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Gepubliceerd in: Quality of Life Research 10/2020

19-05-2020

Factors associated with poor-to-moderate quality of life among pregnant women with gestational diabetes mellitus: a cross-sectional study in Malaysia

Auteurs: Kai Wei Lee, Siew Mooi Ching, Fan Kee Hoo, Vasudevan Ramachandran, Seng Choi Chong, Maiza Tusimin, Faith En Ang, Noraihan Mohd Nordin, Navin Kumar Devaraj

Gepubliceerd in: Quality of Life Research | Uitgave 10/2020

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Abstract

Purpose

This study aimed to identify factors associated with poor-to-moderate quality of life (QOL) among women with gestational diabetes mellitus (GDM) in two tertiary hospitals in Malaysia.

Methods

A cross-sectional study was conducted among 526 pregnant women with GDM in two tertiary hospitals in Malaysia. Diabetes-related QOL was assessed using the Asian Diabetes Quality of Life Scale (AsianDQoL). Socio-demographic characteristics, glucose monitoring treatments for GDM, past obstetric history, concurrent medical problems and a family history of diseases were captured from patient records. A multiple logistic regression was used for analysis.

Results

A total of 526 respondents with GDM entered the analysis. The median age of the respondents was 32 (interquartile range = 7) while 82.3% were Malay women. More than half of the respondents (69.5%) received an oral hypoglycaemic agent (OHA), and/or diet modification in controlling their GDM. The study reported that 23.2% of the respondents had poor-to-moderate QOL. Those with a family history of depression and/or anxiety (adjusted Odds ratio [AOR] 6.934, 95% confidence interval [CI] 2.280–21.081), and a family history of GDM (AOR 1.814, 95% CI 1.185–2.778) were at higher odds of suffering from poor-to-moderate QOL compared to those without a family history. Similarly, those who received insulin, with or without OHA, and/or are on diet modification (AOR 1.955, 95% CI 1.243–3.074) were at higher odds of suffering from poor-to-moderate QOL compared to those receiving OHA and/or diet modification.

Conclusion

Nearly one-quarter of Malaysian women with GDM have poor-to-moderate QOL. GDM women with a family history of depression and/or anxiety, family history of GDM, and those who received insulin, with or without OHA, and/or are on diet modification were associated with poor-to-moderate QOL.
Trial registration: NMRR-17-2264-37814.
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Metagegevens
Titel
Factors associated with poor-to-moderate quality of life among pregnant women with gestational diabetes mellitus: a cross-sectional study in Malaysia
Auteurs
Kai Wei Lee
Siew Mooi Ching
Fan Kee Hoo
Vasudevan Ramachandran
Seng Choi Chong
Maiza Tusimin
Faith En Ang
Noraihan Mohd Nordin
Navin Kumar Devaraj
Publicatiedatum
19-05-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02532-3

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