Quality of life of Iranian patients with type 2 diabetes: A systematic review and meta-analysis
Abstract
Background & Aim: Diabetes is one of the most common chronic metabolic disorders, and one of the most important health-related challenges in today’s world. In addition to different kind of disabilities, diabetes complications can severely impact the quality of life of patients. The present systematic review and meta-analysis is aimed at examining the quality of life of Iranian patients suffering from type 2 diabetes based on the World Health Organization Quality of Life-BREF.
Materials & Methods: A total of 16 articles published in Persian and English were reviewed without any time limitation. The search was conducted in Iranian databases, including Scientific Information Database, Magiran, and IranMedex; and international databases, including Google Scholar, Web of Science, Pub Med, and Scopus. The data was examined using the meta-analysis method and the random effects model. Heterogeneity was assessed using the I2 statistic. The analyses were conducted in stata, version 11.
Results: The mean quality of life score for patients with type 2 diabetes was 61.90 (95% confidence interval: 54.40-69.40). The highest and lowest quality of life scores were for social support (49.19) and mental health (42.96) dimensions, respectively. No significant association was found between the mean quality of life score and year of publication, methodological quality, and mean age of participants (P>0.05).
Conclusion: Given that patients with type 2 diabetes have a lower quality of life, especially in terms of mental health, it seems necessary to better understand psychological problems common in this group of patients and design strategies to overcome them.
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2. Ahmed N, Choe Y, Mustad VA, Chakraborty S, Goates S, Luo M, Mechanick JI. Impact of malnutrition on survival and healthcare utilization in Medicare beneficiaries with diabetes: a retrospective cohort analysis. BMJ Open Diabetes Research and Care. 2018 Feb 1;6(1):e000471.
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5. Aghayousefi A, Amini F, Dehestani M, Salary S. The Role of Perceived Social Support and Resilience in Predicting the Quality of Life in patients with Type 2 Diabetes. Iranian Journal of Endocrinology and Metabolism. 2017 Feb 15;18(5):334-42.
6. Cantley J, Ashcroft FM. Q&A: insulin secretion and type 2 diabetes: why do β-cells fail?. BMC biology. 2015 Dec;13(1):33.
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10. Farajzadeh M, Gheshlagh RG, Sayehmiri K. Health related quality of life in Iranian elderly citizens: a systematic review and meta-analysis. International journal of community based nursing and midwifery. 2017 Apr;5(2):100.
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13. Mokhtari Z, Gheshlagh RG, Kurdi A. Health-related quality of life in Iranian patients with type 2 diabetes: An updated meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(1):402-7.
14. EydiBaygi M, Mehrabizade M, Davoudi I, Ahmadi V, Dehghanizade Z. Comparison the quality of life in patients with diabetes type 2 and non-diabetic individuals. scientific journal of ilam university of medical sciences. 2014 Oct 15;22(5):55-62.
15. Dehvan F, Mokhtari Z, Aslani M, Ebtekar F, Ghanei Gheshlagh R. The prevalence of needlestick injury in students of medical sciences universities: A systematic review and meta-analysis. Journal of Hayat. 2018 Jul 1:140-51.
16. Dehvan F, Monjazebi F, Khanghahi ME, Mohammadi H, Gheshlagh R, Kurdi A. Adequacy of dialysis in Iranian patients undergoing hemodialysis: a systematic review and meta-analysis. Nephro-Urology Monthly. 2018 Sep 17;10(5).
17. Higgins JP, Thompson SG, Spiegelhalter DJ. A re‐evaluation of random‐effects meta‐analysis. Journal of the Royal Statistical Society: Series A (Statistics in Society). 2009 Jan;172(1):137-59.
18. Gholami A, Azini M, Borji A, Shirazi F, Sharafi Z, Zarei E. Quality of life in patients with type 2 diabetes: application of WHOQOL-BREF scale. Shiraz E-Medical Journal. 2013;14(3):162-71.
19. Derakhshanpoor F, Farsinia M, Shahini N. Relationship between anxiety disorders and life quality in type two diabetic patients. Journal of Research Development in Nursing & Midwifery. 2015 Apr 1;12(1):94-102.
20. Derakhshanpour F, Vakili MA, Farsinia M, Mirkarimi K. Depression and quality of life in patients with type 2 diabetes. Iranian Red Crescent Medical Journal. 2015;17(5):e27676.
