Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes

Show full item record



Permalink

http://hdl.handle.net/10138/298180

Citation

Aro , A-K , Karjalainen , M , Tiihonen , M , Kautiainen , H , Saltevo , J , Haanpää , M & Mäntyselkä , P 2017 , ' Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes ' , Primary Care Diabetes , vol. 11 , no. 6 , pp. 577-582 . https://doi.org/10.1016/j.pcd.2017.07.001

Title: Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes
Author: Aro, Anna-Kaisa; Karjalainen, Merja; Tiihonen, Miia; Kautiainen, Hannu; Saltevo, Juha; Haanpää, Maija; Mäntyselkä, Pekka
Contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Clinicum
Date: 2017-12
Language: eng
Number of pages: 6
Belongs to series: Primary Care Diabetes
ISSN: 1751-9918
URI: http://hdl.handle.net/10138/298180
Abstract: Aims: To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients. Methods: Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to a health examination and 172 of them attended and provided complete data. The participants were divided into three groups based on the HbAlc: good (HbAlc 57 mmol/mol (N=29)) glycemic control. HRQoL was measured with the EuroQol EQ-5D questionnaire. Functional and cognitive capacity and mental well-being were assessed with the Lawton Instrumental Activities of Daily Living (IADL) scale, Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS-15). Results: EQ-5D scores for good, intermediate and poor glycemic control were 0.78; 0.74 and 0.70, p=0.037. Sub-items of mobility (p=0.002) and self-care were the most affected (p=0.031). Corresponding trend was found for IADL, p=0.008. A significant correlation was found between MMSE scores and HbAlc. Conclusion: Older primary care home-dwelling patients with diabetes and poorer glycemic control have lower functional capacity and HRQoL, especially in regard to mobility and self care. (C) 2017 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
Subject: Diabetes mellitus
HRQoL
Glycemic control
Older people
DEPRESSIVE SYMPTOMS
MELLITUS
ADULTS
ASSOCIATION
PEOPLE
TRIAL
RISK
3121 General medicine, internal medicine and other clinical medicine
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
1_s2.0_S1751991817301134_main.pdf 708.9Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record