Ten-year change in self-rated quality of life in a type 1 diabetes population: Wisconsin Epidemiologic Study of Diabetic Retinopathy

Ten-year change in self-rated quality of life in a type 1 diabetes population: Wisconsin Epidemiologic Study of Diabetic Retinopathy

Author Hirai, Flavio E. Autor UNIFESP Google Scholar
Tielsch, James M. Google Scholar
Klein, Barbara E. K. Google Scholar
Klein, Ronald Google Scholar
Institution Johns Hopkins Univ
Universidade Federal de São Paulo (UNIFESP)
Univ Wisconsin
Abstract To investigate a 10-year change of quality of life and associated factors in a population with type 1 diabetes.The Medical Outcome Study Short Form-36 (SF-36) was administered in participants (n = 520) at the 1995-1996 and 2005-2007 examination phases of the Wisconsin Epidemiologic Study of Diabetic Retinopathy (WESDR). Physical (PCS) and mental (MCS) component summary scores were calculated. the associations between changes of quality of life and demographic, socioeconomic, and clinical factors were analyzed.PCS score decreased (p < 0.001) and MCS score increased (p < 0.001) after 10 years. the development of cardiovascular disease and the presence of limb amputation were associated with decrease in the PCS score. Those who were working and retired had increased MCS; those who were working and stopped had a decrease in the MCS score. Change in visual acuity and diabetic retinopathy status did not have a significant impact in health-related quality of life scores.Our findings reinforce the necessity to make every attempt to decrease complications of diabetes in individuals with long-term type 1 diabetes in order to attenuate the diminished quality of life associated with those complications such as cardiovascular disease. Change in employment status, likely due to development of these complications, was also strongly associated with poorer quality of life and suggests the benefits of preventing or decreasing complications to keep people with type 1 diabetes in the workforce.
Keywords Epidemiology
Diabetes mellitus
Quality of life
Diabetic retinopathy
Language English
Sponsor National Institutes of Health (Bethesda, MD)
Research to Prevent Blindness, New York (NY)
National Eye Institute
American Diabetes Association, Alexandria, VA
Grant number National Institutes of Health (Bethesda, MD): EY06594
National Institutes of Health (Bethesda, MD): EY016379
Date 2013-08-01
Published in Quality of Life Research. Dordrecht: Springer, v. 22, n. 6, p. 1245-1253, 2013.
ISSN 0962-9343 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 1245-1253
Origin http://dx.doi.org/10.1007/s11136-012-0245-0
Access rights Closed access
Type Article
Web of Science ID WOS:000322735700009
URI http://repositorio.unifesp.br/handle/11600/36590

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