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http://dx.doi.org/10.4162/nrp.2022.16.4.505

The role of nutritional status in the relationship between diabetes and health-related quality of life  

Park, Sohyun (Department of Food Science and Nutrition, Hallym University)
Jung, Sukyoung (Department of Epidemiology, Milken Institute School of Public Health, George Washington University)
Yoon, Hyunsook (Department of Social Welfare, Hallym University)
Publication Information
Nutrition Research and Practice / v.16, no.4, 2022 , pp. 505-516 More about this Journal
Abstract
BACKGROUND/OBJECTIVES: The association between nutritional status and health-related quality of life (HRQoL) among patients with type 2 diabetes mellitus (T2DM) is not fully understood. This study was conducted to understand the role of nutritional status on HRQoL among people with and without T2DM. SUBJECTS/METHODS: Structured survey and direct measurement of anthropometric data were conducted among people with and without T2DM. Nutritional status was measured with Mini Nutritional Assessment tool and HRQoL was measured with a 36-item Short Form Healthy Survey. Data collection was conducted in Chuncheon, South Korea with 756 participants who are older than 40 yrs of age. RESULTS: This study found that overall HRQoL were significantly lower in people with T2DM than people without T2DM after controlling for key covariates. When stratified by nutritional status, a greater degree of negative impact of T2DM on overall physical HRQoL was observed among well-nourished or at risk of malnutrition, whereas significant and more evident negative impact of diabetes on overall psychological HRQoL was observed only among malnourished. CONCLUSIONS: The study results suggest the role of nutritional status among people with T2DM on overall, especially psychological aspects of HRQoL. Future longitudinal or intervention studies are warranted to test the impact of nutritional status on HRQoL among people with T2DM.
Keywords
Nutritional status; mini nutritional assessment; health-related quality of life; type 2 diabetes mellitus;
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1 Fernandez-Ballesteros R. Active Aging: The Contribution of Psychology. Gottingen: Hogrefe Publishing GmbH; 2008.
2 Eriksson BG, Dey DK, Hessler RM, Steen G, Steen B. Comparison of SF-36 and MNA in a free-living elderly population aged 70 to 75. J Nutr Health Aging 2005;9:212-20.
3 Jing X, Chen J, Dong Y, Han D, Zhao H, Wang X, Gao F, Li C, Cui Z, Liu Y, et al. Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes 2018;16:189.   DOI
4 World Health Organization. World report on ageing and health [Internet]. Geneva: WHO; 2015 [cited 2021 December 8]. Available from: https://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf;jsessionid=197226E8FE2ABFBD9CACEE3F12A2C999?sequence=1.
5 Song SO, Lee YH, Kim DW, Song YD, Nam JY, Park KH, Kim DJ, Park SW, Lee HC, Lee BW. Trends in diabetes incidence in the last decade based on Korean National Health Insurance claims data. Endocrinol Metab 2016;31:292-9.   DOI
6 Alexandrova A. A Philosophy for the Science of Well-Being. Oxford: Oxford University Press; 2017.
7 Wexler DJ, Grant RW, Wittenberg E, Bosch JL, Cagliero E, Delahanty L, Blais MA, Meigs JB. Correlates of health-related quality of life in type 2 diabetes. Diabetologia 2006;49:1489-97.   DOI
8 Ford DW, Hartman TJ, Still C, Wood C, Mitchell DC, Erickson P, Bailey R, Smiciklas-Wright H, Coffman DL, Jensen GL. Body mass index, poor diet quality, and health-related quality of life are associated with mortality in rural older adults. J Nutr Gerontol Geriatr 2014;33:23-34.   DOI
9 Bradley C, Speight J. Patient perceptions of diabetes and diabetes therapy: assessing quality of life. Diabetes Metab Res Rev 2002;18 Suppl 3:S64-9.   DOI
10 Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83.   DOI
11 Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes 2017;8:120-9.   DOI
12 Demirci H, Cinar Y, Bayram N, Bilgel N. Quality of life in type II diabetic patients in primary health care. Dan Med J 2012;59:A4468.
