Quality of life in people with diabetes: a systematic review of studies in Iran

Journal of Diabetes & Metabolic Disorders

Maryam Mirmalek-Sani³  Baharak Najafi¹  Aliasghar A Kiadaliri² 

[1] Mehregan Parto Research Institute, Tehran, Iran;Lund University, Department of Clinical Sciences, Malmö; Skane University Hospital, 20502 Malmö, Sweden;International Cooperation Affairs, Deputy of Social Welfare, Ministry of Cooperatives, Labour & Social Welfare, Tehran, Iran

关键词: Iran;    Systematic review;    Diabetes;    HRQoL;   

Others  :  806722
DOI  :  10.1186/2251-6581-12-54

 received in 2013-07-08, accepted in 2013-09-23,  发布年份 2013

【 摘 要 】

Evaluation of health-related quality of life (HRQoL) among people with diabetes has been growing in Iran over the last decade. The main aim of the current study was to systematically review the characteristics of these studies and examine quality of their findings. Persian (SID, Magiran) and English (Pubmed, Medline, Web of Science, CINAHL, Scopus, PsycINFO and ERIC) databases were systematically searched using the search terms: “diabetes” AND “quality of life” AND “Iran”. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. A total of 46 studies passed the inclusion criteria and were included in the review. The included studies were conducted in 20 out of 30 provinces of the country. Most studies investigated HRQoL among people with type 2 diabetes. The Short Form Health Survey (SF-36) and WHO quality of life instruments (WHOQOL) were the main instruments used in these studies. Studies showed that people with diabetes had lower HRQoL than people without diabetes. Better socioeconomic status and better control of cardiovascular risk factors were associated with better HRQoL among the patients with diabetes. In general, the predictors of HRQoL among Iranian patients were similar to their international counterparts implying that diabetes patients share many common features. The reviewed studies suffer from major methodological and reporting flaws which limit validity and generalizability of their findings.

