Gautam Yogesh, Sharma Ak, Agarwal Ak, Bhatnagar Mk, Trehan Roochika Ranjan
Department of Community Medicine, SJH & VMMC, New Delhi - 110 029.
Indian J Community Med. 2009 Oct;34(4):346-50. doi: 10.4103/0970-0218.58397.
According to WHO estimates India will be the global capital of diabetes by 2025, accounting for 57.2 million diabetics. Worsening the situation is the fact that diabetes affects the economically productive age-group (45-65 years) in developing countries.
To measure quality of life (QOL) and study the clinical profiles and associated sociodemographic factors affecting diabetic patients aged 20 years and above.
We conducted a hospital-based cross-sectional study using a generic instrument, Short-Form 36 (SF-36 of the Medical Outcome Study Group) to measure QOL of diabetic subjects aged >/=20 years. Two hundred and sixty diabetics, including 91 males and 169 females, were selected from the clinics of SSK Hospital and Dr RML Hospital of New Delhi. Data was analysed using SPSS for Windows, version 12.
The mean age of the respondents was 49.7 years, with 80% of respondents being in the age-group of 40-69 years. The majority (52.1%) of female respondents were illiterate and 91.1% were economically dependent. Of the male respondents, 65.9% were skilled workers. Substance abuse was present among 41.8% male subjects. Type 2 diabetes was the commonest, with 94.6% of the subjects having this form. The mean duration of diabetes was 6.96 +/- 6.08 years. Oral hypoglycemic agents were being taken by 70.77% of the respondents. Among the diabetics the most common comorbidity was hypertension (30.8%) and the commonest complication was neuropathy (26.2%). We calculated the body mass index (BMI) of all subjects and found that, 46.2% of the male and 59.8% of the female respondents were either overweight or obese. As predicted by the waist/hip ratio (WHR), 53.8% of the male and 66.9% of the female respondents had high risk for CHD. Regular physical activity was undertaken by less than half of the subjects (46.5%). Out of eight domains of QOL in the SF-36, the two most affected were 'General Health' and 'Vitality.' Overall, males had higher QOL scores; this was found to be statistically significant (P = 0.0001). SF-36 and its eight domain scores had significant association with socioeconomic status, education, and habitual physical activity.
Diabetes had an adverse effect on the QOL of these study subjects. Females had a significantly poorer QOL than males. The domains most affected were 'General Health' and 'Vitality.' Poor scores in the QOL domains were significantly associated with lower socioeconomic status, lesser education, and lesser habitual physical activity.
据世界卫生组织估计，到2025年印度将成为全球糖尿病之都，糖尿病患者将达5720万。雪上加霜的是，在发展中国家，糖尿病影响的是经济上处于生产年龄阶段（45 - 65岁）的人群。
评估20岁及以上糖尿病患者的生活质量（QOL），并研究其临床特征以及相关的社会人口学因素。
我们进行了一项基于医院的横断面研究，使用通用工具医学结局研究组简表36（SF - 36）来评估年龄≥20岁糖尿病患者的生活质量。从新德里SSK医院和RML医院的门诊中选取了260名糖尿病患者，其中包括91名男性和169名女性。使用Windows版SPSS 12对数据进行分析。
受访者的平均年龄为49.7岁，80%的受访者年龄在40 - 69岁之间。女性受访者中大多数（52.1%）为文盲，91.1%在经济上依赖他人。男性受访者中，65.9%为技术工人。41.8%的男性受试者存在药物滥用情况。2型糖尿病最为常见，94.6%的受试者为此类型。糖尿病的平均病程为6.96 ± 6.08年。70.77%的受访者正在服用口服降糖药。糖尿病患者中最常见的合并症是高血压（30.8%），最常见的并发症是神经病变（26.2%）。我们计算了所有受试者的体重指数（BMI），发现46.2%的男性和59.8%的女性受访者超重或肥胖。根据腰臀比（WHR）预测，53.8%的男性和66.9%的女性受访者患冠心病风险较高。不到一半的受试者（46.5%）有规律地进行体育锻炼。在SF - 36生活质量的八个维度中，受影响最大的两个维度是“总体健康”和“活力”。总体而言，男性的生活质量得分较高；这在统计学上具有显著意义（P = 0.0001）。SF - 36及其八个维度得分与社会经济地位、教育程度和习惯性体育活动有显著关联。
糖尿病对这些研究对象的生活质量有不利影响。女性的生活质量明显比男性差。受影响最大的维度是“总体健康”和“活力”。生活质量维度得分低与社会经济地位较低、教育程度较低和习惯性体育活动较少显著相关。
