Impact of comorbid chronic conditions to quality of life among elderly patients with diabetes mellitus in Vietnam

Huong van Nguyen; Tung Thanh Tran; Cuong Tat Nguyen; Tung Hoang Tran; Bach Xuan Tran; Carl A. Latkin; Cyrus S.H. Ho; Roger C.M. Ho

doi:10.3390/ijerph16040531

Impact of comorbid chronic conditions to quality of life among elderly patients with diabetes mellitus in Vietnam

Huong van Nguyen, Tung Thanh Tran, Cuong Tat Nguyen, Tung Hoang Tran, Bach Xuan Tran, Carl A. Latkin, Cyrus S.H. Ho, Roger C.M. Ho

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Type 2 diabetes mellitus (T2DM) is a major cause of disease burden in the elderly population. This study aimed to measure the quality of life (QOL) among patients with T2DM and the associations between co-morbidities and QOL. A cross-sectional study was conducted on 194 patients with T2DM. The minimal clinically important difference (MCID) scores were used to indicate the clinically meaningful differences of comorbidities on quality of life. A Tobit regression was employed to find relationships between QOL and comorbidities. The mean scores of QOL domains were 50.8 (SD = 13.2) in physical, 62.4 (SD = 11.5) in psychological, 52.3 (SD = 10.2) in social relationship, and 64.3 (SD = 10.1) in environmental. Digestive and neuropsychiatric diseases had the strongest negative associations with physical QOL of patients. Neuropsychiatric diseases also had the biggest effect on psychological and environmental QOL. Meanwhile, in the social domain, respiratory diseases had the greatest effect. In conclusion, patients with T2DM struggled to perform physical functions. In addition, comorbidities significantly reduced the QOL of T2DM patients.

Original language	English (US)
Article number	531
Journal	International journal of environmental research and public health
Volume	16
Issue number	4
DOIs	https://doi.org/10.3390/ijerph16040531
State	Published - Feb 2 2019

Keywords

Comorbidities
Diabetes
Elderly
Quality of life
Type 2 diabetes mellitus

ASJC Scopus subject areas

Pollution
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis

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10.3390/ijerph16040531

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title = "Impact of comorbid chronic conditions to quality of life among elderly patients with diabetes mellitus in Vietnam",

abstract = "Type 2 diabetes mellitus (T2DM) is a major cause of disease burden in the elderly population. This study aimed to measure the quality of life (QOL) among patients with T2DM and the associations between co-morbidities and QOL. A cross-sectional study was conducted on 194 patients with T2DM. The minimal clinically important difference (MCID) scores were used to indicate the clinically meaningful differences of comorbidities on quality of life. A Tobit regression was employed to find relationships between QOL and comorbidities. The mean scores of QOL domains were 50.8 (SD = 13.2) in physical, 62.4 (SD = 11.5) in psychological, 52.3 (SD = 10.2) in social relationship, and 64.3 (SD = 10.1) in environmental. Digestive and neuropsychiatric diseases had the strongest negative associations with physical QOL of patients. Neuropsychiatric diseases also had the biggest effect on psychological and environmental QOL. Meanwhile, in the social domain, respiratory diseases had the greatest effect. In conclusion, patients with T2DM struggled to perform physical functions. In addition, comorbidities significantly reduced the QOL of T2DM patients.",

keywords = "Comorbidities, Diabetes, Elderly, Quality of life, Type 2 diabetes mellitus",

author = "{van Nguyen}, Huong and Tran, {Tung Thanh} and Nguyen, {Cuong Tat} and Tran, {Tung Hoang} and Tran, {Bach Xuan} and Latkin, {Carl A.} and Ho, {Cyrus S.H.} and Ho, {Roger C.M.}",

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AU - Tran, Bach Xuan

AU - Latkin, Carl A.

AU - Ho, Cyrus S.H.

AU - Ho, Roger C.M.

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AB - Type 2 diabetes mellitus (T2DM) is a major cause of disease burden in the elderly population. This study aimed to measure the quality of life (QOL) among patients with T2DM and the associations between co-morbidities and QOL. A cross-sectional study was conducted on 194 patients with T2DM. The minimal clinically important difference (MCID) scores were used to indicate the clinically meaningful differences of comorbidities on quality of life. A Tobit regression was employed to find relationships between QOL and comorbidities. The mean scores of QOL domains were 50.8 (SD = 13.2) in physical, 62.4 (SD = 11.5) in psychological, 52.3 (SD = 10.2) in social relationship, and 64.3 (SD = 10.1) in environmental. Digestive and neuropsychiatric diseases had the strongest negative associations with physical QOL of patients. Neuropsychiatric diseases also had the biggest effect on psychological and environmental QOL. Meanwhile, in the social domain, respiratory diseases had the greatest effect. In conclusion, patients with T2DM struggled to perform physical functions. In addition, comorbidities significantly reduced the QOL of T2DM patients.

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KW - Type 2 diabetes mellitus

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Impact of comorbid chronic conditions to quality of life among elderly patients with diabetes mellitus in Vietnam

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Keywords

ASJC Scopus subject areas

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