determine the predictors of each domain of quality of life.ResultsMultiple regression analysis showed that activities of daily living, depression, and appetite were the determinants of physical health domain of quality of life (R2=0.633, F(3, 67)=38.462; P<0.001), whereas depression and instrumental activities of daily living contributed to 55.8% of the variability in psychological domain (R2=0.558, F(2, 68)=42.953; P<0.001). Social support and cognitive status were the determinants of social relationship (R2=0.539, F(2, 68)=39.763; P<0.001) and also for the environmental domain of the quality of life (R2=0.496, F(2, 68)=33.403; P<0.001).ConclusionThe findings indicated different predictors for each domain in the quality of life among hospitalized geriatric patients with diabetes mellitus. Nutritional, functional, and psychological aspects should be incorporated into rehabilitation support programs prior to discharge in order to improve patients’ quality of life.

Obesity is a risk factor for chronic diseases which can affect work productivity and physical function of employees particularly among those in security sector. The study aimed to determine the association between obesity with total days of sick leave and health related quality of life (HRQoL) among Malay male security officers. A cross-sectional study was conducted among Malay male security officers working in a Malaysian higher learning institution. Subjects were evaluated using anthropometric measurements, quality of life and number of sick leave taken within two months prior to the study. A total of 194 subjects (mean age 40.12 ± 11.41 years) were recruited. A total of 30.4% were obese, 39.7% were pre-obese and only 29.9% had normal body weight or underweight. Central obesity was observed in 57.7% of them and 87.1% shown excessive body fat percentage. Number of sick leave days was positively correlated with Body Mass Index (BMI) (r = 0.162, p = 0.024) and waist circumference (r = 0.181, p = 0.012). Score of the general health component was negatively correlated with BMI (r =-0.161, p = 0.025), waist circumference (r =-0.194, p = 0.007) and body fat percentage (r =-0.191, p = 0.008). Physical functioning score was lowest in obese subjects than normal and pre-obese subjects (p = 0.046). Score of the bodily pain component was positively correlated with waist circumference (r = 0.156, p = 0.030). Obesity is associated with number of sick leave days and quality of life in the studied group. Hence, body weight of the security staff should be monitored and appropriate intervention should be conducted to improve their work attendance and quality of life.

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Diabetes merupakan penyakit kronik yang sering dikaitkan dengan aktiviti kehidupan harian asas yang terjejas, terutamanya dalam kalangan warga tua. Kemasukan ke wad bagi tujuan mendapatkan rawatan menjadi salah satu faktor penyumbang kepada kemerosotan tahap kefungsian aktiviti kehidupan harian sehingga menjejaskan kualiti hidup warga tua selepas discaj. Oleh itu, kajian in bertujuan untuk mengenalpasti tahap kefungsian melakukan aktiviti kehidupan harian asas, hubungan dengan kualiti hidup serta faktor yang mempengaruhi kualiti hidup di kalangan warga tua penghidap diabetes dalam wad. Kajian keratan rentas dilakukan ke atas 104 orang warga tua penghidap diabetes (min umur: 67.5 ± 9.2 tahun) yang sedang menerima rawatan pesakit dalam wad. Soal selidik bersemuka dijalankan dengan menggunakan instrumen Modified Barthel Index (MBI) untuk menilai tahap kefungsian aktiviti kehidupan harian asas manakala instrumen World Health Organization Quality of Life -BREF (WHOQOL-BREF) digunakan untuk menilai kualiti hidup. Hasil kajian mendapati hanya 37.5% (n = 39) responden dikategorikan pada tahap berdikari sepenuhnya. Domain menaiki tangga diikuti dengan ambulasi mencatatkan skor terendah berbanding dengan domain aktiviti kehidupan harian asas lain. Domain fizikal dalam penilaian kualiti hidup mencatatkan skor terendah berbanding domain lain. Terdapat korelasi positif yang signifikan (p < 0.05) di antara skor keseluruhan MBI dengan kesemua domain kualiti hidup; fizikal (r s = 0.70), psikologikal (r s = 0.50), sosial (r s = 0.33) and persekitaran (r s = 0.25). Analisis regresi berganda herarki menunjukkan skor MBI mempunyai pengaruh yang signifikan ke atas kesemua domain kualiti hidup, dengan pengaruh yang terbesar dalam domain fizikal iatu sebanyak 36.0% [F(1, 92) = 82.14, p < 0.01, R 2 = 0.36]. Secara kesimpulan, kemasukan ke wad menjejaskan tahap keberdikarian dalam melakukan aktiviti harian asas serta aspek fizikal dalam kualiti hidup pesakit diabetes warga tua. Oleh itu, adalah penting bagi menyediakan rehabilitasi dalam perlaksanaan aktiviti kehidupan harian asas bagi warga tua sambil menjalani rawatan dalam wad bagi mengekalkan kualiti hidup selepas discaj.