Protocol of a Prospective Observational Study on Lifestyle and Quality of Life in Adults with Type 1 Diabetes in Japan.

IF 3.8 3区 医学 Q2 Medicine
Diabetes Therapy Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI:10.1007/s13300-024-01539-0
Junko Sato, Kenichi Nakajima, Tomoya Mita, Mami Koshibu, Ayako Sato, Hiromasa Goto, Fuki Ikeda, Yuya Nishida, Katsumi Aso, Hirotaka Watada
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Abstract

Introduction: Recent studies have shown that the quality of life (QOL) of people living with type 1 diabetes (T1D) is poor and must be improved. However, the living situation and QOL of adults living with T1D in Japan have not been fully clarified. This study will examine their lifestyle, QOL, and clinical situation, as well as the relationships between them.

Methods: This is a prospective, 5-year follow-up observational study. Between December 2019 and September 2021, we enrolled adults in Japan who were living with T1D and receiving insulin therapy, and are acquiring longitudinal clinical data and the responses to seven questionnaires regarding lifestyle and QOL. The primary study outcomes are (1) the relationship between Problem Areas in Diabetes (PAID) scores and various factors including demographic data, clinical characteristics, medical history, lifestyle habits, treatment history, biochemical data, and the scores of questionnaires; and (2) the relationship between Beck Depression Inventory (BDI)-II scores and various factors aforementioned. The secondary outcomes are the relationships between various factors aforementioned and each of the following: (1) blood glucose control, (2) blood lipid control, (3) dietary patterns, (4) fear of hypoglycemia, (5) sleep patterns, and (6) physical activity.

Planned outcome: We registered 352 participants. The median age was 49 (41-63) years, and the median duration of T1D was 13 (8-20) years. All the results will be available in 2026. We expect to clarify the factors associated with decreased QOL, and that this knowledge will contribute to improving QOL in adults in Japan who are living with T1D and receiving insulin therapy.

Trial registration: Clinical Trials.gov identifier, UMIN000044088.

日本 1 型糖尿病成人生活方式和生活质量前瞻性观察研究方案》。
导言:最近的研究表明,1 型糖尿病(T1D)患者的生活质量(QOL)很差,必须加以改善。然而,日本成人 T1D 患者的生活状况和 QOL 尚未完全明确。本研究将调查他们的生活方式、QOL、临床状况以及它们之间的关系:这是一项为期 5 年的前瞻性随访观察研究。方法:这是一项为期 5 年的前瞻性随访观察研究。2019 年 12 月至 2021 年 9 月期间,我们在日本招募了接受胰岛素治疗的 T1D 成人患者,并获取了他们的纵向临床数据以及对 7 份有关生活方式和 QOL 的问卷的回答。主要研究结果包括:(1)糖尿病问题领域(PAID)评分与人口统计学数据、临床特征、病史、生活习惯、治疗史、生化数据和问卷评分等各种因素之间的关系;(2)贝克抑郁量表(BDI)-II 评分与上述各种因素之间的关系。次要结果是上述各种因素与以下各项之间的关系:(1) 血糖控制;(2) 血脂控制;(3) 饮食模式;(4) 对低血糖的恐惧;(5) 睡眠模式;(6) 体力活动:我们登记了 352 名参与者。中位年龄为 49(41-63)岁,中位 T1D 病程为 13(8-20)年。所有结果将于 2026 年公布。我们希望能够阐明与生活质量下降相关的因素,并希望这些知识有助于改善日本接受胰岛素治疗的 T1D 患者的生活质量:试验注册:Clinical Trials.gov identifier,UMIN000044088。
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来源期刊
Diabetes Therapy
Diabetes Therapy Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.90
自引率
7.90%
发文量
130
审稿时长
6 weeks
期刊介绍: Diabetes Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all areas of diabetes. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Diabetes Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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