ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
Quality of life and associated factors in a Tunisian diabetic population
Eya Safi , Haifa Abdesselem , Syrine Trabelsi , Yesmine Jallouli , Chaima Sdiri , Maryam Cheikhrouhou , Fatma Boukhayatia , Kamilia Ounaissa , Asma Ben Brahim , Rim Yahyaoui & Chiraz Amrouche
National Institute of Nutrition, Outpatient Department and Functional Explorations, Tunis, Tunisia
Objective: Our objective was to assess quality of life (QoL) in a diabetic population and to identify factors associated with its deterioration.
Patients and Methods: This was a cross-sectional study of 100 type 1 or 2 diabetic patients followed up at the outpatient department of the National Institute of Nutrition in Tunis. The QoL was evaluated using the questionnaire "Diabetes Quality of Life" (DQoL) validated in Arabic version. The latter is a score composed of 29 items divided into 3 factors: concern, impact and satisfaction. It is positively correlated with an impaired QoL.
Results: The mean age of the population was 55.9±13 years with a female predominance in 2/3 of the cases (67%). The majority were type 2 diabetics (89%). The age of diabetes was 14.3±9.35 years. Degenerative complications were observed in 61% of the patients. Three quarters (74%) were on insulin therapy. The mean hbA1c was 11.5±1.8% with an out-of-target level in 66% of cases. Diabetic imbalance was mainly due to dietary deviation (89%). Poor adherence to treatment was noted in a quarter of the population (25%). The mean DQoL score was 85.2±13.6. This score was higher in the female population but not significantly so (P=0.31). It was significantly higher in type 2 diabetics compared to type 1 diabetics (P=0.019). Unbalanced diabetes and the presence of degenerative complications were significantly associated with a deterioration of the QoL (P<0.001 and P=0.031 respectively). The DQoL score was also higher in insulin-treated diabetics but not significantly so (P=0.37). Higher education and medication adherence were associated with better QoL (P=0.23 and P<0.001 respectively).
Conclusion: This study demonstrates the impact of several factors, including diabetes imbalance, the presence of degenerative complications, and educational level, on the QoL of diabetic patients. Therefore, the improvement of this parameter requires therapeutic education and a global management of this chronic pathology.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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