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营养质量与生活质量与阿曼初级保健 2 型糖尿病患者的情感功能有关。

Nutrition quality of life associated with affective functioning among Omani patients with type 2 diabetes from primary health care.

机构信息

Department of Food Science and Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University, P. O. Box 34, Al Khoud 123, Oman.

Department of Natural Resource Economics, College of Agricultural and Marine Sciences, Sultan Qaboos University, P. O. Box 34, Al Khoud 123, Oman.

出版信息

J Nutr Sci. 2021 Jan 13;10:e6. doi: 10.1017/jns.2020.57. eCollection 2021.

Abstract

Diabetes requires challenging lifelong dietary management, affects quality of life and heightens the impact of affective functioning. The aim of this study was to investigate the relationship between Nutrition Quality of Life (NQOL) and affective functioning in a sample of Omani patients with type 2 diabetes. A sample of 149 adults with type 2 diabetes was conveniently recruited from seven Primary Health Centers (PHCs) during follow-up visits. Data were gathered via face-to-face interviews. Pearson correlation and test of independence were applied to examine associations at < 0⋅05. Most patients had poor glycemic control (71⋅1 %), BMI ≥ 25 kg/m (85⋅2 %) and central obesity (75⋅8 %), and moderate (54⋅4 %) and poor (32⋅9 %) level of NQOL. Based on the Hospital Anxiety and Depression Scale (HADS), 16⋅1 and 23⋅5 % of the sample endorsed the presence of anxiety and depression, respectively. A significant negative correlation was found between NQOL and HADS ( -0⋅590, = 0⋅000), anxiety ( -0⋅597, = 0⋅000) and depression ( -0⋅435, = 0⋅000). There was a significant association between NQOL and HADS, (2) = 38⋅21, < 0⋅01 that was large, Cramer's = 0⋅51. Also, there were significant associations ( < 0⋅01) between NQOL and HADS when controlling for HbA1c, BMI, waist circumference and HMNT that were moderately to largely strong, Cramer's = 0⋅43-0⋅55. There is an evident association between NQOL and affective functioning in adults with type 2 diabetes. Further research is recommended to confirm these relationships and to guide intervention programmes at PHCs to help improve the general quality of life of such patients.

摘要

糖尿病需要进行具有挑战性的终身饮食管理,影响生活质量,并加重情感功能的影响。本研究的目的是调查 149 名阿曼 2 型糖尿病患者样本中营养生活质量(NQOL)与情感功能之间的关系。在随访期间,从七个初级保健中心(PHC)中方便地招募了 149 名成年 2 型糖尿病患者。通过面对面访谈收集数据。应用 Pearson 相关性检验和独立性检验,以在 < 0 ⋅ 05 水平下检验关联。大多数患者的血糖控制不佳(71 ⋅ 1%),BMI ≥ 25 kg/m(85 ⋅ 2%)和中心性肥胖(75 ⋅ 8%),并且 NQOL 处于中度(54 ⋅ 4%)和较差(32 ⋅ 9%)水平。根据医院焦虑和抑郁量表(HADS),样本中分别有 16 ⋅ 1%和 23 ⋅ 5%的人表示存在焦虑和抑郁。NQOL 与 HADS(-0 ⋅ 590, = 0 ⋅ 000),焦虑(-0 ⋅ 597, = 0 ⋅ 000)和抑郁(-0 ⋅ 435, = 0 ⋅ 000)之间存在显著的负相关。NQOL 与 HADS 之间存在显著的关联,(2)= 38 ⋅ 21, < 0 ⋅ 01,且关联较大,Cramer's = 0 ⋅ 51。另外,在控制 HbA1c、BMI、腰围和 HMNT 后,NQOL 与 HADS 之间也存在显著关联( < 0 ⋅ 01),关联强度为中度至较大,Cramer's = 0 ⋅ 43-0 ⋅ 55。在 2 型糖尿病成年患者中,NQOL 与情感功能之间存在明显的关联。建议进一步研究以确认这些关系,并指导 PHC 中的干预计划,以帮助提高此类患者的整体生活质量。

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