Quality of Life in Diabetic

Patients: A Case-Control Study

Journal presentation by dr. M. Haryadi A.K.

IDENTITY PRESENTATOR
Name : dr. Muhammad Haryadi Ade Kurniadi

Birth : Palembang, December 7th 1991

Address : Renang Street Block D no. 24 Kampus, Palembang

Religion : Islam

Hobby : Soccer

Graduated from : FK UMP 2015

 WHO
BACKGROUND
approximately DM
300 million in Some studies
2025 showed significant
Studies show that DM negative influences
may have negative of diabetes on
different aspects of
influences on QOL QOL of the
patients
Management of
chronic diseases
goal: improving of
QOL

Further researches are needed

to better elucidate the
relationship between the QOL
and demographic characteristics
of diabetic subjects
 PURPOSE

To assess the QOL in type 2 diabetic patients

compared to non-diabetic subjects
 METHODS
Case Control study

In Yazd Health Monitoring Research Center in March

2014

Case Control

50 diabetic patients 50 healthy people

Diabetic patients were selected by systematic random

sampling.
 METHOD
Case

Inclusion Exclusion

Older than 30 years

Having type 2 diabetes mellitus Having a Chronic

Disease
At least one visit last three months
 METHOD
Control

Inclusion Exclusion

Patients’ family members who Chronic disease or

were group- matched according to fasting blood
age and sex sugar>100 mg/dl
 METHOD
Data Collection

• Demographic and disease related check list

• Persian validated and reliable version of SF-36

Descriptive and multivariate statistics were done

with the statistical software, SPSS-17
 RESULT
TABLE 1. DEMOGRAPHIC CHARACTERISTICS OF
CASES AND CONTROLS
Case Control
demographic characteristics P-value
N (%) N (%)
Gender
Male 25(50) 28(56) 0.051
female 25(50) 22(44)
Age 55.31±14.22 53.2±13.21 0.062
Education
Elementary 34(68) 16(32)
0.031
High school 14(28) 22(44)
College and higher 2(4) 12(22)
Marital status
Single 2(4) 5(10)
0.040
Married 37(74) 41(82)
Divorced& widow 11(22) 4(8)
Career
Worker 5(10) 12(24)
Office Worker 7(14) 24(48) 0.001
Unemployed 17(34) 1(2)
Retired 21(42) 13(26)
 RESULT
TABLE 2. COMPARISON OF SF-36 DOMAINS IN
CASE AND CONTROL GROUPS

SF-36 domains Case Control P-value

Physical functioning 38.5±28.6 54.5± 12.0 0.001*
Vitality 50.1±10.8 57.9±20.0 0.016*
Mental health 53.9±10.0 61.9±20.3 0.015*
Social role functioning 53.81±18.5 68.0±21.9 0.001*

Bodily pain 60.9±24.0 48.1±19.7 0.004*

Generalhealth perceptions 52.4±8.4 50.6±14.7 0.454
Emotional role functioning 67.5±14.6 47.4±23.4 0.004*
Physical role functioning 55.0±37.5 53.5±11.3 0.780
* Significant
Data are presented as mean± standard deviation
 DISCUSSION
• Our study showed lower levels of QOL in diabetic
patients in comparison with control group which is
in agreement with previous studies done by
Vazirinejad et al

• There was no significant association between the

QOL and age in our study, However, Alavi et al (14)
and Saadatjoo et al (15) showed that this
association was significant.
 DISCUSSION
• In contrast with these findings, in another study,
single patients had better QOL compared to
married ones

• The current study showed no significant

association between the QOL and gender of the
patients which was in accordance with some
previous researches
 DISCUSSION
• In employee and disabled diabetic patients, the
association of job with QOL was significant in
“physical functioning” scale

• In our study, in both diabetic and non-diabetic

groups, the relationship between QOL and all the
scales except “general health” and “role limitations
due to physical health” was significant
 DISCUSSION

• It may be concluded from this study that DM has

considerable negative impacts on the QOL

• The improving of QOL by appropriate education

and follow-up must be emphasized for the
management of diabetic patients.
 CONCLUSION

• Our study showed lower levels of QOL in diabetic

patients in comparison with control group.

• This is in agreement with previous studies and may

be related to complications of DM, or numerous
problems which diabetic patients encounter.
• Improving of QOL by appropriate education and
follow-up must be emphasized to the management
of diabetic patients.
 LIMITED

The small sample size and differences between case

and controls

Not considering diabetes complications as a marker

of quality of life score.
Thank u for the attention