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Quality of Life Research
Gepubliceerd in: Quality of Life Research 7/2014

01-09-2014

Quality of life along the diabetes continuum: a cross-sectional view of health-related quality of life and general health status in middle-aged and older Finns

Auteurs: Saku Väätäinen, Sirkka Keinänen-Kiukaanniemi, Jouko Saramies, Hannu Uusitalo, Jaakko Tuomilehto, Janne Martikainen

Gepubliceerd in: Quality of Life Research | Uitgave 7/2014

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Abstract

Purpose

To examine the general health status and health-related quality of life (HRQOL) along the diabetes continuum of middle-aged and older Finns, and to determine the glucose metabolism stage by which the HRQOL has decreased noticeably.

Methods

The cross-sectional sample consisted of 920 persons aged 51–75 from the general population in a single municipality in a rural area of Eastern Finland. Data were adjusted for age, sex, smoking history, current alcohol consumption, employment and marital status. The HRQOL and health status were evaluated using two preference-based HRQOL instruments, 15D and SF-6D, and one health profile instrument, 36-Item Short Form Health Survey (SF-36).

Results

Individuals with impaired glucose tolerance (IGT) and type 2 diabetes had noticeably low mean SF-6D, 15D and general health status. The decrease in overall HRQOL was mainly due to a decline in the physical dimensions of HRQOL. The adjusted odds ratios (95 % CI) for having noticeably low HRQOL on SF-6D, 15D and general health dimension of SF-36 associated with IGT were 1.95 (1.18–3.25), 1.35 (0.84–2.18) and 2.00 (1.21–3.29), respectively.

Conclusions

The progression along the diabetes continuum was significantly associated with a decrease in HRQOL and health status. Furthermore, the data indicate that when a person is detected to have IGT, the HRQOL and general health status have already diminished noticeably. The prevailing evidence suggests that detection and intervention before a patient develops IGT is essential in order to minimize the loss of quality of life and quality-adjusted life years.
vorige artikel On the associations between physical activity and quality of life: findings from an Australian nationally representative panel survey
volgende artikel The level of agreement between child self-reports and parent proxy-reports of health-related quality of life in boys with Duchenne muscular dystrophy
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Metagegevens
Titel
Quality of life along the diabetes continuum: a cross-sectional view of health-related quality of life and general health status in middle-aged and older Finns
Auteurs
Saku Väätäinen
Sirkka Keinänen-Kiukaanniemi
Jouko Saramies
Hannu Uusitalo
Jaakko Tuomilehto
Janne Martikainen
Publicatiedatum
01-09-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0638-3

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