【 授权许可】

   
2013 Kiadaliri et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Tofighi S, Ahmad Kiadaliri A, Sadeghifar J, Raadabadi M, Mamikhani J: Health-Related Quality of Life among Patients with Coronary Artery Disease: a Post-Treatment Follow-Up Study in Iran. Cardiol Res Pract 2012 2012, 2012:973974. doi:10.1155/2012/973974
• [2]Shaw JE, Sicree RA, Zimmet PZ: Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010, 87(1):4-14.
• [3]Seshasai SR, Kaptoge S, Thompson A, Di Angelantonio E, Gao P, Sarwar N, Emerging Risk Factors Collaboration, et al.: Diabetes mellitus, fasting glucose, and risk of cause-specific death. N Engl J Med 2011, 364(9):829-841.
• [4]Guzder RN, Gatling W, Mullee MA, Byrne CD: Early mortality from the time of diagnosis of Type 2 diabetes: a 5-year prospective cohort study with a local age- and sex-matched comparison cohort. Diabet Med 2007, 24(10):1164-1167.
• [5]Oliva J, Fernández-Bolaños A, Hidalgo A: Health-related quality of life in diabetic people with different vascular risk. BMC Public Health 2012, 12:812. doi:10.1186/1471-2458-12-812 BioMed Central Full Text
• [6]Zhang P, Brown MB, Bilik D, Ackermann RT, Li R, Herman WH: Health utility scores for people with type 2 diabetes in U.S. managed care health plans: results from Translating Research Into Action for Diabetes (TRIAD). Diabetes Care 2012, 35(11):2250-2256.
• [7]Esteghamati A, Gouya MM, Abbasi M, Delavari A, Alikhani S, Alaedini F, et al.: Prevalence of diabetes and impaired fasting glucose in the adult population of Iran, national survey of risk factors for non-communicable diseases of Iran. Diabetes Care 2008, 31(1):96-98.
• [8]Esteghamati A, Meysamie A, Khalilzadeh O, Rashidi A, Haghazali M, Asgari F, et al.: Third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007) in Iran: methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia. BMC Public Health 2009, 9:167. BioMed Central Full Text
• [9]Esteghamati A, Khalilzadeh O, Anvari M, Meysamie A, Abbasi M, Forouzanfar M, et al.: The economic costs of diabetes: a population-based study in Tehran Iran. Diabetologia 2009, 52(8):1520-1527.
• [10]Moher D, Liberati A, Tetzlaff J, Altman DG: PRISMA Group: preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PloS Med 2009, 6(7):e1000097.
• [11]Aghamollaei T, Eftekhar H, Shojaeizadeh D, Mohammad K, Nakhjavani M, Ghofrani Pour F: Behavior, metabolic control and health-related quality of life in diabetic patients at Bandar Abbas diabetic clinic. Iranian J Publ Health 2003, 32(3):54-59.
• [12]Aghamollaei T, Eftekhar H, Mohammad K, Sobhani A, Shojaeizadeh D, Nakhjavani M, et al.: Influence of educational intervention using interaction approach on behavior change, hemoglobin A1c and health-related quality of life in diabetic patients. Journal of School of Public Health and Institute of Public Health Research 2005, 3(4):1-9. (in Persian)
• [13]Ahari SS, Arshi S, Iranparvar M, Amani F, Siahpush H: The effects of type II diabetes on quality of life. Journal of Ardebil University of Medical Sciences 2008, 8(4):394-402. (in Persian)
• [14]Ahmadi A, Hasanzadeh J, Mediseh MR, Lashkari L: Factors affecting quality of life in patients with type 2 diabetes in Chaharmahal & Bakhtiari province. Journal of North Khorasan University of Medical Sciences 2011, 3(1):7-13. (in Persian)
• [15]Alavi A, Parvin N, Salehian T, Samipour V: Comparing quality of life of children and adolescents with diabetes mellitus and healthy group from patient and parents perspective in Shahrekord. Journal of Kordestan University of Medical Sciences 2010, 15(1):46-52. (in Persian)
• [16]Alavi NM, Ghofranipour F, Ahmadi F, Rajab A, Babaee G: Quality of life in patients with diabetes mellitus, referring to Iranian Diabetes Society. Journal of Kermanshah University of Medical Sciences 2004, 8(2):47-56. (in Persian)
• [17]Bagheri H, Ebrahimi H, Taghavi N, Hassani MR: Quality of life of diabetes-related complications in diabetic patients referred to Imam Hossein hospital in Shahrood. Journal of Shahrood University of Medical Sciences 2005, 7(2):50-56. (in Persian)
• [18]Baghianimoghadam MH, Ardakani MA: The effect of educational intervention on quality of life in type 2 diabetic patients referred to Yazd diabetes research center. Journal of Gonabad University of Medical Sciences 2007, 13(4):21-28. (in Persian)
• [19]Bazzazian S, Besharat MA, Ehsan HB, Rajab A: The moderating role of coping strategies in relationship between illness perception, quality of life and HbA1c in patients with type I diabetes. Iranian Journal of Endocrinology and Metabolism 2010, 12(3):213-221. (in Persian)
