Quality of life in patients with diabetes mellitus

Abstract

Background and objectives: Diabetes mellitus (DM) perpetually affects the quality of life. This non-communicable lifelong disease usually develops micro and macro-vascular complications affecting vital organs. Thus, it reduces the functional capability of health as assessed by the health-related quality of life (HRQOL) measuring tools. It is not known, how much HRQOL of the diabetic population in Bangladesh is affected. Therefore, the objective of the present study was to estimate the levels of HRQOL of cases with DM attending a tertiary care hospital in Dhaka city. The study considered socioeconomic condition, nutritional status, duration of diabetes and treatment modalities while analyzing the HRQOL.
 Methods: This study was conducted in a tertiary care hospital in Dhaka city from July 2016 to June 2017. Patients with DM were considered eligible and were recruited. Those who were found to have complications like retinopathy, nephropathy, neuropathy, hypertension and stroke were excluded based on previous investigations. Once selected, the study protocol was described to each of the diabetic patients. If agreed, the participant was interviewed. Short Form health survey questionnaire (SF-36) was used for assessment of HRQOL. The assessment of physical health components included physical function, role physical, body pain, and general health. Mental health components were emotion, vitality and social function.
 Results: A total of 150 diabetic patients (m/f: 80/70) were included in the study. Comparisons of demographic variables between male and female participants showed no significant difference. As regards HRQOL, physical function score was significantly reduced among those who had diabetes for more than 10 years (p=0.049). General health component was significantly impaired among those who had higher BMI (<30kg/m2; p= 0.016) and post-prandial hyperglycemia. Longer duration of DM (>10yrs) and higher BMI significantly reduced components of mental health quality.
 Conclusion: The study revealed that the overall physical and mental quality of life was significantly affected by longer duration of diabetes, obesity and glycemic status.
 IMC J Med Sci 2018; 12(2): 73-79

Quality of Life of Patients With Diabetes Mellitus at Specialized Center for Endocrinology and Diabetes in Baghdad City

“…show that the duration of the disease, the higher percentage (42.7%) is for those who have been suffering from the disease for a period of 10 years or more. The findings are in line with those of (Ahmed et al, 2019), who observed a higher proportion of patients with an illness duration of 10 years or more. gggggglo…”

“…Diabetes is a highly disabling disease, which can cause blindness, amputations, kidney disease, anemia, cardiovascular, brain complications and impairing the functional capacity and autonomy and individual quality of life (Ajeena et al, 2019). Several studies have demonstrated that the quality of life (QOL) of patients with diabetes especially those who had complications is remarkably lower than the QOL of the general population (Ahmed et al, 2019). The previous studies found that long-term DM complications had negative effects on an individual's physical, emotional, and social well-being, as well as health-related quality of life (HRQOL) (Wong et al, 2020).…”

Ansiedad, Depresión, Calidad De Vida Y Consumo De Tabaco en Personas Con Diabetes Mellitus Tipo 2

“…Con respecto al resto de sub escalas que evalúan la calidad de vida por la DM2 y del total de la escala, no se encontraron diferencias estadísticamente significativas, aunque de forma general, se observa que en todas las sub escalas (exceptuando el área de Funcionamiento Sexual) y total, los porcentajes de afectación en la calidad de vida son mayores en aquellas personas que consumen tabaco. Se ha encontrado en la literatura que aquellas personas con DM tienen una mayor afectación en la calidad de vida (Akinci et al, 2008;Kalda et al, 2008;Oliveira et al, 2017), y el consumo de tabaco también puede hacer que la calidad de vida de las personas sea menor (Castro, Matsuo, & Nunes, 2010;de Miguel Díez et al, 2010;Džubur et al, 2014;López-Nicolás et al, 2018), lo que hace que al combinar el consumo de tabaco con la DM, la calidad de vida se vea afectada de mayor manera (Ahmed et al, 2018;Alencar et al, 2019;Mokhtari et al, 2019;Oliveira et al, 2017). Por lo que los resultados de este estudio concuerdan con la literatura, específicamente con respecto a que se observa una mayor afectación en la calidad de vida de las personas fumadoras con DM2, en comparación con quienes no fuman y tienen DM2, lo cual resalta la importancia del diseño de intervenciones para el cese de consumo de tabaco en personas con DM que haga uso de técnicas que impacten en la calidad de vida, ya que como se ha visto, al consumir tabaco y padecer DM, esta área se ve más afectada.…”

“…Con respecto a las personas fumadoras con DM, se ha observado que los factores que afectan la calidad de vida en personas con DM son el tener el diagnóstico de DM (Grandy, Chapman, Fox, & SHIELD Study Group, 2008), el momento de diagnóstico de la DM, el consumo de alcohol y tabaco (Oliveira et al, 2017), y el tener mayor tiempo de diagnóstico, un alto Índice de Masa Corporal (IMC) (Akinci et al, 2008;Kalda, Rätsep, & Lember, 2008), mientras que las áreas más perjudicadas en la calidad de vida son el funcionamiento físico, el funcionamiento mental (Ahmed, Tomalika, Rhaman, Momtaz, & Haque, 2018), y la salud en general (Alencar et al, 2019;Mokhtari, Gheshlagh, & Kurdi, 2019). Asimismo, en personas con DM2, la sintomatología depresiva es mayor en comparación con quienes no tienen DM2 (Grandy et al, 2008), por lo que, debido a las complicaciones de salud y los problemas de salud mental, las personas con DM tienen una moderada calidad de vida (Mokhtari et al, 2019).…”