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Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks

BACKGROUND: To analyse and compare the impact of cardiovascular risk factors and disease on health-related quality of life (HRQoL) in people with and without diabetes living in the community. METHODS: We used data of 1,905 people with diabetes and 19,031 people without diabetes from the last Spanish...

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Autores principales: Peña-Longobardo, L. M., Rodríguez-Sánchez, B., Mata-Cases, M., Rodríguez-Mañas, L., Capel, M., Oliva-Moreno, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5730158/
https://www.ncbi.nlm.nih.gov/pubmed/29240836
http://dx.doi.org/10.1371/journal.pone.0189505
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author Peña-Longobardo, L. M.
Rodríguez-Sánchez, B.
Mata-Cases, M.
Rodríguez-Mañas, L.
Capel, M.
Oliva-Moreno, J.
author_facet Peña-Longobardo, L. M.
Rodríguez-Sánchez, B.
Mata-Cases, M.
Rodríguez-Mañas, L.
Capel, M.
Oliva-Moreno, J.
author_sort Peña-Longobardo, L. M.
collection PubMed
description BACKGROUND: To analyse and compare the impact of cardiovascular risk factors and disease on health-related quality of life (HRQoL) in people with and without diabetes living in the community. METHODS: We used data of 1,905 people with diabetes and 19,031 people without diabetes from the last Spanish National Health Survey (years 2011–2012). The HRQoL instrument used was the EuroQol 5D-5L, based on time trade-off scores. Matching methods were used to assess any differences in the HRQoL in people with and without diabetes with the same characteristics (age, gender, education level, and healthy lifestyle), according to cardiovascular risk factors and diseases. Disparities were also analysed for every dimension of HRQoL: mobility, daily activities, personal care, pain/discomfort, and anxiety/depression. RESULTS: There were no significant differences in time trade-off scores between people with and without diabetes when cardiovascular risk factors or established cardiovascular disease were not present. However, when cardiovascular risk factors were present, the HRQoL score was significantly lower in people with diabetes than in those without. This difference was indeed greater when cardiovascular diseases were present. More precisely, people with diabetes and any of the cardiovascular risk factors, who have not yet developed any cardiovascular disease, report lower HRQoL, 0.046 TTO score points over 1 (7.93 over 100 in the VAS score) compared to those without diabetes, and 0.14 TTO score points of difference (14.61 over 100 in the VAS score) if cardiovascular diseases were present. In fact, when the three risk factors were present in people with diabetes, HRQoL was significantly lower (0.10 TTO score points over 1 and 10.86 points over 100 in VAS score), obesity being the most influential risk factor. CONCLUSIONS: The presence of established cardiovascular disease and/or cardiovascular risk factors, specially obesity, account for impaired quality of life in people with diabetes.
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spelling pubmed-57301582017-12-22 Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks Peña-Longobardo, L. M. Rodríguez-Sánchez, B. Mata-Cases, M. Rodríguez-Mañas, L. Capel, M. Oliva-Moreno, J. PLoS One Research Article BACKGROUND: To analyse and compare the impact of cardiovascular risk factors and disease on health-related quality of life (HRQoL) in people with and without diabetes living in the community. METHODS: We used data of 1,905 people with diabetes and 19,031 people without diabetes from the last Spanish National Health Survey (years 2011–2012). The HRQoL instrument used was the EuroQol 5D-5L, based on time trade-off scores. Matching methods were used to assess any differences in the HRQoL in people with and without diabetes with the same characteristics (age, gender, education level, and healthy lifestyle), according to cardiovascular risk factors and diseases. Disparities were also analysed for every dimension of HRQoL: mobility, daily activities, personal care, pain/discomfort, and anxiety/depression. RESULTS: There were no significant differences in time trade-off scores between people with and without diabetes when cardiovascular risk factors or established cardiovascular disease were not present. However, when cardiovascular risk factors were present, the HRQoL score was significantly lower in people with diabetes than in those without. This difference was indeed greater when cardiovascular diseases were present. More precisely, people with diabetes and any of the cardiovascular risk factors, who have not yet developed any cardiovascular disease, report lower HRQoL, 0.046 TTO score points over 1 (7.93 over 100 in the VAS score) compared to those without diabetes, and 0.14 TTO score points of difference (14.61 over 100 in the VAS score) if cardiovascular diseases were present. In fact, when the three risk factors were present in people with diabetes, HRQoL was significantly lower (0.10 TTO score points over 1 and 10.86 points over 100 in VAS score), obesity being the most influential risk factor. CONCLUSIONS: The presence of established cardiovascular disease and/or cardiovascular risk factors, specially obesity, account for impaired quality of life in people with diabetes. Public Library of Science 2017-12-14 /pmc/articles/PMC5730158/ /pubmed/29240836 http://dx.doi.org/10.1371/journal.pone.0189505 Text en © 2017 Peña-Longobardo et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Peña-Longobardo, L. M.
Rodríguez-Sánchez, B.
Mata-Cases, M.
Rodríguez-Mañas, L.
Capel, M.
Oliva-Moreno, J.
Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks
title Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks
title_full Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks
title_fullStr Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks
title_full_unstemmed Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks
title_short Is quality of life different between diabetic and non-diabetic people? The importance of cardiovascular risks
title_sort is quality of life different between diabetic and non-diabetic people? the importance of cardiovascular risks
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5730158/
https://www.ncbi.nlm.nih.gov/pubmed/29240836
http://dx.doi.org/10.1371/journal.pone.0189505
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