Health-related quality of life (HRQoL) in a population at risk of type 2 diabetes: a cross-sectional study in two Latin American cities

Health and Quality of Life Outcomes

Pablo Aschner¹  Sandra Rodríguez Acosta²  Rafael Gabriel³  Karen C. Flórez Lozano⁴  Luis A. Anillo Arrieta⁵  Julieth P. Nieto Castillo⁶  Tania Acosta Vergara⁶  Sandra De La Rosa⁶  Rafael Tuesca⁷  Noël C. Barengo⁸ 

[1] Asociación Colombiana de Diabetes, Bogotá, Colombia;Javeriana University, Bogotá, Colombia;San Ignacio University Hospital, Bogotá, Colombia;Department of Economics, Division of Humanities and Sciences Division Social, Universidad del Norte, Barranquilla, Colombia;Department of International Health, National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain;World Community for Prevention of Diabetes (WCPD) Foundation, Madrid, Spain;Department of Mathematics and Statistics, Division of Basic Sciences, Universidad del Norte, Barranquilla, Colombia;Department of Mathematics and Statistics, Division of Basic Sciences, Universidad del Norte, Barranquilla, Colombia;Department of Public Health, Division of Health Sciences, Universidad del Norte, Barranquilla, Colombia;Department of Public Health, Division of Health Sciences, Universidad del Norte, Barranquilla, Colombia;Department of Public Health, Division of Health Sciences, Universidad del Norte, Barranquilla, Colombia;Department of Interdisciplinary Research, University Center CIFE, Cuernavacas-Morelos, Mexico;Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA;Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland;Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA;

关键词: Health related quality of life;    Hyperglycemia;    Type 2 diabetes;    Risk factors;   

DOI  :  10.1186/s12955-021-01894-7

来源: Springer

【 摘 要 】

PurposeThe purpose of this study was to describe the health-related quality of life (HRQoL) characteristics in a population at risk of developing type 2 diabetes in Barranquilla and Bogotá, Colombia.MethodsA cross-sectional study with 1135 participants older than 30 years-of-age recruited in Bogotá D.C., and Barranquilla by cluster sampling in 2018 to 2019. The Finnish Diabetes Risk Score (FINDRISC) was used to detect participants at risk of developing type 2 diabetes (T2D). HRQoL was assessed using the EQ-5D-3L questionnaire. Unadjusted and adjusted logistic regression models were used to calculate odds ratios (OR) and their corresponding 95% confidence intervals CI).ResultsModerate or extreme problems appeared more frequently in the dimensions of Pain/Discomfort (60.8%) and Anxiety/Depression (30.8%). The mean score of the EQ-VAS was 74.3 (± 17.3), significantly larger in the state of complete health (11111) compared with those with problems in more than one of the quality-of-life dimensions. Being female and living in Bogota D.C., were associated with greater odds of reporting problems in the Pain (OR 1.6; 95% CI 1.2–2.2) and Discomfort dimensions (OR 1.6; 95% CI 1.2–2.0) respectively and Anxiety/Depression (OR 1.9; 95% CI 1.3–2.7), (OR 9.1; 95% CI 6.6–12.4), respectively.ConclusionsAs living place and sex were associated with dimensions of Pain/Discomfort and Anxiety/Depression in the HRQoL in people at risk of T2D, greater attention should be paid to these determinants of HRQoL to design and reorient strategies with a territorial and gender perspective to achieve better health outcomes.Plain English summaryDiabetes is one of the four non-communicable diseases with increasing prevalence in the world, which has made it a serious public health problem. In Colombia, in 2019 diabetes affected 8.4% of the Colombian adult population and more than one million Colombian adults of this age group have hidden or undetected diabetes. This disease is not only characterized by increased premature mortality, loss of productivity, and economic impact, but it also involves a deterioration in the quality of life of people with diabetes with their respective families. However, very Little is known about health-related quality of life (HRQoL) in a population at risk or with prediabetes. This study has evaluated the quality of life in patients at risk of diabetes and their behavior with some variables as sociodemographic, lifestyle, history, and established their difference in two territories of the Colombian Caribbean. The results of this study indicate that the HRQoL of people at risk of type 2 diabetes is affected by factors such as gender, city, dysglycemia, medication for hypertension and education level. Therefore, greater attention should be paid to these determinants of HRQL to design and implement strategies that reduce this risk of developing type 2 diabetes, prevent prediabetes and improve the quality of life in prediabetic or diabetic patients.

【 授权许可】

CC BY