Quality of life in patients with diabetes - limited activity hinders women more-Reference-Cited by-同舟云学术

Quality of life in patients with diabetes - limited activity hinders women more

Published:2023 Issue:9-10 Volume:151 Page:542-547
ISSN:0370-8179
Container-title:Srpski arhiv za celokupno lekarstvo
language:en
Short-container-title:Srp Arh Celok Lek

Author:

Polovina Snezana¹^ORCID,Terzic-Supic Zorica²^ORCID,Micic Dusan³,Todorovic Jovana²^ORCID,Parapid Biljana⁴^ORCID,Milin-Lazovic Jelena⁵^ORCID,Vasilijevic Jelena⁶^ORCID,Mladenovic-Markovic Ana⁷^ORCID,Bjelovic Milos⁸^ORCID

Affiliation:

1. University Clinical Center of Serbia, Division for Endocrinology, Diabetes, and Diseases of Metabolism, Belgrade, Serbia + University Business Academy in Novi Sad, Faculty of Pharmacy, Novi Sad, Serbia

2. University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Belgrade, Serbia

3. University Clinical Center of Serbia, Clinic for Emergency Surgery, Emergency Center, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia

4. University of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Division of Cardiology, Belgrade, Serbia

5. University of Belgrade, Faculty of Medicine, Institute for Medical Statistic and Informatics, Serbia

6. University Clinical Center of Serbia, Division for Ophthalmology, Belgrade, Serbia

7. University of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Center for Radiology and Magnetic Resonance, Belgrade, Serbia

8. University of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Clinic for Digestive Surgery, Department for Minimally Invasive Upper Digestive Surgery, Belgrade, Serbia

Abstract

Introduction/Objective. Diabetes mellitus and its chronic complications impair quality of life (QoL) when compared to the one of the general population. The objective of this study was to determine the prevalence of > 14 unhealthy days per month among the patients with diabetes in Serbia and to determine the association of the socio-demographic characteristics and health characteristics with the total of > 14 unhealthy days. Methods. Serbian version of a generic self-administered questionnaire from Centers for Disease Control and Prevention (CDC-HRQOL-4) was used for data collection in all three levels of care. Results. The study involved 4898 patients with diabetes, 2283 (46.6%) men and 2611 (53.4%) women. Overall mean age was 57.3 ? 12.2 years with over one fifth (23.2 %) were younger than 50 years. Multivariate logistic regression analyses indicated that age > 65 (OR:1.575, 95%CI 1.100?2.256), being a woman (OR: 1.287, 95% CI 1.042?1.588), lower education (OR: 1.383, 95%CI 1.091?1.754), felt depressed ? 14 days (OR: 3.689, 95% CI 2.221?6.128), felt anxious ? 14 days (OR: 1.749, 95% CI 1.113?2.749), poor sleep ? 14 days (OR:2.161, 95%CI 1.569?2.988), fair or poor self-rated health ? 14 days (OR: 4.322, 95%CI 3.474?5.376) were associated with unhealthy days ? 14 days. The strongest negative association was observed between limited physical activity ? 14 days and a decrease in the QoL of people with diabetes (OR: 22.176, 95%CI 10.971?44.824). Conclusion. This study highlights association between impaired QoL in patients with diabetes and physical activity limitations. Limited physical activity is the factor with the greatest negative impact on the QoL particularly in older, less educated, and women with diabetes.

Publisher

National Library of Serbia

Subject

General Medicine

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