Quality of life in young patients with type 1 diabetes mellitus

Aim. To study quality of life (QL) in young patients with type 1 diabetes mellitus (DM1) depending on clinical characteristics, diabetes-related behaviour,and demographic indices. Materials and methods. The study included 89 patients (25 men aged 18-28 years) with DM1. Exclusion criteria were newl...

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Autores principales:	Yulia Andreevna Shishkova, Oleg Gennad'evich Motovilin, Elena Viktorovna Surkova, Sergey Ivanovich Divisenko, Alexander Yur'evich Mayorov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2010
Materias:	addqol w-bq12 type 1 diabetes mellitus quality of life questionnaire Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/14bf8032dc874ffeaf03f7e3bdfd9dec
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spelling	oai:doaj.org-article:14bf8032dc874ffeaf03f7e3bdfd9dec2021-11-14T09:00:15ZQuality of life in young patients with type 1 diabetes mellitus2072-03512072-037810.14341/2072-0351-6056https://doaj.org/article/14bf8032dc874ffeaf03f7e3bdfd9dec2010-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6056https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To study quality of life (QL) in young patients with type 1 diabetes mellitus (DM1) depending on clinical characteristics, diabetes-related behaviour,and demographic indices. Materials and methods. The study included 89 patients (25 men aged 18-28 years) with DM1. Exclusion criteria were newly diagnosed DM, terminalstages of diabetic complications, severe concomitant somatic and psychic diseases. The patients filled the socio-demographic questionnaire, theirHbA1c was measured. QL was estimated using the Audit of Diabetes Dependent Quality of Life (ADDQoL) questionnaire and general well-beingbased on the Well-Being Questionnaire 12 (W-BQ12). In addition, the frequency of glycemia self-control was determined as an aspect of the diabetes-related behaviour. Results. Mean age of the patients was 22.3?3.0 years, mean duration of DM 9.6?5.8 years, mean HbA1c level 9.7?2.4%. It was shown that CD1has negative effect on all QL aspects (integrated significance of effect based on all scales -1.8). The most seriously affected aspects were dietaryfreedom (-2.9), professional and physical activities (-2.9 and -2.8 respectively), feeling secure about the future (-2.6). ADDQoL did not reveal a relationshipbetween any of these aspects and the HbA1c level. However, results of W-BQ12 suggest a rise in HbA1c associated with the high frequencyof negative emotions (r=-0.242, p = 0.023) and the low level of general emotional well-being (r=-0.253, p=0.019). Progressive diabetic nephropathyhad negative effect on professional activity (r=-0.317, p=0.025), financial well-being (r=-0.242, p=0.025), ability to move over a distance (r=-0.215,r=0.046), and ability to do something (r=-0.295, p=0.006). The highest QL level was documented in the patients who controlled glycemia 1-2 timesa week (mean over all scales -1.2). Lower or high frequencies of self-control were associated with the general worsening of QL (-2.3 and -2.1 respectively,p=0.005). The highest level of emotional well-being was revealed in the patients who controlled glycemia 1-2 times a week (24.7 W-Q12scores). A higher or lower frequency of self-control was associated with deterioration of emotional well-being (22.5 and 20.5 points respectively,p=0.019). ADDQoL data suggest sex-related differences in QL. In women, DM1 had stronger negative effect on the quality of domestic life (-3.2 comparedwith -2.2 in men, p=0.001), social life (-2.5 and -0.9, p=0.021) and dietary freedom (-3.4 and -1.8, p=0.007). Moreover, women experiencedstronger diabetes-related negative emotions than men (4.1 vs 2.5 points, p=0.007, W-B12).Сахарный диабет Обучение и психосоциальные аспекты44 4/2010Conclusion. DM1 has negative effect on all QL aspects. Dietary freedom, professional and physical activities, feeling secure about the future are moststrongly affected. The most important factors through which these effects are mediated include clinical characteristics (quality of compensation ofcarbohydrate metabolism, diabetic complications), DM-related behaviour (frequency of glycemia self-control), and gender.Yulia Andreevna ShishkovaOleg Gennad'evich MotovilinElena Viktorovna SurkovaSergey Ivanovich DivisenkoAlexander Yur'evich MayorovEndocrinology Research Centrearticleaddqolw-bq12type 1 diabetes mellitusquality of lifeaddqolw-bq12questionnaireNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 13, Iss 4, Pp 43-47 (2010)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	addqol w-bq12 type 1 diabetes mellitus quality of life addqol w-bq12 questionnaire Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	addqol w-bq12 type 1 diabetes mellitus quality of life addqol w-bq12 questionnaire Nutritional diseases. Deficiency diseases RC620-627 Yulia Andreevna Shishkova Oleg Gennad'evich Motovilin Elena Viktorovna Surkova Sergey Ivanovich Divisenko Alexander Yur'evich Mayorov Quality of life in young patients with type 1 diabetes mellitus
