Gender Differences In Quality Of Life In Adults With Long-Standing Type 1 Diabetes Mellitus

Castellano-Guerrero, Ana; Guerrero, Raquel; Ruiz-Aranda, Desireé; Perea, Sofía; Pumar, A; Relimpio, F.; Mangas, Miguel Angel; Lizcano, Fernando; Martínez-Brocca, María Asunción

doi:10.21203/rs.3.rs-22469/v2

Cited by 5 publications

(5 citation statements)

References 27 publications

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“…Many previous studies have demonstrated that diabetes negatively impacts D-QOL because of the lifelong and complex self-management required for this disease (Janssen et al, 2020; Shamshirgaran et al, 2020). Additionally, WD experience worse D-QOL than do men with diabetes (Castellano-Guerrero et al, 2020). Suboptimal diabetes control at younger age will increase the risk of developing complications in later life (ADA, 2020).…”

mentioning

confidence: 99%

The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

Wang

Chen

Hsu³

et al. 2021

Biological Research For Nursing

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Purposes: Women with diabetes (WD) are more severely impacted by the consequence of suboptimal diabetes control. This study aims to examine the impact of demographic and disease characteristics, baseline self-stigma, role strain, diabetes distress on Hemoglobin A1C (A1C) levels, quality of life (D-QoL) and 6-month A1C levels in younger WD. Methods: This study was a 6-month prospective study. In total, 193 WD aged 20–64 years were selected by convenience sampling from three outpatient clinics in Taiwan. Demographic and disease characteristics, self-stigma, role strain, diabetes distress, A1C levels, and D-QoL were collected at baseline. A1C levels were further collected 6 months later. Structural equation modeling was conducted to test the hypothesized model. Results: The final model supported that higher baseline D-QoL directly associated with lower concurrent A1C levels and indirectly associated with lower 6-month A1C levels through baseline A1C levels. Higher baseline self-stigma, role strain, and diabetes distress directly associated with lower baseline D-QoL, and indirectly associated with higher 6-month A1C levels through D-QoL. Conclusion: Improving self-stigma, role strain, and diabetes distress should be considered as promising strategies to improve D-QoL in young WD. D-QoL plays a mediation role between baseline self-stigma, role strain, diabetes distress and subsequent glycemic control in younger WD. Enhancing baseline D-QoL is fundamental to improve subsequent glycemic control.

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confidence: 99%

The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

Wang

Chen

Hsu³

et al. 2021

Biological Research For Nursing

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“…Specifically, multiple regression analyses showed how higher levels of HbA1c, being female, and the severity of the complications explained 25.2% of the total variance of the CWB score. Finally, two studies using the same questionnaire did not find any relationship between the two target variables 36,37 …”

Section: Resultsmentioning

confidence: 83%

The relationship between well‐being and HbA1c in adults with type 1 diabetes: A systematic review

Pérez‐Fernández

Gutiérrez‐Cobo

2023

Journal of Diabetes

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Background Diabetes has been associated with psychological problems, which in turn have been related to poorer glycemic control (glycosylated hemoglobin [HbA1c]). On the contrary, psychological well‐being constructs have been associated with superior medical outcomes, including better HbA1c. Aim The main objective of this study was to systematically review the existing literature about the relationships between subjective well‐being (SWB) and HbA1c in adults with type 1 diabetes (T1D). Methods Comprehensive searches were conducted in PubMed, Scopus, and Medline, time restricted to 2021, for studies examining the link between HbA1c and the cognitive (CWB) and affective (AWB) components of SWB. A total of 16 eligible studies were selected according to the inclusion criteria, of which 15 measured CWB and 1 AWB. Results Of the 15 studies included, 11 showed a relationship between CWB and HbA1c, with a higher level of HbA1c being related to poorer CWB. The other four studies did not find any significant association. Finally, the only study examining the relationship between AWB and HbA1c found a marginally association between these variables in the expected direction. Conclusion The overall data suggest that CWB is negatively related to HbA1c in this population, but these results are inconclusive. This systematic review offers clinical implications, such as the possible evaluation, prevention, and treatment of the problems associated with diabetes through the study and training of the psychosocial variables that may directly influence SWB. Limitations and future lines of investigation are discussed.

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“…Another fnding of our study was the association between male gender and higher HRQOL. Similarly, Castellano-Guerrero et al and Huebschmann et al had shown this relationship [39,40]. It seems that the sociocultural and health behavior diferences between men and women could be a reason for it.…”

Section: Discussionmentioning

confidence: 80%

Quality of Life and Metabolic Indicators of Patients with Type 2 Diabetes: A Cross-Sectional Study in Iran

Kaveh

Noori

Nazari

et al. 2022

International Journal of Endocrinology

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Background. The World Health Organization (WHO) has considered type 2 diabetes mellitus (T2DM) a major global health challenge because of its high prevalence worldwide. T2DM can affect patients’ personal, social, and economic statuses. On the other hand, due to the increasing prevalence of T2DM, Quality of Life (QOL) has received more attention in recent years. Objective. The present study was conducted to investigate the relationships between QOL and physical activity level, body mass index, fasting blood sugar, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride, total cholesterol, HbA1c, and systolic and diastolic blood pressure among Iranian patients with uncomplicated T2DM. Methods. This cross-sectional study was conducted on 135 participants selected through consecutive sampling. The study data were collected using International Physical Activity Questionnaire and Short-Form Health Survey Questionnaire. Then, the data were entered into the SPSS ver. 28 software, and Pearson’s correlation was used to measure the correlation between the variables. Linear regression was also employed. The significance level was set at 0.05. Results. The significant association was observed between gender ( p = 0.007 ), HDL level ( p = 0.02 ), and gender-adjusted physical activity ( p = 0.002 ) with QOL. Conclusions. Due to the association between physical activity and HDL level with QOL in patients with uncomplicated T2DM, they should be given the necessary training to improve their physical activity and regulate HDL level. Also, empowering them in this matter improves their QOL.

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Gender Differences In Quality Of Life In Adults With Long-Standing Type 1 Diabetes Mellitus

Cited by 5 publications

References 27 publications

The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

The relationship between well‐being and HbA1c in adults with type 1 diabetes: A systematic review

Quality of Life and Metabolic Indicators of Patients with Type 2 Diabetes: A Cross-Sectional Study in Iran

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