Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China

Objectives: This study aimed to describe and compare health-related quality of life (HRQoL) among populations with normal glycemic levels, prediabetes, and diabetes in southwest China and to offer baseline data that can be easily compared to other regions in China or across countries.Methods: A qual...

Full description

Bibliographic Details
Main Authors: Enwu Long, Shuang Feng, Li Zhou, Jie Chen, Lizheng Shi, Xuehua Jiang, Ming Hu, Nan Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.690111/full
_version_ 1818726326151938048
author Enwu Long
Enwu Long
Shuang Feng
Li Zhou
Jie Chen
Lizheng Shi
Xuehua Jiang
Ming Hu
Nan Yang
author_facet Enwu Long
Enwu Long
Shuang Feng
Li Zhou
Jie Chen
Lizheng Shi
Xuehua Jiang
Ming Hu
Nan Yang
author_sort Enwu Long
collection DOAJ
description Objectives: This study aimed to describe and compare health-related quality of life (HRQoL) among populations with normal glycemic levels, prediabetes, and diabetes in southwest China and to offer baseline data that can be easily compared to other regions in China or across countries.Methods: A quality of life survey based on the EuroQoL-5 Dimension-5 level (EQ-5D-5L) scale was conducted through face-to-face or telephone interviews. A total of 403 respondents with diabetes, 404 with prediabetes, and 398 with normal blood glucose were enrolled in the survey. Propensity score matching (PSM) was used to decrease the bias of three groups, conditioned on age and gender, body mass index (BMI), and household income. For the three groups, we matched two groups first and then matched the result with the third group. Differences among groups were compared by chi-square test one-way ANOVA after adjusting by PSM.Results: In general, the blood glucose of people with diabetes was generally well-controlled in southwest China, but they were often accompanied by the circulatory system and nutritional metabolic diseases. Ninety-nine individuals from each group were matched. The EuroQoL-5 Dimension index of the population with normal glycemic levels, prediabetes, and patients with diabetes was 0.901, 0.948, and 0.897. The EuroQol-visual analog scales (EQ-VAS) scores of each group above were 73.76, 77.45, and 68.34. HRQoL in males was higher than that of females in the three study groups. The results after PSM were consistent with that before matching.Conclusion: There was a general trend that patients were associated with a decline of HRQoL from the prediabetic population, population with normal glycemic levels to diabetic population. Pain/discomfort and anxiety/depression might not be specific for the population with or without diabetes.
first_indexed 2024-12-17T21:56:25Z
format Article
id doaj.art-b3fd918852e348dfa9ea69eb74d3adbd
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-12-17T21:56:25Z
publishDate 2021-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-b3fd918852e348dfa9ea69eb74d3adbd2022-12-21T21:31:07ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-10-01910.3389/fpubh.2021.690111690111Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest ChinaEnwu Long0Enwu Long1Shuang Feng2Li Zhou3Jie Chen4Lizheng Shi5Xuehua Jiang6Ming Hu7Nan Yang8West China School of Pharmacy, Sichuan University, Chengdu, ChinaSichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, ChinaWest China School of Pharmacy, Sichuan University, Chengdu, ChinaWest China School of Pharmacy, Sichuan University, Chengdu, ChinaWest China School of Pharmacy, Sichuan University, Chengdu, ChinaDepartment of Global Health Management and Policy, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United StatesWest China School of Pharmacy, Sichuan University, Chengdu, ChinaWest China School of Pharmacy, Sichuan University, Chengdu, ChinaWest China School of Pharmacy, Sichuan University, Chengdu, ChinaObjectives: This study aimed to describe and compare health-related quality of life (HRQoL) among populations with normal glycemic levels, prediabetes, and diabetes in southwest China and to offer baseline data that can be easily compared to other regions in China or across countries.Methods: A quality of life survey based on the EuroQoL-5 Dimension-5 level (EQ-5D-5L) scale was conducted through face-to-face or telephone interviews. A total of 403 respondents with diabetes, 404 with prediabetes, and 398 with normal blood glucose were enrolled in the survey. Propensity score matching (PSM) was used to decrease the bias of three groups, conditioned on age and gender, body mass index (BMI), and household income. For the three groups, we matched two groups first and then matched the result with the third group. Differences among groups were compared by chi-square test one-way ANOVA after adjusting by PSM.Results: In general, the blood glucose of people with diabetes was generally well-controlled in southwest China, but they were often accompanied by the circulatory system and nutritional metabolic diseases. Ninety-nine individuals from each group were matched. The EuroQoL-5 Dimension index of the population with normal glycemic levels, prediabetes, and patients with diabetes was 0.901, 0.948, and 0.897. The EuroQol-visual analog scales (EQ-VAS) scores of each group above were 73.76, 77.45, and 68.34. HRQoL in males was higher than that of females in the three study groups. The results after PSM were consistent with that before matching.Conclusion: There was a general trend that patients were associated with a decline of HRQoL from the prediabetic population, population with normal glycemic levels to diabetic population. Pain/discomfort and anxiety/depression might not be specific for the population with or without diabetes.https://www.frontiersin.org/articles/10.3389/fpubh.2021.690111/fulldiabeteshealth-related quality of life (HRQoL)EuroQoL 5D (EQ-5D)EuroQol visual analog scale (EQ-VAS)propensity score (PS) matching (PSM)
spellingShingle Enwu Long
Enwu Long
Shuang Feng
Li Zhou
Jie Chen
Lizheng Shi
Xuehua Jiang
Ming Hu
Nan Yang
Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China
Frontiers in Public Health
diabetes
health-related quality of life (HRQoL)
EuroQoL 5D (EQ-5D)
EuroQol visual analog scale (EQ-VAS)
propensity score (PS) matching (PSM)
title Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China
title_full Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China
title_fullStr Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China
title_full_unstemmed Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China
title_short Assessment of Health-Related Quality of Life Using EuroQoL-5 Dimension in Populations With Prediabetes, Diabetes, and Normal Glycemic Levels in Southwest China
title_sort assessment of health related quality of life using euroqol 5 dimension in populations with prediabetes diabetes and normal glycemic levels in southwest china
topic diabetes
health-related quality of life (HRQoL)
EuroQoL 5D (EQ-5D)
EuroQol visual analog scale (EQ-VAS)
propensity score (PS) matching (PSM)
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.690111/full
work_keys_str_mv AT enwulong assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT enwulong assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT shuangfeng assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT lizhou assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT jiechen assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT lizhengshi assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT xuehuajiang assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT minghu assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina
AT nanyang assessmentofhealthrelatedqualityoflifeusingeuroqol5dimensioninpopulationswithprediabetesdiabetesandnormalglycemiclevelsinsouthwestchina