Health‐related quality of life association with weight change in type 2 diabetes mellitus: perception vs. reality. Issue 5 (11th April 2013)

• Record Type: Journal Article
• Authors: Grandy, S.; Fox, K. M.; Bazata, D. D.
• Is Part Of: International journal of clinical practice. Volume 67:Issue 5(2013)
• Page Start: 455
• Page End: 461
• Publication Date: 2013-04-11
• Subjects: Clinical medicine -- Periodicals; Medicine -- Periodicals; 610.5
• DOI: 10.1111/ijcp.12093
• Languages: English
• ISSNs: 1368-5031

Abstract

<abstract abstract-type="main" xml:lang="en" id="ijcp12093-abs-0001"> <title>Summary</title> <sec id="ijcp12093-sec-0001" sec-type="section"> <title>Aims</title> <p>This study compared health‐related quality of life (HRQOL) in adults with type 2 diabetes mellitus (T2DM) who reported their perception of weight change vs. actual weight change.</p> </sec> <sec id="ijcp12093-sec-0002" sec-type="section"> <title>Methods</title> <p>Respondents to the US <bold>S</bold>tudy to <bold>H</bold>elp <bold>I</bold>mprove <bold>E</bold>arly evaluation and management of risk factors <bold>L</bold>eading to <bold>D</bold>iabetes (SHIELD) 2008 survey were asked if they had lost, maintained or gained weight compared with 1 year earlier (perception). Respondents also provided their actual weight and completed the SHIELD WQ‐9 questionnaire to report how weight change affected 9 aspects of daily life. Perceived weight loss or gain was compared with measured weight change reported (2007 weight – 2008 weight) in those with T2DM.</p> </sec> <sec id="ijcp12093-sec-0003" sec-type="section"> <title>Results</title> <p>In respondents reporting weight loss (<italic>n </italic>= 762), 75.4% lost weight and 15.9% gained weight. For respondents reporting weight gain (<italic>n </italic>= 392), 70.2% gained weight and 19.6% lost weight. HRQOL did not differ between those who reported weight loss and actually lost weight vs. those who reported weight loss and actually gained weight (p > 0.05), except for self‐esteem (p = 0.004). HRQOL was similar for those who reported weight gain and actually gained weight vs. those who reported weight gain, but actually lost weight (p > 0.20). Respondents who had perceived weight loss had significantly better HRQOL than those who perceived that they had gained weight.</p> </sec> <sec id="ijcp12093-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Perception of weight loss/gain may be as powerful as actual weight loss/gain in impacting HRQOL among adults with T2DM. Interventions that help individuals lose weight or perceive weight loss in addition to lowering glucose will assist in improving HRQOL.</p> </sec> </abstract>