Mayor grasa corporal, inactividad física e hipertensión arterial se asocian a una pobre calidad de vida en pacientes con diabetes tipo 2.

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Title: Mayor grasa corporal, inactividad física e hipertensión arterial se asocian a una pobre calidad de vida en pacientes con diabetes tipo 2.
Alternate Title: Increased body fat, physical inactivity, and hypertension are associated with poor quality of life in patients with type 2 diabetes.
Authors: Velázquez-López, Lubia1 lubia2002@yahoo.com.mx, Alva-Santana, David2, Ocaña-Patiño, Adriana3, Escobedo de la Peña, Jorge1, Victoria Goycochea-Robles, M.1
Source: Cirugía y Cirujanos. mar/apr2023, Vol. 91 Issue 2, p171-178. 8p.
Abstract (English): Background. Diabetes is a significant health problem that affects quality of life in the medium and long term. Objective. To identify the association between quality of life with comorbidity, metabolic control, and lifestyle in patients with type 2 diabetes. Method. A cross-sectional study was performed in 392 patients. Glycosylated hemoglobin, fasting glucose, lipid profile, blood pressure, weight, waist circumference and body composition were measured. Diabetic neuropathy, renal disease, visual health, diet and physical exercise were measured. Health-related quality of life (HRQoL) was measured with the 36-item Short Form survey (SF-36). Results. The mean age was 54.6 years, 68 % were women, median years of diabetes diagnosis was 7 years. Eighty percent had a good HRQoL (SF-36 = 50). The dimension with the highest score was physical function (81.0), and vitality the lowest (46.5). Body fat was associated with more impairments in the SF-36 dimensions (p < 0.05). Factors associated with worse HRQOL are physical inactivity (odds ratio [OR]: 2.7; 95% confidence interval [95%CI]: 1.10-6.62; p = 0.009), arterial hypertension (OR: 1.78; 95%CI: 1.05-3.02; p = 0.032) and being female (OR: 2.7; 95%CI: 1.45-5.27; p = 0.002). Conclusions. Poor quality of life is associated with higher fat percentage, physical inactivity and hypertension in patients with type 2 diabetes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes. La diabetes es un importante problema de salud que afecta la calidad de vida a mediano y largo plazo. Objetivo. Identificar la asociación entre la calidad de vida y la comorbilidad, el control metabólico y el estilo de vida de pacientes con diabetes tipo 2. Método. Se realizó un estudio transversal en 392 pacientes. Se midieron la hemoglobina glucosilada, la glucosa de ayuno, el perfil de lípidos, la presión arterial, el peso, la circunferencia de la cintura y la composición corporal. Se evaluaron la neuropatía diabética, la enfermedad renal, la salud visual, la dieta y el ejercicio físico. La calidad de vida relacionada con la salud (CVRS) se midió con la encuesta en su versión corta de 36 ítems (SF-36). Resultados. La edad promedio fue de 54.6 años, el 68% fueron mujeres y la mediana de años de diagnóstico de diabetes fue de 7 años. Un 80% tienen una buena CVRS (SF-36 = 50). La dimensión con mayor puntaje fue función física (81.0), y la más baja fue vitalidad (46.5). La grasa corporal se asoció a más afectaciones en las dimensiones del SF-36 (p < 0.05). Los factores asociados a una peor CVRS son la inactividad física (odds ratio [OR]: 2.7; intervalo de confianza del 95% [IC95%]: 1.10-6.62; p = 0.009), la hipertensión arterial (OR: 1.78; IC95%: 1.05-3.02; p = 0.032) y ser mujer (OR: 2.7; IC95%: 1.45-5.27; p = 0.002). Conclusiones. Una pobre calidad de vida se asocia con mayor porcentaje de grasa, inactividad física e hipertensión en pacientes con diabetes tipo 2. [ABSTRACT FROM AUTHOR]
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Abstract:Background. Diabetes is a significant health problem that affects quality of life in the medium and long term. Objective. To identify the association between quality of life with comorbidity, metabolic control, and lifestyle in patients with type 2 diabetes. Method. A cross-sectional study was performed in 392 patients. Glycosylated hemoglobin, fasting glucose, lipid profile, blood pressure, weight, waist circumference and body composition were measured. Diabetic neuropathy, renal disease, visual health, diet and physical exercise were measured. Health-related quality of life (HRQoL) was measured with the 36-item Short Form survey (SF-36). Results. The mean age was 54.6 years, 68 % were women, median years of diabetes diagnosis was 7 years. Eighty percent had a good HRQoL (SF-36 = 50). The dimension with the highest score was physical function (81.0), and vitality the lowest (46.5). Body fat was associated with more impairments in the SF-36 dimensions (p < 0.05). Factors associated with worse HRQOL are physical inactivity (odds ratio [OR]: 2.7; 95% confidence interval [95%CI]: 1.10-6.62; p = 0.009), arterial hypertension (OR: 1.78; 95%CI: 1.05-3.02; p = 0.032) and being female (OR: 2.7; 95%CI: 1.45-5.27; p = 0.002). Conclusions. Poor quality of life is associated with higher fat percentage, physical inactivity and hypertension in patients with type 2 diabetes. [ABSTRACT FROM AUTHOR]
ISSN:00097411
DOI:10.24875/CIRU.21000441