Family Practice Vol. 16, No. 2, 133-139
© Oxford University Press 1999
The impact of type 2 diabetes mellitus on daily functioning
Department of General Practice and Social Medicine, University of Nijmegen, Nijmegen, The Netherlands.
WJC de Grauw, Department of General Practice and Social Medicine, Code 229, POBox 9101, 6500 HB Nijmegen, The Netherlands.
Background. Traditionally, health and the outcomes of medical treatment have been measured in terms of morbidity, incidence or prevalence of disease, or even mortality. This disease model provides an adequate framework for acute illnesses, but for chronic diseases, severity and their effect on everyday functioning are paramount. For chronic diseases, functional health status, as a vital part of quality of life, is now recognized as an important outcome measure of the GP's care.
Objective. We aimed to assess the impact of type 2 diabetes mellitus on functional health status in Dutch general practice.
Method. We conducted a cross-sectional study of the functional health status of all patients with type 2 diabetes mellitus under 85 in two general practices, using the Sickness Impact Profile (SIP) and the COOP/WONCA charts. A control group of non-diabetic patients was selected, matched for practice, sex and age.
Results. In total, 127 type 2 diabetes mellitus patients and 127 controls participated in the study, the responses being 78 and 70%, respectively. Between these groups the following were significantly different: the SIP subscore Physical, the SIP sum score and the COOP/WONCA scores for physical fitness and overall health. Type 2 diabetes mellitus patients were 2.46 (95% CI 1.5– 4.1) times more likely to experience functional impairment. Cardiovascular morbidity (odds ratio 2.5, 95% CI 1.3–4.7), locomotory morbidity (odds ratio 2.6, 95% CI 1.4–5.1) and diabetes itself (odds ratio 1.4, 95% CI 1.1–1.9) were significantly associated with the presence of functional impairment.
Conclusion. This study demonstrates the impact of type 2 diabetes mellitus on functional status, particularly in relation to cardiovascular morbidity.
Keywords. General practice, health status indicators, primary health care, type 2 diabetes mellitus..
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  M. E. y Pena, R. J. Garcia, J. M.D. Olalla, E. V. Llanos, A. G. de Miguel, and X. F. Cordero Impact of the most frequent chronic health conditions on the quality of life among people aged >15 years in Madrid Eur J Public Health, July 8, 2009; (2009) ckp098v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Pompili, D. Lester, M. Innamorati, E. De Pisa, M. Amore, C. Ferrara, R. Tatarelli, and P. Girardi Quality of Life and Suicide Risk in Patients With Diabetes Mellitus Psychosomatics, January 1, 2009; 50(1): 16 - 23. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. Hardeman, S. Sutton, S. Griffin, M. Johnston, A. White, N. J. Wareham, and A. L. Kinmonth A causal modelling approach to the development of theory-based behaviour change programmes for trial evaluation Health Educ. Res., December 1, 2005; 20(6): 676 - 687. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Al Snih, M. N. Fisher, M. A. Raji, K. S. Markides, G. V. Ostir, and J. S. Goodwin Diabetes Mellitus and Incidence of Lower Body Disability Among Older Mexican Americans J. Gerontol. A Biol. Sci. Med. Sci., September 1, 2005; 60(9): 1152 - 1156. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Engum, A. Mykletun, K. Midthjell, A. Holen, and A. A. Dahl Depression and Diabetes: A large population-based study of sociodemographic, lifestyle, and clinical factors associated with depression in type 1 and type 2 diabetes Diabetes Care, August 1, 2005; 28(8): 1904 - 1909. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Von Korff, W. Katon, E. H.B. Lin, G. Simon, P. Ciechanowski, E. Ludman, M. Oliver, C. Rutter, and B. Young Work Disability Among Individuals With Diabetes Diabetes Care, June 1, 2005; 28(6): 1326 - 1332. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Von Korff, W. Katon, E. H. B. Lin, G. Simon, E. Ludman, M. Oliver, P. Ciechanowski, C. Rutter, and T. Bush Potentially Modifiable Factors Associated With Disability Among People With Diabetes Psychosom Med, March 1, 2005; 67(2): 233 - 240. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. A Donker, D. M Fleming, F. G Schellevis, and P. Spreeuwenberg Differences in treatment regimes, consultation frequency and referral patterns of diabetes mellitus in general practice in five European countries Fam. Pract., August 1, 2004; 21(4): 364 - 369. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. G. Mainous III, R. J. Koopman, J. M. Gill, R. Baker, and W. S. Pearson Relationship Between Continuity of Care and Diabetes Control: Evidence From the Third National Health and Nutrition Examination Survey Am J Public Health, January 1, 2004; 94(1): 66 - 70. [Abstract] [Full Text]
|
|
|
|
|
|
C. L. Lam and I. J Lauder The impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care Fam. Pract., April 1, 2000; 17(2): 159 - 166. [Abstract] [Full Text] [PDF]
|
|