DOI QR코드

DOI QR Code

골다공증이 있는 폐경 후 당뇨 여성의 건강관련 삶의 질 영향요인: 제7기 국민건강영양조사 자료(2016-2018년) 활용

Factors influencing the health-related quality of life of postmenopausal women with diabetes and osteoporosis: a secondary analysis of the Seventh Korea National Health and Nutrition Examination Survey (2016-2018)

  • 투고 : 2022.02.18
  • 심사 : 2022.05.25
  • 발행 : 2022.06.30

초록

Purpose: The prevalence of osteoporosis in postmenopausal women is increasing, and diabetes patients have decreased bone density. Their health-related quality of life (HRQoL) is diminished by the resultant physical dysfunction and depression. The purpose of this study was to identify factors influencing HRQoL in postmenopausal women with diabetes and osteoporosis. Methods: This was a secondary data analysis of the Seventh Korea Health and Nutrition Examination Survey (2016-2018), which utilized a complex, multistage probability sample design. The participants in the study were 237 women with diabetes and osteoporosis. To evaluate the factors that influenced HRQoL, a complex-samples general linear model was constructed, and the Bonferroni correction was performed. Results: In this sample of women aged 45 to 80 years (mean±standard deviation, 71.12±7.21 years), the average HRQoL score was 0.83±0.18 out of 1.0. Factors influencing HRQoL were age (70s: t=-3.74, p<.001; 80s: t=-3.42, p=.001), walking for exercise more than 5 days a week (t=-2.83, p=.005), cerebrovascular disease (t=-8.33, p<.001), osteoarthritis (t=-2.04, p=.014), hypertension (t=2.03, p=.044), higher perceived stress (t=-2.17, p=.032), poor glycemic control (t=3.40, p=.001), waist circumference (t=-2.76, p=.007), sitting time per day (t=-2.10, p=.038), and a longer postmenopausal period (t=3.09, p=.002). Conclusion: In order to improve the HRQoL of postmenopausal women with osteoporosis and diabetes, it is necessary to implement intervention strategies that enable the effective management of chronic diseases, while preventing the complications of diabetes and minimizing stress through physical activity.

