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http://dx.doi.org/10.4069/kjwhn.2022.05.25

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)  

Kim, Hyuk Joon (College of Nursing, Jeonbuk National University)
Kim, Hye Young (College of Nursing, Jeonbuk National University)
Publication Information
Women's Health Nursing / v.28, no.2, 2022 , pp. 112-122 More about this Journal
Abstract
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.
Keywords
Diabetes mellitus; Osteoporosis; Postmenopause; Quality of life; Women;
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Times Cited By KSCI : 7  (Citation Analysis)
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1 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   DOI
2 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   DOI
3 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   DOI
4 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   DOI
5 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   DOI
6 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   DOI
7 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
8 Korean Diabetes Association. 2015 Treatment guideline for diabetes. Seoul: Korean Diabetes Association; 2015. p. 24-40.
9 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   DOI
10 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.
11 Lee HJ. Exercise in osteoporosis. Geriatr Rehabilit. 2016;6(1):27-34.
12 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   DOI
13 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   DOI
14 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
15 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
16 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   DOI
17 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
18 Choi HJ, Oh HJ. Menopause. Korean J Fam Pract. 2020;10(3):158-163. https://doi.org/10.21215/kjfp.2020.10.3.158   DOI
19 Jo JH. Assessment of women's health during menopausal periods. Cheongju: Korea Center for Disease Control and Prevention; 2013 May 14. Report No.:TRKO201300030803.
20 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   DOI
21 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   DOI
22 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   DOI
23 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.
24 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   DOI
25 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   DOI
26 Son J. Factors influencing quality of life of patients with osteoarthritis in rural area. J Korean Gerontol Soc. 2014;34(1):23-35.
27 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   DOI
28 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   DOI
29 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   DOI
30 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   DOI
31 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   DOI
32 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   DOI
33 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   DOI
34 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   DOI