48452 20240122154813.0 doi 10.1186/1758-5996-6-135 sideral 94403 ART-2014-94403 eng Vidal Peracho, Concepción (orcid)0000-0003-1444-7949 A descriptive study of health status and quality of life in selected outpatients with type 2 diabetes, pathological body mass index and cardiovascular risk in Spain. 2014 Access copy available to the general public Unrestricted Background: Ottawa Charter defined health as a resource for everyday life and as an important dimension of health related quality of life (HRqol). Diabetes and obesity have repeatedly been shown as diseases that diminish health status and HRqol. The aim of this study was to measure health status and HRqol in a Spanish sample of obese patients with type 2 diabetes at cardiovascular risk and analyze behavioural, biological and social determinants of health. Methods: Outpatients from external specialized clinic in Endocrinology were evaluated. Measurements: sex, age, family history, employment status, comorbidities, pain, lifestyle habits, anthropometrics, blood pressure, blood analysis and HRqol with COOP/WONCA questionnaire (7 dimensions). Statistics: univariate, bivariate, multivariate and comparative analysis. Results: Mean age was 59.1 ± 7.6 [95%IC: 56.6-61.6], 74% were women and 63.2% were physically active. WONCA values were; summary index (SI): 18.7 ± 4 [95%IC: 17.3-20] (maximum 35); physical fitness: 3.3 ± 1, feelings: 2.3 ± 1.1, social activities: 1.5 ± 1, daily activities: 2.1 ± 1.2, change in health: 2.7 ± 0.9, overall health: 3.6 ± 0.7 and pain: 3.5 ± 1.2 (maximum 5). High fibrinogen values (339.3 ± 85.8 [95%IC: 309.8-368.8]) negatively influenced pain visual analogic scale (p = 0.029). Physically active patients (63.2%) had better values in daily activities dimension (p = 0.025). More than the half of the sample (51.5%) reported a good quality of sleep, but the pain worsened it (p = 0.040). High BMI values (34.8 ± 5.8 [95%IC: 32.9-36.7]) harmed the COOP-WONCA SI (p = 0.009). High glycated hemoglobin (HbA1c) values (6.8 ± 1.3 [95%IC: 6.3-7.2]) had a negative impact on COOP-WONCA SI (p = 0.018). Nor tailored diet (15.8%) or being employed (18.4%) influenced the HRqol. The regression that best models COOP-WONCA SI was adjusted for BMI and HbA1c. SI = 3.509 + 0.335BMI +0.330HbA1c. Conclusions: HRqol was worse than in general population, but better than in previous studies of diabetes patients, without differences by sex or age, though feelings, daily activities and pain dimensions scored worse than in these studies. Higher levels of HbA1c, obesity and procoagulative state had a negative impact in these last dimensions. Pain impaired quality of sleep and physical activity had a positive impact in daily activities. BMI and HbA1c modeled the HRqol. Keywords: Diabetes mellitus, Type 2, Obesity, Cardiovascular risk, Health related quality of life, Health status info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.173 2014 ENDOCRINOLOGY & METABOLISM 82 / 128 = 0.641 2014 Q3 T2 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Lucha López, María Orosia Universidad de Zaragoza (orcid)0000-0002-9930-3903 Lucha López, Ana Carmen Universidad de Zaragoza (orcid)0000-0002-8399-130X Tricás Moreno, José Miguel Universidad de Zaragoza (orcid)0000-0002-3583-5206 Estébanez De Miguel, Elena Universidad de Zaragoza (orcid)0000-0002-5161-7479 Bernués Vázquez, Luis Máximo Universidad de Zaragoza (orcid)0000-0002-6408-5328 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 6 (2014), 135 DIABETOLOGY & METABOLIC SYNDROME DIABETOLOGY & METABOLIC SYNDROME 1758-5996 783806 http://zaguan.unizar.es/record/48452/files/texto_completo.pdf Versión publicada 99640 http://zaguan.unizar.es/record/48452/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:48452 articulos driver 2024-01-22-15:30:46 ARTICLE