The association between diabetes mellitus and HRQoL of older people in Shanghai

Abstract Background This study aimed to explore the association between diabetes mellitus and health-related quality of life (HRQoL) of older people in Shanghai, China, especially regarding the differences in each aspect of the EQ-5D and how large the score gaps are between older people with and wit...

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Autores principales: Shiyin Tian, Rui Wang, Mengxing Qian, Lijuan Liu, Zhenyi Shao, Cheng Wu, Jinhai Sun
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:698ca0f71ff44d7f9ffa2fa2ce5c08552021-11-07T12:16:24ZThe association between diabetes mellitus and HRQoL of older people in Shanghai10.1186/s12877-021-02590-31471-2318https://doaj.org/article/698ca0f71ff44d7f9ffa2fa2ce5c08552021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02590-3https://doaj.org/toc/1471-2318Abstract Background This study aimed to explore the association between diabetes mellitus and health-related quality of life (HRQoL) of older people in Shanghai, China, especially regarding the differences in each aspect of the EQ-5D and how large the score gaps are between older people with and without diabetes. Methods A total of 11,103 people of either sex older than 60 years were enrolled from 17 districts of Shanghai. The EQ-5D-3L was used to assess the HRQoL of older people. The Wilcoxon rank sum test and t-test were used to compare the difference in HRQoL between people with or without diabetes. After univariate regression, multiple linear regression and ordinal logistic regression were conducted to evaluate the influence of diabetes mellitus and other confounding variables on the EQ VAS scores and on the five dimensions of the EQ-5D. Results Twelve percent of all participants had diabetes mellitus, and the proportion was almost the same between men and women. The EQ VAS scores of people with diabetes mellitus were approximately 3.70 points lower than those of people without diabetes (95% CI = -4.40,  -2.99, p < 0.001) after adjusting for confounding variables. People with diabetes mellitus had increased problems with mobility (OR = 1.57, 95% CI = 1.33, 1.85), self-care (OR = 1.65, 95% CI = 1.35, 2.01), usual activities (OR = 1.78, 95% CI = 1.51, 2.11), pain/discomfort (OR = 1.42, 95% CI = 1.24, 1.64), and anxiety/depression (OR = 1.33, 95% CI = 1.07, 1.64). Conclusions This study showed that diabetes mellitus was associated with the HRQoL of older people and that older people with diabetes had poorer performance in every aspect of EQ-5D measurements.Shiyin TianRui WangMengxing QianLijuan LiuZhenyi ShaoCheng WuJinhai SunBMCarticleDiabetes mellitusQuality of lifeOlder peopleGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diabetes mellitus
Quality of life
Older people
Geriatrics
RC952-954.6
spellingShingle Diabetes mellitus
Quality of life
Older people
Geriatrics
RC952-954.6
Shiyin Tian
Rui Wang
Mengxing Qian
Lijuan Liu
Zhenyi Shao
Cheng Wu
Jinhai Sun
The association between diabetes mellitus and HRQoL of older people in Shanghai
description Abstract Background This study aimed to explore the association between diabetes mellitus and health-related quality of life (HRQoL) of older people in Shanghai, China, especially regarding the differences in each aspect of the EQ-5D and how large the score gaps are between older people with and without diabetes. Methods A total of 11,103 people of either sex older than 60 years were enrolled from 17 districts of Shanghai. The EQ-5D-3L was used to assess the HRQoL of older people. The Wilcoxon rank sum test and t-test were used to compare the difference in HRQoL between people with or without diabetes. After univariate regression, multiple linear regression and ordinal logistic regression were conducted to evaluate the influence of diabetes mellitus and other confounding variables on the EQ VAS scores and on the five dimensions of the EQ-5D. Results Twelve percent of all participants had diabetes mellitus, and the proportion was almost the same between men and women. The EQ VAS scores of people with diabetes mellitus were approximately 3.70 points lower than those of people without diabetes (95% CI = -4.40,  -2.99, p < 0.001) after adjusting for confounding variables. People with diabetes mellitus had increased problems with mobility (OR = 1.57, 95% CI = 1.33, 1.85), self-care (OR = 1.65, 95% CI = 1.35, 2.01), usual activities (OR = 1.78, 95% CI = 1.51, 2.11), pain/discomfort (OR = 1.42, 95% CI = 1.24, 1.64), and anxiety/depression (OR = 1.33, 95% CI = 1.07, 1.64). Conclusions This study showed that diabetes mellitus was associated with the HRQoL of older people and that older people with diabetes had poorer performance in every aspect of EQ-5D measurements.
format article
author Shiyin Tian
Rui Wang
Mengxing Qian
Lijuan Liu
Zhenyi Shao
Cheng Wu
Jinhai Sun
author_facet Shiyin Tian
Rui Wang
Mengxing Qian
Lijuan Liu
Zhenyi Shao
Cheng Wu
Jinhai Sun
author_sort Shiyin Tian
title The association between diabetes mellitus and HRQoL of older people in Shanghai
title_short The association between diabetes mellitus and HRQoL of older people in Shanghai
title_full The association between diabetes mellitus and HRQoL of older people in Shanghai
title_fullStr The association between diabetes mellitus and HRQoL of older people in Shanghai
title_full_unstemmed The association between diabetes mellitus and HRQoL of older people in Shanghai
title_sort association between diabetes mellitus and hrqol of older people in shanghai
publisher BMC
publishDate 2021
url https://doaj.org/article/698ca0f71ff44d7f9ffa2fa2ce5c0855
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