Metabolic control significantly impacts quality of life of Nigerians living with type 2 diabetes mellitus
International Society of Endocrinology/SEMDSA
Background: A key target in the management of diabetes mellitus (DM) is the quality of life (QoL) of the person living with diabetes. The SF-36 questionnaire is a tool widely used to study HRQOL and several factors impact on QoL. Objective: To determine the relationship of metabolic and clinical factors versus HRQOL in Nigerians with type 2 diabetes (T2DM). Methodology: This was a cross-sectional study involving adult T2DM Nigerians attending Diabetes Clinical of the Lagos University Teaching Hospital. SF-36 questionnaire was used to obtain HRQOL data. The HRQOL scores were analysed against glycaemia, lipidaemia, clinical features, socio-demographics, and self-care scores using SCI-R questionnaire. The significance of the relationship was determined statistically (p<0.05) and the size effect. Results: The mean age, BMI, and HbA1c of the participants were respectively 53.77±7.84 years (57% females), 28.36±5.04 kg/m2and 8.23±2.08%. Total SF-36 scores of males females were similar. The total SF-36 score was negatively correlated with metabolic indices, with HbA1c showing the strongest impact. The relationship of HRQOL with self-care was direct with moderate clinical significance (r=0.240). There was no significant correlation between blood pressure, BMI, waist circumference, WHR versus HRQOL. The mental health (MH) and physical health (PH) components of SF-36 were strongly associated with each other and with total SF-36 scores as well as metabolic control. Males had significantly higher MH and PF scores than females. Conclusion: Among Nigerians with T2DM, metabolic control is significantly related to their QoL. Higher mental health is associated with male sex, older age, and higher socio-economic class.
Metabolic control , Diabetes mellitus , Quality of life , Nigerians , Research Subject Categories::MEDICINE
Fasanmade OO, Olopade OB, Odeniyi IA, Fasanmade OA, Ohwovoriole AE. Metabolic control significantly impacts quality of life of Nigerians living with type 2 diabetes mellitus. Abstract 749. International Society of Endocrinologists/SEMDSA book of abstracts.