• [20]Borzou R, Salavati M, Safari M, Hadadinejad SH, Zandieh M, Torkman B: Quality of life in type II diabetic patients referred to Sina Hospital, Hamadan. Zahedan Journal of Research in Medical Sciences 2010, 13(4):43-46. (in Persian)
• [21]Delvarianzade M, Bagheri H, Sadeghian F: Effect of dietary counseling on quality of life in patients with type II diabetes who were referred to Imam Hossein hospital nutrition clinic in Shahrood. Iranian Journal of Diabetes and Lipid Disorders 2006, 5(4):371-378. (in Persian)
• [22]Farahani TS, Aliakbar M, Farahani AS, Haghani H: Quality of life in young people with type 1 diabetes in relation to age and gender. Iran Journal of Nursing 2010, 23(68):73-79. (in Persian)
• [23]Ghanbari A, Yekta ZP, Faghihzade S, Hashemi MS: Application of path analysis in identifying factors affecting quality of life and metabolic status of diabetic patients. Medical Daneshvar 2004, 11(51):65-74. (in Persian)
• [24]Ghanbari A, Kazemnejad E: Comparing quality of life in type 2 diabetic patients referred to Razi hospital diabetes center with healthy individuals. Modares Journal of Medical Sciences 2004, 7(1):69-80. (in Persian)
• [25]Ghanbari A, Yekta ZP, Roushan ZA, Lakeh NM: Assessment of factors affecting quality of life in diabetic patients in Iran. Public Health Nurs 2005, 22(4):311-322.
• [26]Ghavami H, Ahmadi F, Entezami H: Evaluating the effects of continuous care model on quality of life in people with diabetes. Urmia Medical Journal 2005, 16(1):22-27. (in Persian)
• [27]Haririan H, Moghadasian S, Aghajanlou A: Quality of life and its dimensions in diabetic patients referred to diabetes center of Tabriz medical university. Iranian Journal of Diabetes and Lipid Disorders 2009, 9(2):152-160. (in Persian)
• [28]Hashemi Hefz Abad F, Shabany Hamedan M: Comparison of attitudes regarding quality of life between insulin-treated subjects with diabetes mellitus and healthy populations. Diabetes Metab J 2011, 35(4):397-403.
• [29]Heidari M, Alhani F, Kazemnejad A, Moezi F: The effect of empowerment model on quality of life of diabetic adolescents. Iran J Pediatr 2007, 17(1):87-94. in Persian
• [30]Jafari P, Forouzandeh E, Bagheri Z, Karamizadeh Z, Shalileh K: Health related quality of life of Iranian children with type 1 diabetes: reliability and validity of the Persian version of the PedsQL™ Generic Core Scales and Diabetes Module. Health Qual Life Outcomes 2011, 9:104. BioMed Central Full Text
• [31]Jahanlou AS, Ghofranipour F, Jahani J, Sobhani A, Kimmiagar M, Vafaei M, et al.: The relation between awareness, self – efficiency and quality of life with controlling glycemic and lipids in smoking diabetics patients. Hormozgan Medical Journal 2007, 11(4):261-266. (in Persian)
• [32]Jahanlou AS, Ghofranipour F, Sobhani A, Kimmiagar M, Vafaei M: Evaluating curvilinear hypothesis in quality of life and glycemic control in diabetic patients. Journal of Arak University of Medical Sciences 2008, 11(2):27-33. (in Persian)
• [33]Jahanlou AS, Karami NA: The effect of literacy level on health related-quality of life, self-efficacy and self-management behaviors in diabetic patients. Acta Med Iran 2011, 49(3):153-158.
• [34]Jahanlou AS, Ghofranipour F, Kimmiagar M, Vafaei M, Heydarnia A, Sobhani A: Can quality of life questionnaires be used in diabetics to assess the relation between HbA1c and patients’ domain aspects? Acta Med Iran 2011, 49(4):246-251.
• [35]Jahanlou AS, Karami NA: WHO quality of life-BREF 26 questionnaire: reliability and validity of the Persian version and compare it with Iranian diabetics quality of life questionnaire in diabetic patients. Prim Care Diabetes 2011, 5(2):103-107.
• [36]Kakhaki AD, Saeedi JA, Yaghmaie F, Majd HA, Montazeri A: Quality of life of diabetic patients referred to Tehran hospitals in 2004. Iranian Journal of Endocrinology and Metabolism 2006, 8(1):49-56. (in Persian)
• [37]Kasbakhi MS, Ehsani M, Ghanbari A: Comparing quality of life of type 2 diabetics patients with health people. Journal of Babol University of Medical Sciences 2008, 9(5):55-60. (in Persian)
• [38]Kermansaravi F, Navidian A, Ansarymoghadam A: Quality of life in type 1 diabetic adolescents in Zahedan. Iranian Journal of Endocrinology and Metabolism 2012, 13(6):651-657. (in Persian)
• [39]Khaledi S, Moridi G, Gharibi F: Survey of eight dimensions quality of life for patients with diabetes type II referred to Sanandaj diabetes center in 2009. Journal of Fasa University of Medical Sciences 2011, 1(1):29-37. (in Persian)
