Nutr Res Pract.  2022 Aug;16(4):505-516. 10.4162/nrp.2022.16.4.505.

The role of nutritional status in the relationship between diabetes and health-related quality of life

Affiliations
  • 1Department of Food Science and Nutrition, Hallym University, Chuncheon 24252, Korea
  • 2The Korean Institute of Nutrition, Hallym University, Chuncheon 24252, Korea
  • 3Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA
  • 4Department of Social Welfare, Hallym University, Chuncheon 24252, Korea

Abstract

BACKGROUND/OBJECTIVES
The association between nutritional status and health-related quality of life (HRQoL) among patients with type 2 diabetes mellitus (T2DM) is not fully understood. This study was conducted to understand the role of nutritional status on HRQoL among people with and without T2DM.
SUBJECTS/METHODS
Structured survey and direct measurement of anthropometric data were conducted among people with and without T2DM. Nutritional status was measured with Mini Nutritional Assessment tool and HRQoL was measured with a 36-item Short Form Healthy Survey. Data collection was conducted in Chuncheon, South Korea with 756 participants who are older than 40 yrs of age.
RESULTS
This study found that overall HRQoL were significantly lower in people with T2DM than people without T2DM after controlling for key covariates. When stratified by nutritional status, a greater degree of negative impact of T2DM on overall physical HRQoL was observed among well-nourished or at risk of malnutrition, whereas significant and more evident negative impact of diabetes on overall psychological HRQoL was observed only among malnourished.
CONCLUSIONS
The study results suggest the role of nutritional status among people with T2DM on overall, especially psychological aspects of HRQoL. Future longitudinal or intervention studies are warranted to test the impact of nutritional status on HRQoL among people with T2DM.

Keyword

Nutritional status; mini nutritional assessment; health-related quality of life; type 2 diabetes mellitus

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