Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam
Type 2 diabetes mellitus (T2DM) is a major cause of disease burden in the elderly population. This study aimed to measure the quality of life (QOL) among patients with T2DM and the associations between co-morbidities and QOL. A cross-sectional study was conducted on 194 patients with T2DM. The minim...
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doaj-1713db02821a4939b80228655a49eb502020-11-25T00:30:41ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-02-0116453110.3390/ijerph16040531ijerph16040531Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in VietnamHuong Van Nguyen0Tung Thanh Tran1Cuong Tat Nguyen2Tung Hoang Tran3Bach Xuan Tran4Carl A. Latkin5Cyrus S.H. Ho6Roger C.M. Ho7Department of Neuroscience, Hanoi Medical University, Hanoi 100000, VietnamCenter of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietnamDepartment of Lower Limb Surgery, Vietnam-Germany Hospital, Hanoi 100000, VietnamInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, VietnamJohns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USADepartment of Psychological Medicine, National University Hospital, Singapore 119074, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, SingaporeType 2 diabetes mellitus (T2DM) is a major cause of disease burden in the elderly population. This study aimed to measure the quality of life (QOL) among patients with T2DM and the associations between co-morbidities and QOL. A cross-sectional study was conducted on 194 patients with T2DM. The minimal clinically important difference (MCID) scores were used to indicate the clinically meaningful differences of comorbidities on quality of life. A Tobit regression was employed to find relationships between QOL and comorbidities. The mean scores of QOL domains were 50.8 (<i>SD</i> = 13.2) in physical, 62.4 (<i>SD</i> = 11.5) in psychological, 52.3 (<i>SD</i> = 10.2) in social relationship, and 64.3 (<i>SD</i> = 10.1) in environmental. Digestive and neuropsychiatric diseases had the strongest negative associations with physical QOL of patients. Neuropsychiatric diseases also had the biggest effect on psychological and environmental QOL. Meanwhile, in the social domain, respiratory diseases had the greatest effect. In conclusion, patients with T2DM struggled to perform physical functions. In addition, comorbidities significantly reduced the QOL of T2DM patients.https://www.mdpi.com/1660-4601/16/4/531diabetestype 2 diabetes mellitusquality of lifeelderlycomorbidities |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Huong Van Nguyen Tung Thanh Tran Cuong Tat Nguyen Tung Hoang Tran Bach Xuan Tran Carl A. Latkin Cyrus S.H. Ho Roger C.M. Ho |
spellingShingle |
Huong Van Nguyen Tung Thanh Tran Cuong Tat Nguyen Tung Hoang Tran Bach Xuan Tran Carl A. Latkin Cyrus S.H. Ho Roger C.M. Ho Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam International Journal of Environmental Research and Public Health diabetes type 2 diabetes mellitus quality of life elderly comorbidities |
author_facet |
Huong Van Nguyen Tung Thanh Tran Cuong Tat Nguyen Tung Hoang Tran Bach Xuan Tran Carl A. Latkin Cyrus S.H. Ho Roger C.M. Ho |
author_sort |
Huong Van Nguyen |
title |
Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam |
title_short |
Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam |
title_full |
Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam |
title_fullStr |
Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam |
title_full_unstemmed |
Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam |
title_sort |
impact of comorbid chronic conditions to quality of life among elderly patients with diabetes mellitus in vietnam |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-02-01 |
description |
Type 2 diabetes mellitus (T2DM) is a major cause of disease burden in the elderly population. This study aimed to measure the quality of life (QOL) among patients with T2DM and the associations between co-morbidities and QOL. A cross-sectional study was conducted on 194 patients with T2DM. The minimal clinically important difference (MCID) scores were used to indicate the clinically meaningful differences of comorbidities on quality of life. A Tobit regression was employed to find relationships between QOL and comorbidities. The mean scores of QOL domains were 50.8 (<i>SD</i> = 13.2) in physical, 62.4 (<i>SD</i> = 11.5) in psychological, 52.3 (<i>SD</i> = 10.2) in social relationship, and 64.3 (<i>SD</i> = 10.1) in environmental. Digestive and neuropsychiatric diseases had the strongest negative associations with physical QOL of patients. Neuropsychiatric diseases also had the biggest effect on psychological and environmental QOL. Meanwhile, in the social domain, respiratory diseases had the greatest effect. In conclusion, patients with T2DM struggled to perform physical functions. In addition, comorbidities significantly reduced the QOL of T2DM patients. |
topic |
diabetes type 2 diabetes mellitus quality of life elderly comorbidities |
url |
https://www.mdpi.com/1660-4601/16/4/531 |
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