21. Mamaghanian A, Shamshirgaran SM, Aiminisani N, Aliasgarzadeh A. Clinico-epidemiological factors of health related quality of life among people with type 2 diabetes. World journal of diabetes. 2017;8(8):407-13.
22. Parsa P, Ahmadinia-Tabesh R, Mohammadi Y, Khorami N. Investigating the relationship between quality of life with lipid and glucose levels in Iranian diabetic patients. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S879-S83.
23. Tavakkoli L, Dehghan A. Compare the quality of life in type 2 diabetic patients with healthy individuals (application of WHOQOL-BREF). Zahedan Journal of Research in Medical Sciences. 2017;19(2):e5882.
24. Babazadeh T, Dianatinasab M, Daemi A, Nikbakht HA, Moradi F, Ghaffari-fam S. Association of Self-Care Behaviors and Quality of Life among Patients with Type 2 Diabetes Mellitus: Chaldoran County, Iran. Diabetes Metab J. 2017;41(6):449-56.
25. Didarloo A, Alizadeh M. Health-related quality of life and its determinants among women with diabetes mellitus: A cross-sectional analysis. Nursing and midwifery studies. 2016;5(1):e28937.
26. Shahbazi H, Shakerinejad G, Ghajari H, Ghofranipour F, Lotfizadeh M. Relationship of Spirituality and Quality of Life in Patients with Type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 2016;17(5):345-52 [Persian].
27. Shamshirgaran SM, Ataei J, Alamdari MI, Safaeian A, Aminisani N. Predictors of health-related quality of life among people with type II diabetes Mellitus in Ardabil, Northwest of Iran, 2014. Primary care diabetes. 2016;10(4):244-50.
28. Ramezankhani A, Hatami H. Association between spiritual health and quality of life in patients with type 2 diabetes in Bandar Abbas, Iran. Bimonthly Journal of Hormozgan University of Medical Sciences. 2014;18(3):210-8 [Persian].
29. Ghassemzadeh R, Nasseh H, Arastoo AA, Kamali M, Foroushani AR, Arzaghi M. Quality of life in elderly diabetic: comparison between home and nursing home. Acta Medica Iranica. 2013;51(4):254-9.
30. Mehrabizadeh Honarmand M, Eydi Baygi M, Davodi I. Comparing the quality of life and mental health of patients with diabetes type I, II and non-diabetic individuals in Ahwaz. Iran J Res Behav Sci. 2013;10(7):654-62.
31. Shahab Jahanlou A, Ghofranipour F, Kimmiagar M, Vafaei M, Heydarnia A, Sobhani A. Can quality of life questionnaires be used in diabetics to assess the relation between HbA1c and patients’ domain aspects? Acta Medica Iranica. 2011;49(4):246-51.
32. Shao Y, Liang L, Shi L, Wan C. The Effect of Social Support on Glycemic Control in Patients with Type 2 Diabetes Mellitus: The Mediating Roles of Self-Efficacy and Adherence. 2017;2017:2804178.
33. Chew B, Khoo E, Chia Y. Social support and glycemic control in adult patients with type 2 diabetes mellitus. Asia Pacific Journal of Public Health. 2015;27(2):NP166-NP73.
34. Miller CK, Davis MS. The influential role of social support in diabetes management. Topics in Clinical Nutrition. 2005;20(2):157-65.
35. Rahimi E, Abyar Z, Homam Zakeri langroudi A, N Z. Comparison of General health, Mental Health and Coping Strategies in Patients with Diabetes type 1 & 2 and Patients with Multiple Sclerosis. Health Research Journal. 2016;2(1):33-41.
36. Göz F, Karaoz S, Goz M, Ekız S, Cetın I. Effects of the diabetic patients’ perceived social support on their quality‐of‐life. Journal of Clinical Nursing. 2007;16(7):1353-60.
37. Rezaei M, Valiee S, Tahan M, Ebtekar F, Gheshlagh RG. Barriers of medication adherence in patients with type-2 diabetes: a pilot qualitative study. Diabetes, metabolic syndrome and obesity: targets and therapy. 2019;12:589.
38. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Nursing Research. 2016;10(4):43-51.
