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Sepúlveda E, Poínhos R, Constante M, et al. Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital. Diabetes Metab Syndr Obes. 2015;8:219-26doi: 10.2147/DMSO.S80472.
Sepúlveda, E., Poínhos, R., Constante, M., Pais-Ribeiro, J., Freitas, P., & Carvalho, D. (2015). Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital. Diabetes, metabolic syndrome and obesity : targets and therapy, 8219-26. https://doi.org/10.2147/DMSO.S80472
Sepúlveda, Eduardo, et al. "Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital." Diabetes, metabolic syndrome and obesity : targets and therapy vol. 8 (2015): 219-26. doi: https://doi.org/10.2147/DMSO.S80472
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. Diabetes Metab Syndr Obes. 2015 Apr 29;8:219-26. doi: 10.2147/DMSO.S80472. eCollection 2015. PMID: 25995647; PMCID: PMC4425233.
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Diabetes Metab Syndr Obes. 2015 Apr 29;8:219-26. doi: 10.2147/DMSO.S80472. eCollection 2015.

Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital.

Diabetes, metabolic syndrome and obesity : targets and therapy

Eduardo Sepúlveda, Rui Poínhos, Miguel Constante, José Pais-Ribeiro, Paula Freitas, Davide Carvalho

Affiliations

  1. Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal ; Associação de Prevenção e Apoio à Diabetes, Porto, Portugal.
  2. Associação de Prevenção e Apoio à Diabetes, Porto, Portugal ; Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.
  3. Institute of Psychiatry, King's College London, London, UK ; Department of Psychiatry, Hospital Beatriz Ângelo, Loures, Portugal.
  4. Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal ; Faculty of Medicine, University of Porto, Porto, Portugal.

PMID: 25995647 PMCID: PMC4425233 DOI: 10.2147/DMSO.S80472

Abstract

BACKGROUND: 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

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