• [40]Khamseh MA, Monavari A, Malek M, Shafeei G, Baradaran HR: Health-related quality of life in patients with type 1 diabetes. Iranian Journal of Endocrinology and Metabolism 2011, 13(3):249-255. (in Persian)
• [41]Nejatisafa A, Larijani B, Shariati B, Amini H, Rezagholizadeh A: Depression, quality of life and glycemic control in patients with diabetes. Iranian Journal of Diabetes and Lipid Disorders 2008, 7(2):195-204. (in Persian)
• [42]Peymani M, Monjamed Z, Aliasgharpoor M: The relationship between diabetic neuropathy and quality of life. Iranian Journal of Diabetes and Lipid Disorders 2006, 5(4):387-394. (in Persian)
• [43]Peymani M, Monjamed Z, Aliasgharpoor M, Mehran A: Evaluating the effect of cardiovascular diseases on quality of life among diabetic patients referred to Tehran hospitals during 20004–2005. Journal of Medical Council of Islamic Republic of Iran 2007, 25(2):142-148. (in Persian)
• [44]Peymani M, Monjamed Z, Aliasgharpoor M: The relationship between diabetic retinopathy and quality of life. Iranian Journal of Diabetes and Lipid Disorders 2008, 8(1):11-18. (in Persian)
• [45]Rakhshanderu S, Heidarnia A, Rajab A: Effect of health education on patients’ quality of life. Medical Daneshvar 2006, 13(63):15-20. (in Persian)
• [46]Rasouli D, Nasiriziba F, Nabiamjad R, Haghani H: The quality of life in men and women with diabetic foot ulcer in selected hospitals of Tehran universities. Journal of Jahrom University of Medical Sciences 2011, 9(1):38-45. (in Persian)
• [47]Safavi M, Samadi N, Mahmoodi M: Effect of quality of life improvement on type 2 diabetes patients’ self-esteem. Saudi Med J 2011, 32(9):954-957.
• [48]Sanjari M, Safari S, Shokoohi M, Safizade H, Rashidinezhad H, Mashrouteh M, et al.: A cross-Sectional study in Kerman, Iran, on the effect of diabetic foot ulcer on health-related quality of life. Int J Low Extrem Wounds 2011, 10(4):200-206.
• [49]Sayadi N, Fayazi S, Ramezani A: Assessing quality of life after open heart surgery in diabetic and non-diabetic patients. Journal of Rafsanjan University of Medical Sciences 2011, 10(2):144-150. (in Persian)
• [50]Shahrjerdi S, Shavnadi N, Golpayegani M, Hosseini RS: Impact of strength and resistance training on glycemic control, quality of life and mental health in women with type 2 diabetes. Iranian Journal of Diabetes and Lipid Disorders 2009, 9(1):35-44. (in Persian)
• [51]Shareh H, Soltani E, Ghasemi A: Predicting of quality of life of non-insulin-dependent diabetic patients based on perceived social support. Zahedan Journal of Research in Medical Sciences 2012, 14(2):82-85. (in Persian)
• [52]Taghidisi MH, Borhani M, Solhi M, Afkari ME, Hosseini F: The effect of an education program utilising PRECEDE model on the quality of life in patients with type 2 diabetes. Health Educ J 2012, 71(2):229-238.
• [53]Timareh M, Rahimi MA, Abbasi P, Rezaei M, Heidarpour S: Quality of life among diabetic patients referred to the diabetes research center of Kermanshah. Journal of Kermanshah University of Medical Sciences 2012, 16(1):63-69. (in Persian)
• [54]Vares Z, Zandi M, Baghaei P, Alavi NM, Ajorpaz NM: Quality of life and related factors in diabetic patients attending a diabetes center in Kashan. Nurs Res 2010, 5(17):14-22. (in Persian)
• [55]Vazirinejad R, Sajadi M, Maghool N: Effect of diabetes on quality of life: results of a historical cohort study. Journal of Research in Medical Sciences 2010, 34(1):35-40. (in Persian)
• [56]Yekta Z, Pourali R, Ghasemi-Rad M: Comparison of demographic and clinical characteristics influencing health-related quality of life in patients with diabetic foot ulcers and those without foot ulcers. Diabetes Metab Syndr Obes 2011, 4:393-399.
• [57]Polonsky WH: Understanding and assessing diabetes-specific quality of life. Diabetes Spectr 2000, 13:36.
• [58]Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al.: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007, 60(1):34-42.
• [59]Speight J, Reaney MD, Barnard KD: Not all roads lead to Rome-a review of quality of life measurement in adults with diabetes. Diabet Med 2009, 26(4):315-327.
• [60]Achhab YE, Nejjari C, Chikri M: Disease-specific health-related quality of life instruments among adults diabetic: a systematic review. Diabetes Res Clin Pract 2008, 80(2):171-184.
• [61]Smith SC, Lamping DL, Maclaine GD: Measuring health-related quality of life in diabetic peripheral neuropathy: a systematic review. Diabetes Res Clin Pract 2012, 96(3):261-270.
• [62]Wandell PE: Quality of life of patients with diabetes mellitus. An overview of research in primary health care in the Nordic countries. Scand J Prim Health Care 2005, 23(2):68-74.