2. Ahmed N, Choe Y, Mustad VA, Chakraborty S, Goates S, Luo M, Mechanick JI. Impact of malnutrition on survival and healthcare utilization in Medicare beneficiaries with diabetes: a retrospective cohort analysis. BMJ Open Diabetes Research and Care. 2018 Feb 1;6(1):e000471.
3. World Health Organization. Global report on diabetes: World Health Organization. 2016.
4. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes care. 2004 May 1;27(5):1047-53.
5. Aghayousefi A, Amini F, Dehestani M, Salary S. The Role of Perceived Social Support and Resilience in Predicting the Quality of Life in patients with Type 2 Diabetes. Iranian Journal of Endocrinology and Metabolism. 2017 Feb 15;18(5):334-42.
6. Cantley J, Ashcroft FM. Q&A: insulin secretion and type 2 diabetes: why do β-cells fail?. BMC biology. 2015 Dec;13(1):33.
7. Sayin N, Kara N, Pekel G. Ocular complications of diabetes mellitus. World journal of diabetes. 2015 Feb 15;6(1):92.
8. Arbabi H, Mansouri A, Shahdadi H, Nooshirvani S, Poodineh Moghadam M. The Relationship Between Spiritual Health and Quality of Life in Patients with Type II Diabetes Referring to Diabetes Clinic of Zabol. J Diabetes Nurs. 2017;5(3):212-22.
9. Ihsan N, Aziz B. A Multidimensional Analysis of Quality of Life: Pakistan’s Context. Social Indicators Research. 2019 Feb 1:1-27.
10. Farajzadeh M, Gheshlagh RG, Sayehmiri K. Health related quality of life in Iranian elderly citizens: a systematic review and meta-analysis. International journal of community based nursing and midwifery. 2017 Apr;5(2):100.
11. Sloan RA, Sawada SS, Martin CK, Haaland B. Combined association of fitness and central adiposity with health-related quality of life in healthy Men: a cross-sectional study. Health and quality of life outcomes. 2015 Dec;13(1):188.
12. Nejat SA, Montazeri A, Holakouie Naieni K, Mohammad KA, Majdzadeh SR. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research. 2006 Jul 15;4(4):1-2.
13. Mokhtari Z, Gheshlagh RG, Kurdi A. Health-related quality of life in Iranian patients with type 2 diabetes: An updated meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(1):402-7.
14. EydiBaygi M, Mehrabizade M, Davoudi I, Ahmadi V, Dehghanizade Z. Comparison the quality of life in patients with diabetes type 2 and non-diabetic individuals. scientific journal of ilam university of medical sciences. 2014 Oct 15;22(5):55-62.
15. Dehvan F, Mokhtari Z, Aslani M, Ebtekar F, Ghanei Gheshlagh R. The prevalence of needlestick injury in students of medical sciences universities: A systematic review and meta-analysis. Journal of Hayat. 2018 Jul 1:140-51.
16. Dehvan F, Monjazebi F, Khanghahi ME, Mohammadi H, Gheshlagh R, Kurdi A. Adequacy of dialysis in Iranian patients undergoing hemodialysis: a systematic review and meta-analysis. Nephro-Urology Monthly. 2018 Sep 17;10(5).
17. Higgins JP, Thompson SG, Spiegelhalter DJ. A re‐evaluation of random‐effects meta‐analysis. Journal of the Royal Statistical Society: Series A (Statistics in Society). 2009 Jan;172(1):137-59.
18. Gholami A, Azini M, Borji A, Shirazi F, Sharafi Z, Zarei E. Quality of life in patients with type 2 diabetes: application of WHOQOL-BREF scale. Shiraz E-Medical Journal. 2013;14(3):162-71.
19. Derakhshanpoor F, Farsinia M, Shahini N. Relationship between anxiety disorders and life quality in type two diabetic patients. Journal of Research Development in Nursing & Midwifery. 2015 Apr 1;12(1):94-102.
20. Derakhshanpour F, Vakili MA, Farsinia M, Mirkarimi K. Depression and quality of life in patients with type 2 diabetes. Iranian Red Crescent Medical Journal. 2015;17(5):e27676.
21. Mamaghanian A, Shamshirgaran SM, Aiminisani N, Aliasgarzadeh A. Clinico-epidemiological factors of health related quality of life among people with type 2 diabetes. World journal of diabetes. 2017;8(8):407-13.
