Determinants of quality of life in adults with type 1 and type 2 diabetes

Health and Quality of Life Outcomes

Jeffrey A Johnson²  Kerry S Courneya⁴  Ronald C Plotnikoff³  Ikuyo Imayama¹ 

[1] Centre for Health Promotion Studies, School of Public Health, University of Alberta, (116 Street and 85 Avenue), Edmonton, (T6G 2B3), Canada;School of Public Health, University of Alberta, (116 Street and 85 Avenue), Edmonton, (T6G 2B3), Canada;School of Education, University of Newcastle, Callaghan, (2308), Australia;Faculty of Physical Education, University of Alberta, (116 Street and 85 Avenue), Edmonton, (T6G 2B3), Canada

关键词: adults with diabetes;    type 2 diabetes;    type 1 diabetes;    life satisfaction;    health-related quality of life;    quality of life;   

Others  :  826133
DOI  :  10.1186/1477-7525-9-115

 received in 2011-04-05, accepted in 2011-12-19,  发布年份 2011

【 摘 要 】

Background

Limited evidence exists on the determinants of quality of life (QoL) specific to adults with type 1 diabetes (T1D). Further, it appears no study has compared the determinants of QoL between T1D and type 2 diabetes (T2D) groups. The objectives of this study were to examine: (1) determinants of QoL in adults with T1D; and, (2) differences in QoL determinants between T1D and T2D groups.

Methods

The Alberta Longitudinal Exercise and Diabetes Research Advancement (ALEXANDRA) study, a longitudinal study of adults with diabetes in Alberta, Canada. Adults (18 years and older) with T1D (N = 490) and T2D (N = 1,147) provided information on demographics (gender, marital status, education, and annual income), personality (activity trait), medical factors (diabetes duration, insulin use, number of comorbidities, and body mass index), lifestyle behaviors (smoking habits, physical activity, and diet), health-related quality of life (HRQL) and life satisfaction. Multiple regression models identified determinants of HRQL and life satisfaction in adults with T1D. These determinants were compared with determinants for T2D adults reported in a previous study from this population data set. Factors significantly associated with HRQL and life satisfaction in either T1D or T2D groups were further tested for interaction with diabetes type.

Results

In adults with T1D, higher activity trait (personality) score (β = 0.28, p < 0.01), fewer comorbidities (β = -0.27, p < 0.01), lower body mass index (BMI)(β = -0.12, p < 0.01), being a non-smoker (β = -0.14, p < 0.01), and higher physical activity levels (β = 0.16, p < 0.01) were associated with higher HRQL. Having a partner (β = 0.11, p < 0.05), high annual income (β = 0.16, p < 0.01), and high activity trait (personality) score (β = 0.27, p < 0.01) were significantly associated with higher life satisfaction. There was a significant age × diabetes type interaction for HRQL. The T2D group had a stronger positive relationship between advancing age and HRQL compared to the T1D group. No interaction was significant for life satisfaction.

Conclusions

Health services should target medical and lifestyle factors and provide support for T1D adults to increase their QoL. Additional social support for socioeconomically disadvantaged individuals living with this disease may be warranted. Health practitioners should also be aware that age has different effects on QoL between T1D and T2D adults.

【 授权许可】

   
2011 Imayama et al; licensee BioMed Central Ltd.

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