Physical activity and its relationship with health-related quality of life in type II diabetics

Eliana Romina Meza-Miranda Orcid logo ,
Eliana Romina Meza-Miranda

Multidisciplinary Centre of Technological Research, San Lorenzo, Paraguay,

Beatriz Elizabeth Núñez-Martínez Orcid logo
Beatriz Elizabeth Núñez-Martínez

Autonomous University of Asuncion, Asunción, Paraguay,

Published: 01.12.2021.

Vol 14, No 2 (2022), 2022, 14 (2);

pp. 5-12;

https://doi.org/10.31382/eqol.221201

Abstract

Due to the chronic nature of the disease, type II Diabetes mellitus (DM2) can affect the quality of life and perception of health. The objective of this study was to evaluate the quality of life, perception of health, and level of physical activity in type II diabetics in December 2021. A descriptive, analytical cross-sectional design study, which included 116 volunteers with DM2 through an online survey where sociodemographic data, quality of life according to the EuroQoL-5D, health perception according to a visual analog scale, and level of physical activity according to the international IPAQ questionnaire. The study was approved by the Scientific and Ethics Committee of the Paraguayan Association of Graduates in Nutrition (code number 128/2021). The average age was 51.9 years, 63.8 were female, 79.3% resided in Asunción and the Metropolitan Area, and 39.5% had a secondary education level. 94% continued treatment, hypertension being the most frequent comorbidity. The quality of life showed 38% with moderate depression and/or anxiety. The quality-of-life index was 0,62±0.12 and the perception of health was 65.3±17.6. The predominant level of physical activity was low (45%). When comparing the quality-of-life index and the perception of health according to the level of physical activity, it was found that these variables showed better scores in those who perform moderate to high physical activity. The level of physical activity is a determinant of health-related quality of life, the greater the intensity of physical activity, the better the quality and perception of health indices in diabetics patients.