22. Parsa P, Ahmadinia-Tabesh R, Mohammadi Y, Khorami N. Investigating the relationship between quality of life with lipid and glucose levels in Iranian diabetic patients. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S879-S83.
23. Tavakkoli L, Dehghan A. Compare the quality of life in type 2 diabetic patients with healthy individuals (application of WHOQOL-BREF). Zahedan Journal of Research in Medical Sciences. 2017;19(2):e5882.
24. Babazadeh T, Dianatinasab M, Daemi A, Nikbakht HA, Moradi F, Ghaffari-fam S. Association of Self-Care Behaviors and Quality of Life among Patients with Type 2 Diabetes Mellitus: Chaldoran County, Iran. Diabetes Metab J. 2017;41(6):449-56.
25. Didarloo A, Alizadeh M. Health-related quality of life and its determinants among women with diabetes mellitus: A cross-sectional analysis. Nursing and midwifery studies. 2016;5(1):e28937.
26. Shahbazi H, Shakerinejad G, Ghajari H, Ghofranipour F, Lotfizadeh M. Relationship of Spirituality and Quality of Life in Patients with Type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 2016;17(5):345-52 [Persian].
27. Shamshirgaran SM, Ataei J, Alamdari MI, Safaeian A, Aminisani N. Predictors of health-related quality of life among people with type II diabetes Mellitus in Ardabil, Northwest of Iran, 2014. Primary care diabetes. 2016;10(4):244-50.
28. Ramezankhani A, Hatami H. Association between spiritual health and quality of life in patients with type 2 diabetes in Bandar Abbas, Iran. Bimonthly Journal of Hormozgan University of Medical Sciences. 2014;18(3):210-8 [Persian].
29. Ghassemzadeh R, Nasseh H, Arastoo AA, Kamali M, Foroushani AR, Arzaghi M. Quality of life in elderly diabetic: comparison between home and nursing home. Acta Medica Iranica. 2013;51(4):254-9.
30. Mehrabizadeh Honarmand M, Eydi Baygi M, Davodi I. Comparing the quality of life and mental health of patients with diabetes type I, II and non-diabetic individuals in Ahwaz. Iran J Res Behav Sci. 2013;10(7):654-62.
31. Shahab Jahanlou A, Ghofranipour F, Kimmiagar M, Vafaei M, Heydarnia A, Sobhani A. Can quality of life questionnaires be used in diabetics to assess the relation between HbA1c and patients’ domain aspects? Acta Medica Iranica. 2011;49(4):246-51.
32. Shao Y, Liang L, Shi L, Wan C. The Effect of Social Support on Glycemic Control in Patients with Type 2 Diabetes Mellitus: The Mediating Roles of Self-Efficacy and Adherence. 2017;2017:2804178.
33. Chew B, Khoo E, Chia Y. Social support and glycemic control in adult patients with type 2 diabetes mellitus. Asia Pacific Journal of Public Health. 2015;27(2):NP166-NP73.
34. Miller CK, Davis MS. The influential role of social support in diabetes management. Topics in Clinical Nutrition. 2005;20(2):157-65.
35. Rahimi E, Abyar Z, Homam Zakeri langroudi A, N Z. Comparison of General health, Mental Health and Coping Strategies in Patients with Diabetes type 1 & 2 and Patients with Multiple Sclerosis. Health Research Journal. 2016;2(1):33-41.
36. Göz F, Karaoz S, Goz M, Ekız S, Cetın I. Effects of the diabetic patients’ perceived social support on their quality‐of‐life. Journal of Clinical Nursing. 2007;16(7):1353-60.
37. Rezaei M, Valiee S, Tahan M, Ebtekar F, Gheshlagh RG. Barriers of medication adherence in patients with type-2 diabetes: a pilot qualitative study. Diabetes, metabolic syndrome and obesity: targets and therapy. 2019;12:589.
38. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Nursing Research. 2016;10(4):43-51.
| Files | ||
| Issue | Vol 6 No 4 (2019): Autumn | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/npt.v6i4.1939 | |
| Keywords | ||
| diabetes mellitus, type 2 quality of life | ||
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How to Cite
1.
Dehvan F, Saeed D, Dehkordi A, Gheshlagh R. Quality of life of Iranian patients with type 2 diabetes: A systematic review and meta-analysis. NPT. 2019;6(4):167-175.
