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An assessment of the impact of type 2 diabetes on the quality of life based on age at diabetes diagnosis

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Abstract

Aims

This study aimed to determine whether Korean adults diagnosed with type 2 diabetes before the age of 40 have a different perception of the impact of diabetes on their quality of life (QoL) compared with that of patients diagnosed at an older age.

Methods

A total of 236 patients were investigated in this cross-sectional study. The patients were classified into two groups based on their age at diagnosis: early type 2 diabetes (age at diagnosis <40 years) and typical type 2 diabetes (age at diagnosis ≥40 years). The QoL was assessed using the latest version of the audit of diabetes-dependent quality of life (ADDQoL).

Results

The average weighted impact (AWI) of diabetes on QoL was significantly lower in adults with early type 2 diabetes than those diagnosed later. Patients with early type 2 diabetes reported a greater negative impact of diabetes on specific life domains “close personal relationship,” “sex life,” “self-confidence,” “motivation to achieve things,” “feelings about the future,” “freedom to eat,” and “freedom to drink” than patients with typical type 2 diabetes. In multivariate analysis adjusted for demographic and medical variables, a diagnosis of diabetes before the age of 40 was significantly associated with a lower ADDQoL AWI score [OR 3.60 (95 % CI: 1.12–11.55), P < 0.05].

Conclusions

Younger age at type 2 diabetes diagnosis is significantly associated with a poor diabetes-related QoL.

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Conflict of interest

Jin Ook Chung, Dong Hyeok Cho, Dong Jin Chung, and Min Young Chung declare they have no conflict of interest.

Ethical standard

All the authors declare that there is no ethical problem associated with this manuscript.

Human and Animal Rights disclosure

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Declaration of Helsinki of 1975, as revised in 2008.

Informed consent disclosure

Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonnam National University Medical School, 8 Hak-Dong, Dong-Gu, Gwangju, 501-757, Republic of Korea

    Jin Ook Chung, Dong Hyeok Cho, Dong Jin Chung & Min Young Chung

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  1. Jin Ook Chung
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  2. Dong Hyeok Cho
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  3. Dong Jin Chung
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Correspondence to Min Young Chung.

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Chung, J.O., Cho, D.H., Chung, D.J. et al. An assessment of the impact of type 2 diabetes on the quality of life based on age at diabetes diagnosis. Acta Diabetol 51, 1065–1072 (2014). https://doi.org/10.1007/s00592-014-0677-9

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  • DOI: https://doi.org/10.1007/s00592-014-0677-9

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