References

1.
Murillo A, Menor Almagro Y, Campos-Gonzalez R, Cardiel I, M. Health related quality of life in rheumatoid arthritis, osteoarthritis, diabetes mellitus, end stage renal disease and geriatric subjects. Hospital in Mexico. Reumatol Clin. 2015. p. 68–72.
2.
Altınok A, Marakoğlu K. Evaluation of quality of life and depression levels in individuals with type 2 diabetes. J Fam Med Prim Care. 2016. p. 302–8.
3.
Boule N, Haddad E, Kenny G, Wells G, Sigal R. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. JAMA. 2001. p. 1218–27.
4.
Sigal R, Armstrong M, Colby P, Kenny G, Plotnikoff R, Reichert S, et al. Physical activity and diabetes. Can J Diabetes. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee; 2013. p. 40–4.
5.
Cloostermans L, Wendel-Vos W, Doornbos G, Howard B, Craig C, Kivimäki M, et al. Independent and combined effects of physical activity and body mass index on the development of Type 2 Diabetes -a metaanalysis of 9 prospective cohort studies. Int. J. Behav. Nutr. Phys. Act. 2015. p. 147.
6.
Gonzalez J, Peyrot M, Mccarl L, Collins E, Serpa L, Mimiaga M, et al. Depression and diabetes treatment nonadherence: a meta-analysis. Diabetes Care. 2008. p. 2398–403.
7.
Gopinath B, Hardy L, Baur L, Mitchell B, P. Physical activity and sedentary behaviors and health-related Life quality in adolescents. Pediatrics. 2012. p. 167-e174.
8.
Green A, Fox K, Grandy S. Impact of Regular Exercise and Attempted Weight Loss on Quality of Life among Adults with and without Type 2 Diabetes Mellitus. J Obes. 2011. p. 172073.
9.
Hidekatsu Y, Adachi H, Masui Y, Katsuyama H, Kawaguchi A, Hakoshima M, et al. Exercise therapy for patients with Type 2 diabetes: a narrative review. J Clin Med Res. 2018. p. 365–9.
10.
Huang E, Brown S, Ewigman B, Foley E, Meltzer D. Patient perceptions of quality of life with diabetes-related complications and treatments. Diabetes Care. 2007. p. 2478–83.
11.
Iglay K, Hannachi H, Howie J, Xu P, Li J, Engel X, et al. Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus. Curr Med Res Opin. 2016. p. 1243–52.
12.
Imayama I, Plotnikoff R, Courneya K, Johnson J. Determinants of quality of life in type 2 diabetes population: the inclusion of personality. Quality of Life Research. 2010. p. 551–8.
13.
Jannoo Z, Wah Y, Lazim A. Examining diabetes distress, medication adherence, diabetes selfcare activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. J Clin Transl Endocrinol. 2017. p. 48–54.
14.
Jelleyman C, Yates T, O’donovan G, Gray L, King J, Khunti K, et al. The effects of highintensity interval training on glucose regulation and insulin resistance: a meta-analysis. Obes Rev. 2015. p. 942–61.
15.
Jeong M. Predictors of Health-Related Quality of Life in Korean Adults with Diabetes Mellitus. Int J Environ Res Public Health. 2020. p. 9058.
16.
Koekkoek P, Biessels G, Kooistra M, Janssen J, Kappelle LI. Study group. Undiagnosed cognitive impairment, health status and depressive symptoms in patients with type 2 diabetes. J Diabetes Complicat. 2015. p. 1217–22.
17.
Kumar P, Agarwal N, Singh C, Pandey S, Ranjan A, Kumar D. Diabetes and quality of life-A pilot study. Int. J. Med. Public Health. 2016. p. 1143–7.
18.
Meza-Miranda E, Giménez J. Ministerio de Salud Pública y Bienestar social. Datos del Programa Nacional de Diabetes de enero a octubre de 2020. 2021. p. 5–11.
19.
Plotnikoff R, Taylor L, Wilson P, Courneya K, Sigal R, Birkett N, et al. Factors associated with physical activity in Canadian adults with diabetes. Med Sci Sports Exerc. 2006. p. 1526–34.
20.
Cohen R, Hall C, Katz Y, Rivara N, De Boer M, Kestenbaum I, et al. Self-rated health and adverse events in CKD. Clin J Am Soc Nephrol. 2014. p. 2044–51.
21.
Shi Y, Hu F. The global implications of diabetes and cancer. Lancet. 2014. p. 1947–8.
22.
Silva A, Diniz P, Santos M, Ritti-Dias R, Farah B, Tassitano R. Health selfperception and its association with physical activity and nutritional status in adolescents. J Pediatr (Rio J). 2019. p. 458–65.
23.
Sudeck G, Honer O. Volitional Interventions within cardiac exercise therapy (VIN-CET): Long-term effects on physical activity and health-related Quality of life. Applied Psychology-Health and Well Being. 2011. p. 151–71.
24.
Thiel D, Sayah A, Vallance F, Johnson J, Johnson S, J. Association between Physical Activity and Health-Related Quality of Life in Adults with Type 2 Diabetes. Can J Diabetes. 2017. p. 58–63.
25.
Toselli S, Gualdi-Russo E, Mazzuca P, Campa F. Ethnic differences in body composition, sociodemographic characteristics and lifestyle in people with type 2 diabetes mellitus living in Italy. Endocrine. 2019. p. 558–68.
26.
Umpierre D, Ribeiro P, Kramer C, Leitão C, Zucatti A, Azevedo M, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011. p. 1790–9.
27.
Zhang P, Lou P, Chang G, Chen P, Zhang L, Li T, et al. Combined effects of sleep quality and depression on quality of life in patients with type 2 diabetes. BMC Fam Pract. 2016. p. 40.
28.
Zurita-Cruz J, Manuel-Apolinar L, Arellano-Flores M, Gutierrez-Gonzalez A, Najera-Ahumada A, Cisneros-González N;, et al. Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study. Exercise and Quality of Life. APA; 2019. p. 5–12.

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles