Assessment of Factors Associated with the Quality of Life in Korean Type 2 Diabetic Patients

Abstract

Objective This study assessed factors associated with the quality of life (QoL) and investigated the influence of age in 401 Korean type 2 diabetic patients. Methods The QoL was assessed using the latest version of the Audit of Diabetes-Dependent Quality of Life (ADDQoL) instrument in order to evaluate the perceived impact of diabetes on 19 life domains. The Beck Depression Inventory (BDI) was used to measure depressive symptoms. Logistic regression analyses were performed to assess the associations between the factors and the ADDQoL scores in the lower quartile. The interaction terms of these factors with age strata were included to evaluate the distinctive associations across age, followed by a stratified analysis. Results According to a multivariate analysis, a positive association between depressive symptoms (BDI ! 16) and lower ADDQoL scores was consistently found across all ages. In the younger group (<60 years), insulin use (odds ratio: 4.45, 95% confidence interval: 1.29-15.33, p=0.018) and the presence of a family history of diabetes (OR: 0.23, 95% CI: 0.08-0.68, p=0.008) were independently associated with lower ADDQoL scores. However, in the older group (! 60 years), insulin use and a family history of diabetes were not significantly associated with lower ADDQoL scores. Conclusion The findings suggest that insulin use, depressive symptoms and a family history of diabetes can be associated with the QoL in Korean type 2 diabetic patients; however, the associations show different patterns of age dependency.

A cross-sectional study on the quality of life of patients with peripheral diabetic neuropathy pain in Hospital Tegku Ampaun Afzan, Kuantan, Malaysia

“…In addition, a close correlation between marital status and poorer QoL was also observed in the present study. This was inconsistent with the result of a previous study [18], which did not find a significant correlation between marital status and lower ADDQoL scores. The reason for this might be due to the fact that diabetics' sexual activity might be diminished by PDN.…”

“…Individuals with ages between 50 and 59 years old were more likely to experience a lower QoL. This was consistent with the findings of two other studies [18,19], which reported a direct correlation between younger age and lower ADDQoL scores as well as a more extensive adverse effect on QoL among individuals with diabetes. This paradox may be due to the fact that, unlike older diabetics, younger diabetics are more anxious about their future and the implications of their disease for their life [12].…”

Diabetes treatment-related quality of life is associated with levels of self-care activities in insulin injection among Japanese patients with type 2 diabetes: Diabetes Distress and Care Registry at Tenri (DDCRT 8)

“…Peyrot et al [21] reported that[25 % of patients in their internet survey of 501 patients with diabetes treated by insulin responded that insulin injections interfered with daily activities and had a major or moderate impact on QOL. Many factors have been suggested to impact on QOL of daily activities, such as age, gender, diabetic complications [28], complexity of treatment regimens [29] and symptoms of depression [30]. Cramer et al [31] reported that adherence to an insulin regimen varied from 62 to 64 % in patients with type 2 diabetes in developed countries.…”

Determinants of the Quality of Life of Patients with Type 2 Diabetes in Yunnan of China

“…From a public health perspective, this result underlines the importance of considering the patient globally, with all his ailments that are more frequent with age and that affect his mobility and capacity to perform in the society. Diabetes should not be managed as a disease, butas one affliction among several ones that might occur in an elder individual.In addition, the present study showed that living in a rural setting makes people more likely to have a high MCS score compared to living in an urban area.It has been reported that there is no significant differences in the quality of life between rural diabetics and urban diabetics in other study [10].The possible explanation for our result may be thatlarge families and the residential stability of rural communities can decrease isolationand providemore social support and interaction, relative to urbancounterparts. [11] Secondly, the final regression model in people with diabetes indicates that, as expected, practicing self-care was clearly associated with a better QOL, especially on the physical health dimension.…”