Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital
Eduardo Sepúlveda,1,2 Rui Poínhos,2,3 Miguel Constante,4,5 José Pais-Ribeiro,1,2 Paula Freitas,6,7 Davide Carvalho6,71Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal; 2Associação de Prevenç&ati...
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Dove Medical Press
2015
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oai:doaj.org-article:e132950c06e548fdb80d2a4b17482bba2021-12-02T06:11:51ZHealth-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital1178-7007https://doaj.org/article/e132950c06e548fdb80d2a4b17482bba2015-04-01T00:00:00Zhttp://www.dovepress.com/health-related-quality-of-life-in-type-1-and-type-2-diabetic-patients--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Eduardo Sepúlveda,1,2 Rui Poínhos,2,3 Miguel Constante,4,5 José Pais-Ribeiro,1,2 Paula Freitas,6,7 Davide Carvalho6,71Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal; 2Associação de Prevenção e Apoio à Diabetes, Porto, Portugal; 3Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; 4Institute of Psychiatry, King’s College London, London, UK; 5Department of Psychiatry, Hospital Beatriz Ângelo, Loures, Portugal; 6Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal; 7Faculty of Medicine, University of Porto, Porto, PortugalBackground: Diabetes mellitus is a chronic metabolic disease, the prevalence of which has registered a considerable increase, mainly in adults and elderly. The purpose of this study was to assess the relationship between health-related quality of life in patients with diabetes and sex, body mass index, type of diabetes and treatment regimens (type 1 diabetes: intensive versus conventional treatment; type 2 diabetes: insulin use versus non-insulin use), and duration of diabetes.Methods: One hundred and twenty-four patients with diabetes were interviewed. Health-related quality of life was evaluated using the age-adjusted Short-Form 36 dimensions (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health), and related to demographic and clinical variables. Independent samples t-tests and One-Way Analysis of Variance were used to compare means of independent samples. The degree of association between pairs of variables was measured by Pearson’s (r) or Spearman’s (rs) correlation coefficients.Results: The mean age of the study population was 55.7±16.4 years; 54.8% were male, and 77.4% had type 2 diabetes. Females reported worse quality of life than males in all dimensions of the Short-Form 36, except for role-physical and bodily pain. Obese patients had worse physical functioning than normal weight and overweight patients, and worse vitality than their normal weight counterparts. Type 2 diabetic patients taking insulin had lower physical functioning and vitality than those without insulin therapy. Longer duration of diabetes was associated with lower physical functioning, role-physical, general health, vitality, role-emotional, and mental health.Conclusion: Being female, obese, having type 2 diabetes and taking insulin, and having a longer disease duration are characteristics associated with worse age-adjusted quality of life in patients with diabetes.Keywords: clinical variables, demographic variables, diabetes mellitus, health-related quality of lifeSepúlveda EPoínhos RConstante MPais-Ribeiro JFreitas PCarvalho DDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2015, Iss default, Pp 219-226 (2015) |
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Specialties of internal medicine RC581-951 Sepúlveda E Poínhos R Constante M Pais-Ribeiro J Freitas P Carvalho D Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital |
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Eduardo Sepúlveda,1,2 Rui Poínhos,2,3 Miguel Constante,4,5 José Pais-Ribeiro,1,2 Paula Freitas,6,7 Davide Carvalho6,71Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal; 2Associação de Prevenção e Apoio à Diabetes, Porto, Portugal; 3Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; 4Institute of Psychiatry, King’s College London, London, UK; 5Department of Psychiatry, Hospital Beatriz Ângelo, Loures, Portugal; 6Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal; 7Faculty of Medicine, University of Porto, Porto, PortugalBackground: Diabetes mellitus is a chronic metabolic disease, the prevalence of which has registered a considerable increase, mainly in adults and elderly. The purpose of this study was to assess the relationship between health-related quality of life in patients with diabetes and sex, body mass index, type of diabetes and treatment regimens (type 1 diabetes: intensive versus conventional treatment; type 2 diabetes: insulin use versus non-insulin use), and duration of diabetes.Methods: One hundred and twenty-four patients with diabetes were interviewed. Health-related quality of life was evaluated using the age-adjusted Short-Form 36 dimensions (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health), and related to demographic and clinical variables. Independent samples t-tests and One-Way Analysis of Variance were used to compare means of independent samples. The degree of association between pairs of variables was measured by Pearson’s (r) or Spearman’s (rs) correlation coefficients.Results: The mean age of the study population was 55.7±16.4 years; 54.8% were male, and 77.4% had type 2 diabetes. Females reported worse quality of life than males in all dimensions of the Short-Form 36, except for role-physical and bodily pain. Obese patients had worse physical functioning than normal weight and overweight patients, and worse vitality than their normal weight counterparts. Type 2 diabetic patients taking insulin had lower physical functioning and vitality than those without insulin therapy. Longer duration of diabetes was associated with lower physical functioning, role-physical, general health, vitality, role-emotional, and mental health.Conclusion: Being female, obese, having type 2 diabetes and taking insulin, and having a longer disease duration are characteristics associated with worse age-adjusted quality of life in patients with diabetes.Keywords: clinical variables, demographic variables, diabetes mellitus, health-related quality of life |
format |
article |
author |
Sepúlveda E Poínhos R Constante M Pais-Ribeiro J Freitas P Carvalho D |
author_facet |
Sepúlveda E Poínhos R Constante M Pais-Ribeiro J Freitas P Carvalho D |
author_sort |
Sepúlveda E |
title |
Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital |
title_short |
Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital |
title_full |
Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital |
title_fullStr |
Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital |
title_full_unstemmed |
Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital |
title_sort |
health-related quality of life in type 1 and type 2 diabetic patients in a portuguese central public hospital |
publisher |
Dove Medical Press |
publishDate |
2015 |
url |
https://doaj.org/article/e132950c06e548fdb80d2a4b17482bba |
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