13 Acar Tek N, Karacil-Ermumcu MS. Determinants of health related quality of life in home dwelling elderly population: appetite and nutritional status. J Nutr Health Aging 2018;22:996-1002.   DOI
14 Onishi S, Shiraki M, Nishimura K, Hanai T, Moriwaki H, Shimizu M. Prevalence of sarcopenia and its relationship with nutritional state and quality of life in patients with digestive diseases. J Nutr Sci Vitaminol (Tokyo) 2018;64:445-53.   DOI
15 Rasheed S, Woods RT. An investigation into the association between nutritional status and quality of life in older people admitted to hospital. J Hum Nutr Diet 2014;27:142-51.   DOI
16 Yun JH, Lim HJ, Woo MH, Ahn TB, Choue R. Study on the qualities of diet and life in Parkinson's disease patients according to their nutritional status. Korean J Nutr 2012;45:240-12.   DOI
17 Wang R, Ware JH. Detecting moderator effects using subgroup analyses. Prev Sci 2013;14:111-20.   DOI
18 Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999;15:116-22.   DOI
19 Alfonso-Rosa RM, Del Pozo-Cruz B, Del Pozo-Cruz J, Del Pozo-Cruz JT, Sanudo B. The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: a pilot explanatory study. J Nutr Health Aging 2013;17:315-21.   DOI
20 Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 1996;54:S59-65.   DOI
21 Seo MH, Lee WY, Kim SS, Kang JH, Kang JH, Kim KK, Kim BY, Kim YH, Kim WJ, Kim EM, et al. 2018 Korean Society for the Study of Obesity guideline for the management of obesity in Korea. J Obes Metab Syndr 2019;28:40-5.   DOI
22 Eid M, Larsen RJ. The Science of Subjective Well-Being. New York (NY): Guilford Press; 2008.
23 International Diabetes Federation. IDF diabetes atlas. 9th ed. Brussels: IDF; 2020 [cited 2020 September 9]. Available from: www.diabetesatlas.org.
24 Korea Centers for Disease Control and Prevention. Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3). Cheongju: Korea Centers for Disease Control and Prevention; 2018 [cited 2021 December 8]. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do.
25 Nordenfelt L. Concepts and Measurement of Quality of Life in Health Care. Dordrecht: Kluwer Academic Publishers; 1994.
26 Choi YJ, Lee MS, An SY, Kim TH, Han SJ, Kim HJ, Chung YS, Lee KW, Kim DJ. The relationship between diabetes mellitus and health-related quality of life in Korean adults: The Fourth Korea National Health and Nutrition Examination Survey (2007-2009). Diabetes Metab J 2011;35:587-94.   DOI
27 Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385-401.   DOI
28 Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression (CES-D) scale in Korea. J Nerv Ment Dis 1998;186:304-10.   DOI
29 Choi MJ, Kim KH. Diagnostic validity of the CES-D(Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32:381-99.
30 Barbosa-Silva MC. Subjective and objective nutritional assessment methods: what do they really assess? Curr Opin Clin Nutr Metab Care 2008;11:248-54.   DOI
31 Luscombe FA. Health-related quality of life measurement in type 2 diabetes. Value Health 2000;3 Suppl 1:15-28.   DOI
32 Luger E, Haider S, Kapan A, Schindler K, Lackinger C, Dorner TE. Association between nutritional status and quality of life in (pre)frail community-dwelling older persons. J Frailty Aging 2016;5:141-8.
33 Albert SM, Freedman VA. Public Health and Aging: Maximizing Function and Well-Being. New York (NY): Springer Publishing Company; 2009.
34 Drewnowski A, Evans WJ. Nutrition, physical activity, and quality of life in older adults: summary. J Gerontol A Biol Sci Med Sci 2001;56 Spec No 2:89-94.   DOI
35 Akinci F, Yildirim A, Gozu H, Sargin H, Orbay E, Sargin M. Assessment of health-related quality of life (HRQoL) of patients with type 2 diabetes in Turkey. Diabetes Res Clin Pract 2008;79:117-23.   DOI
36 Maddigan SL, Feeny DH, Johnson JA. Health-related quality of life deficits associated with diabetes and comorbidities in a Canadian National Population Health Survey. Qual Life Res 2005;14:1311-20.   DOI
37 Dogan ES, Caydam OD, Pakyuz SC, Akkaya A. Does nutritional status affect on quality of life among patients with diabetes mellitus? Med Sci 2019;23:221-6.
38 Goldney RD, Phillips PJ, Fisher LJ, Wilson DH. Diabetes, depression, and quality of life: a population study. Diabetes Care 2004;27:1066-70.   DOI