Assessment of health related quality of life of elderly diabetic patients attending urban primary health care facility - a cross sectional study

Kavi, Avinash; Walvekar, Padmaja R; Mallapur, M D

doi:10.18203/2394-6040.ijcmph20162580

Cited by 3 publications

(4 citation statements)

References 13 publications

(16 reference statements)

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“…Emotional/mental health score in all the groups [ Table 4 ] was more as also observed by Kavi et al . (40.27),[ 15 ] but there was a statistically insignificant difference between the study groups.…”

Section: Discussionmentioning

confidence: 99%

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Effects of antihypertensive agents on the quality of life in diabetic hypertensive patients

Bhardwaj

Kazal

Kohli

et al. 2022

Perspectives in Clinical Research

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Background: Diabetes mellitus is a chronic noncommunicable disease, and hypertension (HT) is the most common comorbidity which affects their quality of life (QoL). Aim: The aim of the study was to assess the effects of antihypertensive agents (viz., amlodipine, ramipril, telmisartan, and ramipril with telmisartan) on the blood pressure (BP) and QoL. Methodology: It was an open-labeled prospective intention-to-treat study done in diabetic hypertensive patients ( CTRI /2016/10 /007340 ). Patients were randomly assigned antihypertensive agents, namely, amlodipine, ramipril, telmisartan, and a combination of ramipril with telmisartan (RT) in four groups. They were evaluated for BP, blood sugar level, and QoL at baseline and 24 th week. Results: After 24 weeks of therapy, systolic BP (SBP) and diastolic BP (DBP) were significantly reduced in all groups. In amlodipine, there was a mean percentage fall of SBP by 15.85% (confidence interval [CI]: 21.38–28.13) and DBP by 11.22% (CI: 8.41–12.70); in ramipril – 14.4% (CI: 18.61–25.15) and 12.4% (CI 8.88–13.99); telmisartan – 18.4% (CI: 24.89–10.79) and 14.6% (CI 10.79–16.24); and in RT group, SBP 17.7% (CI: 23.38–29.18) and DBP 12.4% (CI: 9.05–13.02). QoL score increased by 30.56% (CI: 14.30–10.90), 30.94% (CI: 14.21–10.68), 28.07% (CI: 14.89–11.20), and 28.84% (CI: 15.49–11.77), in respective groups ( P < 0.0001, each). However, they were nonsignificant between the study groups ( P > 0.05). Conclusion: Amlodipine, ramipril, telmisartan, and a combination of RT are equally effective to improve BP and QoL among diabetic hypertensive patients. However, amlodipine and telmisartan lacked in dry cough and more tolerable than the ramipril and RT therapy. Henceforth, amlodipine and telmisartan are better choice to control HT among DM patients.

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Section: Discussionmentioning

confidence: 99%

“…[ 16 ] Similar results were observed in our study compared to other studies. [ 15 16 ] All these antihypertensive agents such as CCBs, ACEI, and ARB improved the QoL by lowering the raised BP. [ 16 17 ] On comparing between class difference among antihypertensive agents, it was insignificant.…”

Section: Discussionmentioning

confidence: 99%

Effects of antihypertensive agents on the quality of life in diabetic hypertensive patients

Bhardwaj

Kazal

Kohli

et al. 2022

Perspectives in Clinical Research

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“…These findings are similar to study conducted elsewhere where participants had good mean scores with increasing economic status and showed statistically significant difference in environmental domain (p=0.005*). 15 Most of the participants belonged to a joint family. As far as family structure is concerned, our study showed that quality of life is better in joint families compared to nuclear families as type of family showed significant relation with domain score.…”

Section: Discussionmentioning

confidence: 99%

“…Quality of life of patients with type 2 DM was assessed by using WHO QoL-BREF. 15 Participants were selected from health training centres by simple random sampling. Informed written consent was obtained from the patients before including them in study.…”

Section: Methodsmentioning

confidence: 99%

Socio demographic correlates of quality of life of patients with diabetes mellitus

Bhandari

Goel

Walia

et al. 2022

Int J Community Med Public Health

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Background: The major cause contributing to high prevalence of diabetes mellitus is rapid developmental urbanization, sedentary lifestyle, and change in dietary habits. Due to all these repressed emotions diabetics tend to miss doses over a period of time leading to increased mortality which cumulatively affect QoL.Methods: A cross sectional study was conducted among 264 patients suffering with type 2 diabetes mellitus. The quality of life was assessed using modified WHO-QOL BREF questionnaire under 4 domains viz. physical health, psychological, social relationship and environment.Results: Our study reported 43.2% individuals had overall poor QOL score. Overall QOLS in different domains varied significantly with age, socioeconomic status, and type of family. Gender and religion were not found to be significantly related to QOL. Psychological domain, social domain came out to be least adversely affected in terms of poor QOLS. Overall QOLS was found adversely affected among middle age and elderly individuals of higher SES with co-morbid conditions. Age, and socioeconomic status came out to be the significant correlates of poor QOL.Conclusions: The study suggests the need of improving socio-economic conditions and better management of diabetes in order to reduce complications for improving QOL.

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Assessment of effects of antihypertensive agents on the quality of life in diabetic hypertensive patients

Panda¹,

Jena²,

Jena³

2022

ijhs

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Background: Hypertension affects a significant number of population and many of these affected individuals have no symptoms. The present study was conducted to assess effects of antihypertensive agents on the quality of life in diabetic hypertensive patients. Materials & Methods: 96 diabetic hypertensive patients of both genders were randomly divided into 4 groups based on antihypertensive medicines- group I comprises those taking amlodipine (2.5–10 mg/day), group II taking ramipril (2.5–10 mg/day), group III taking telmisartan (40–80 mg/day) and group IV taking combination of ramipril (1.25–5 mg/day) and telmisartan (20–40 mg/day) (RT). Parameters such as blood pressure (BP), pulse rate, blood sugar level, glycated hemoglobin (HbA1c) and QOLID-Punjabi version (PV) questionnaire at baseline and then at the 24th week of therapy. QoL of the patients was assessed by using the QOLID questionnaire Results: Group I had 12 males and 12 females, group II had 14 males and 10 females, group III had 15 males and 9 females and group IV had 10 males and 14 females.

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Assessment of health related quality of life of elderly diabetic patients attending urban primary health care facility - a cross sectional study

Cited by 3 publications

References 13 publications

Effects of antihypertensive agents on the quality of life in diabetic hypertensive patients

Effects of antihypertensive agents on the quality of life in diabetic hypertensive patients

Socio demographic correlates of quality of life of patients with diabetes mellitus

Assessment of effects of antihypertensive agents on the quality of life in diabetic hypertensive patients

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