体脂增加、缺乏运动和高血压与2型糖尿病患者的生活质量差有关。

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.21000441

Lubia Velázquez-López, David Alva-Santana, Adriana Ocaña-Patiño, Jorge Escobedo de la Peña, M Victoria Goycochea-Robles

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引用次数: 0

摘要

背景:糖尿病是影响中长期生活质量的重大健康问题。目的:确定2型糖尿病患者的生活质量与合并症、代谢控制和生活方式之间的关系。方法:对392例患者进行横断面研究。测量糖化血红蛋白、空腹血糖、血脂、血压、体重、腰围和体成分。对糖尿病神经病变、肾脏疾病、视力健康、饮食和体育锻炼进行了测量。健康相关生活质量(HRQoL)采用36项短表调查(SF-36)进行测量。结果:患者平均年龄54.6岁，女性占68%，糖尿病诊断中位时间为7年。80%患者HRQoL良好(SF-36≥50)。得分最高的维度是身体机能(81.0)，最低的维度是活力(46.5)。体脂与SF-36维度上更多的损伤相关(p < 0.05)。与HRQOL差相关的因素是缺乏运动(优势比[OR]: 2.7;95%置信区间[95% ci]: 1.10-6.62;p = 0.009)，动脉高血压(OR: 1.78;95% ci: 1.05-3.02;p = 0.032)和女性(OR: 2.7;95% ci: 1.45-5.27;P = 0.002)。结论:生活质量差与2型糖尿病患者高脂肪率、缺乏运动和高血压相关。

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Increased body fat, physical inactivity, and hypertension are associated with poor quality of life in patients with type 2 diabetes.

Background: Diabetes is a significant health problem that affects quality of life in the medium and long term.

Objective: To identify the association between quality of life with comorbidity, metabolic control, and lifestyle in patients with type 2 diabetes.

Method: A cross-sectional study was performed in 392 patients. Glycosylated hemoglobin, fasting glucose, lipid profile, blood pressure, weight, waist circumference and body composition were measured. Diabetic neuropathy, renal disease, visual health, diet and physical exercise were measured. Health-related quality of life (HRQoL) was measured with the 36-item Short Form survey (SF-36).

Results: The mean age was 54.6 years, 68 % were women, median years of diabetes diagnosis was 7 years. Eighty percent had a good HRQoL (SF-36 ≥ 50). The dimension with the highest score was physical function (81.0), and vitality the lowest (46.5). Body fat was associated with more impairments in the SF-36 dimensions (p < 0.05). Factors associated with worse HRQOL are physical inactivity (odds ratio [OR]: 2.7; 95% confidence interval [95%CI]: 1.10-6.62; p = 0.009), arterial hypertension (OR: 1.78; 95% CI: 1.05-3.02; p = 0.032) and being female (OR: 2.7; 95% CI: 1.45-5.27; p = 0.002).

Conclusions: Poor quality of life is associated with higher fat percentage, physical inactivity and hypertension in patients with type 2 diabetes.

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.