description	Aim. To study quality of life (QL) in young patients with type 1 diabetes mellitus (DM1) depending on clinical characteristics, diabetes-related behaviour,and demographic indices. Materials and methods. The study included 89 patients (25 men aged 18-28 years) with DM1. Exclusion criteria were newly diagnosed DM, terminalstages of diabetic complications, severe concomitant somatic and psychic diseases. The patients filled the socio-demographic questionnaire, theirHbA1c was measured. QL was estimated using the Audit of Diabetes Dependent Quality of Life (ADDQoL) questionnaire and general well-beingbased on the Well-Being Questionnaire 12 (W-BQ12). In addition, the frequency of glycemia self-control was determined as an aspect of the diabetes-related behaviour. Results. Mean age of the patients was 22.3?3.0 years, mean duration of DM 9.6?5.8 years, mean HbA1c level 9.7?2.4%. It was shown that CD1has negative effect on all QL aspects (integrated significance of effect based on all scales -1.8). The most seriously affected aspects were dietaryfreedom (-2.9), professional and physical activities (-2.9 and -2.8 respectively), feeling secure about the future (-2.6). ADDQoL did not reveal a relationshipbetween any of these aspects and the HbA1c level. However, results of W-BQ12 suggest a rise in HbA1c associated with the high frequencyof negative emotions (r=-0.242, p = 0.023) and the low level of general emotional well-being (r=-0.253, p=0.019). Progressive diabetic nephropathyhad negative effect on professional activity (r=-0.317, p=0.025), financial well-being (r=-0.242, p=0.025), ability to move over a distance (r=-0.215,r=0.046), and ability to do something (r=-0.295, p=0.006). The highest QL level was documented in the patients who controlled glycemia 1-2 timesa week (mean over all scales -1.2). Lower or high frequencies of self-control were associated with the general worsening of QL (-2.3 and -2.1 respectively,p=0.005). The highest level of emotional well-being was revealed in the patients who controlled glycemia 1-2 times a week (24.7 W-Q12scores). A higher or lower frequency of self-control was associated with deterioration of emotional well-being (22.5 and 20.5 points respectively,p=0.019). ADDQoL data suggest sex-related differences in QL. In women, DM1 had stronger negative effect on the quality of domestic life (-3.2 comparedwith -2.2 in men, p=0.001), social life (-2.5 and -0.9, p=0.021) and dietary freedom (-3.4 and -1.8, p=0.007). Moreover, women experiencedstronger diabetes-related negative emotions than men (4.1 vs 2.5 points, p=0.007, W-B12).Сахарный диабет Обучение и психосоциальные аспекты44 4/2010Conclusion. DM1 has negative effect on all QL aspects. Dietary freedom, professional and physical activities, feeling secure about the future are moststrongly affected. The most important factors through which these effects are mediated include clinical characteristics (quality of compensation ofcarbohydrate metabolism, diabetic complications), DM-related behaviour (frequency of glycemia self-control), and gender.
format	article
author	Yulia Andreevna Shishkova Oleg Gennad'evich Motovilin Elena Viktorovna Surkova Sergey Ivanovich Divisenko Alexander Yur'evich Mayorov
author_facet	Yulia Andreevna Shishkova Oleg Gennad'evich Motovilin Elena Viktorovna Surkova Sergey Ivanovich Divisenko Alexander Yur'evich Mayorov
author_sort	Yulia Andreevna Shishkova
title	Quality of life in young patients with type 1 diabetes mellitus
title_short	Quality of life in young patients with type 1 diabetes mellitus
title_full	Quality of life in young patients with type 1 diabetes mellitus
title_fullStr	Quality of life in young patients with type 1 diabetes mellitus
title_full_unstemmed	Quality of life in young patients with type 1 diabetes mellitus
title_sort	quality of life in young patients with type 1 diabetes mellitus
publisher	Endocrinology Research Centre
publishDate	2010
url	https://doaj.org/article/14bf8032dc874ffeaf03f7e3bdfd9dec
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Quality of life in young patients with type 1 diabetes mellitus

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