키워드

참고문헌

  1. Byun DW, Moon SH, Kim T, Lee HH, Park HM, Kang MI, et al. Assessment of patient-reported outcomes (PROs): treatment satisfaction, medication adherence, and quality of life (QoL) and the associated factors in postmenopausal osteoporosis (PMO) patients in Korea. J Bone Miner Metab. 2019;37(3):563-572. https://doi.org/10.1007/s00774-018-0956-6
  2. Korean Centers for Disease Control and Prevention. The 7th Korea national health and nutrition examination survey (2016-2018) [Internet]. Seoul: Author; 2020 [cited 2022 Feb 2]. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do
  3. Korean Society for the Study of Obesity. Quick reference guideline [Internet]. Seoul: Author; 2021 [cited 2022 Feb 2]. Available from: http://general.kosso.or.kr/html/user/core/view/reaction/main/kosso/inc/data/Quick_reference_guideline.pdf
  4. Janghorbani M, Van Dam RM, Willett WC, Hu FB. Systematic review of type 1 and type 2 diabetes mellitus and risk of fracture. Am J Epidemiol. 2007;166(5):495-505. https://doi.org/10.1093/aje/kwm106
  5. Huang CY, Lai HL, Lu YC, Chen WK, Chi SC, Lu CY, et al. Risk factors and coping style affect health outcomes in adults with type 2 diabetes. Biol Res Nurs. 2016;18(1):82-89. https://doi.org/10.1177/1099800415569845
  6. Kim J, Ahn S. Impact of menopausal status, metabolic syndrome and its risk factors on impaired quality of life above middle-aged women. Korean J Women Health Nurs. 2016;22(4):275-286. https://doi.org/10.4069/kjwhn.2016.22.4.275
  7. Moon MK. Combination therapy of oral hypoglycemic agents in patients with type 2 diabetes mellitus. J Korean Diabetes. 2018;19(1):23-30. https://doi.org/10.4093/jkd.2018.19.1.23
  8. Korean Statistical Information Service. The prevalence of diabetes [Internet]. Seoul: Author; 2021 [cited 2022 Feb 5]. Available from: https://kosis.kr/statHtml/statHtml.do?orgI d=177&tblId=DT_11702_N102&checkFlag=N
  9. Jeong YJ. The relation among leisure constraints, life quality and suicidal ideation. Int J Tour Manag Sci. 2016;31(8):121-144. https://doi.org/10.21719/KJTR.31.8.7
  10. Choi KJ, Kim KH. Factors influencing bone mineral density by postmenopausal ages. Korean J Health Serv Manag. 2017;11(4):145-155. https://doi.org/10.12811/kshsm.2017.11.4.145
  11. Kim E. Factors affecting quality of life in postmenopausal women with osteoporosis: secondary analysis using data from the 7th Korea National Health and Nutrition Examination Survey (KAHANES, 2016). J Korean Data Anal Soc. 2020;22(1):403-417. https://doi.org/10.37727/jkdas.2020.22.1.403
  12. Cho JR, Chung DJ. Bone mineral density in type 2 diabetic patients aged 50 years or older in men and postmenopausal women in Korea. J Korea Soc Comput Inform. 2021;26(8):197-207. https://doi.org/10.9708/jksci.2021.26.08.197
  13. Hong SM, Choi WH. Osteoporosis and decrease in bone mineral density have associated with the reduced quality of life. Osteoporosis. 2011;9(2):175-179.
  14. Korean Society for the Study of Obesity. Diagnosis and evaluation of obesity [Internet]. Seoul: Author; 2018 [cited 2022 Feb 5]. Available from: https://general.kosso.or.kr/html/?pmode=obesityDiagnosis
  15. Korean Diabetes Association. 2015 Treatment guideline for diabetes. Seoul: Korean Diabetes Association; 2015. p. 24-40.
  16. American Diabetes Association. 6. Glycemic targets: standards of medical care in diabetes-2018. Diabetes Care. 2018;41(Suppl 1):S55-S64. https://doi.org/10.2337/dc18-S006
  17. Jeong YJ, Kim YA, Kwon YC. A study on the effect of osteoporosis knowledge, osteoporosis preventive behaviors and self-efficacy of middle aged women on health-related quality of life. J Converg Cult Technol. 2021;7(2):107-116. https://doi.org/10.17703/JCCT.2021.7.2.107
  18. Kim S, Cho HS. The impact of financial condition on life satisfaction for Korean baby boomers: comparison between employed and non-employed baby boomers. Financ Plan Rev. 2013;6(3):1-33.
  19. Jung KH, Chun N. Influence of stress, social support and lifestyle on health-related quality of life in middle aged women. J Korean Biol Nurs Sci. 2019;21(1):62-69. https://doi.org/10.7586/jkbns.2019.21.1.62
  20. Lee HM, Chung HJ, Jung IK. Relationships among metabolically healthy status, physical activity, and sedentary behavior according to obesity in low-income menopause women. Asian J Phys Educ Sport Sci. 2020;8(2):75-89. https://doi.org/10.24007/ajpess.2020.8.2.007
  21. Lee HJ. Exercise in osteoporosis. Geriatr Rehabilit. 2016;6(1):27-34.
  22. Kwon M, Kim SA, Kim JI, Park M. Factors influencing health-related quality of life according to sitting-time of elders living alone: data from the 7th Korea National Health and Nutrition Examination Survey (2016~2018). J Korean Acad Fundam Nurs. 2021;28(3):343-352. https://doi.org/10.7739/jkafn.2021.28.3.343
  23. Lee SE. The effect of vision on self-rated health in older adults and the mediating role of social participation. J Spec Educ Rehabilit Sci. 2016;55(4):27-41. https://doi.org/10.23944/isers.2016.09.55.4.2
  24. Bang SY, Hyeon SS. Health behaviors and quality of life in the elderly with high blood pressure. J Digit Contents Soc. 2018;19(11):2159-2166. https://doi.org/10.9728/dcs.2018.19.11.2159
  25. Son J. Factors influencing quality of life of patients with osteoarthritis in rural area. J Korean Gerontol Soc. 2014;34(1):23-35.
  26. Jung ES, Park SH, Kim HS, Jung D, Lee J. A study on the effect of rheumatoid arthritis and life behavior on quality of life in the elderly people over 60 years old: findings from the Korea National Health and Nutrition Survey (2015-2019). J Korea Acad-Industr Coop Soc. 2021;22(9):56-64. https://doi.org/10.5762/KAIS.2021.22.9.56
  27. Park E, Park HR. Factors influencing health-related quality of life among older Korean women with osteoporosis: using data from Korea National Health and Nutrition Examination Survey 2015 to 2016. Korean J Rehabil Nurs. 2018;21(2):140-150. https://doi.org/10.7587/kjrehn.2018.140
  28. Oh YH, Moon JH, Kong MH, Oh B, Kim HJ. The association between sitting time and health-related quality of life according to body mass index in elderly Korean. Korean J Health Promot. 2017;17(4):209-218. https://doi.org/10.15384/kjhp.2017.17.4.209
  29. Kang HY, Gu MO. Comparative study on self-care behavior, diabetes-related stress, and stress coping among good, inadequate, and poor glycemic control groups. J Korean Acad Fundam Nurs. 2012;19(2):168-178. https://doi.org/10.7739/jkafn.2012.19.2.168
  30. Leung E, Wongrakpanich S, Munshi MN. Diabetes management in the elderly. Diabetes Spectr. 2018;31(3):245-253. https://doi.org/10.2337/ds18-0033
  31. Ashok P, Apte G, Wagh G, Joshi AR. Psychological well-being & obesity in peri-menopausal and post-menopausal women. Natl J Physiol Pharm Pharmacol. 2013;3(1):97-101. https://doi.org/10.5455/njppp.2013.3.97-101
  32. Choi HJ, Oh HJ. Menopause. Korean J Fam Pract. 2020;10(3):158-163. https://doi.org/10.21215/kjfp.2020.10.3.158
  33. Jo JH. Assessment of women's health during menopausal periods. Cheongju: Korea Center for Disease Control and Prevention; 2013 May 14. Report No.:TRKO201300030803.
  34. Shin H, Lee E. Factors influencing quality of life in post-menopausal women. Korean J Women Health Nurs. 2020;26(4):336-345. https://doi.org/10.4069/kjwhn.2020.11.14