An assessment of diabetes-dependent quality of life (ADDQoL) in women and men in Poland with type 1 and type 2 diabetes
More details
Hide details
University of Bielsko-Biala, Faculty of Health Sciences, Bielsko-Biala, Poland
Department of Health Promotion and Community Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland
Department of Nursing Propaedeutics, School of Health Sciences, Medical University of Silesia, Katowice, Poland
Department of Anxiety Disorders, Hospital of Ministry of Internal Affairs, Katowice, Poland
Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland
Medical University, Department of Clinical Nursing Faculty of Health Sciences, Wroclaw, Poland
Quality of Life (QoL) of Polish women and men with type 1 diabetes (T1DM) and type 2 diabetes (T2DM) was analyzed, taking into consideration acceptance of the illness, the occurrence of depression, complications of diabetes, concentration of glycated haemoglobin, and demographic factors.

Material and methods:
The study was conducted among 115 patients with T1DM and 215 patients with T2DM aged 18–60. The patients were divided into women and men. The tool applied for studying QoL was the Polish language version of the Audit of diabetes-dependent QoL questionnaire(ADDQoL) comprising 2 questions related to the general QoL and 19 domains related to aspects of life. Each domain included 2 components: Impact and Importance, and their product determined the value of the weighted impact score. The Acceptance of Illness Scale, Beck Depression Inventory and studied demographic and clinical parameters were also applied.

Patients with both types of diabetes demonstrated a negative influence of the disease in all domains of ADDQoL. Values of the average weighted impact of ADDQoL showed significant associations with diabetic complications in T1DM and gender and depressive symptoms in T2DM. Diabetes negatively affects the QoL of diabetic patients in Poland, especially regarding freedom to eat and to drink and sex life in both genders in T1DM, and freedom to eat and drink, and feelings about the future in both genders, and working life and sex life in T2DM men.

Risk factors for worse QoL are: the occurrence of diabetes complications in T1DM patients and male gender and depression in T2DM patients.

Ewelina Bąk   
Faculty of Health Sciences, University of Bielsko-Biala, Poland, ul. Willowa 2, 43-309 Bielsko- Biała, Poland
1. Statistical Report: Diabetes statistics in Poland and in the world. [in Polish] Accessed on 03 November 2018.
2. Ashwell S, Bradley C, Stephens JW, Witthaus E, Home PD. Treatment satisfaction and quality of life with insulin glargine plus insulin lispro compared with NPH insulin plus unmodified human insulin in individuals with type 1 diabetes. Diabetes Care. 2008; 31(6): 1112–1117.
3. Cooke D, O’Hara MC, Beinart N, Heller S, La Marca R, Byrne M, et al. Linguistic and psychometric validation of the Diabetes-Specific Quality-of-life Scale in U.K. English for adults with type 1 diabetes. Diabetes Care. 2013; 36(5): 1117–1125.
4. Bradley C, Eschwège E, de Pablos-Velasco P, Parhofer KG, Simon D, Vandenberghe H, et al. Predictors of Quality of Life and Other Patient-Reported Outcomes in the PANORAMA Multinational Study of People with Type 2 Diabetes. Diabetes Care. 2018; 41(2): 267–276. doi: 10.2337/dc16–2655.
5. Wang HF, Yeh MC. The quality of life of adults with type 2 diabetes in a hospital care clinic in Taiwan. Qual Life Res. 2013; 22(3): 577–584.
6. Turk E, Prevolnik Rupel V, Tapajner A, Leyshon S, Isola A. An Audit of Diabetes Dependent Quality of Life (ADDQOL) in older patients with diabetes mellitus type 2 in Slovenia. Value Health Reg Issues. 2013; 2: 248–253.
7. Papazafiropoulou AK, Bakomitrou F, Trikallinou A, Ganotopoulou A, Verras C, Christofilidis G, et al. Diabetes-dependent quality of life (ADDQOL) and affecting factors in patients with diabetes mellitus type 2 in Greece. BMC Res Notes. 2015; 8: 786, doi: 10.1186/s13104-015-1782-8.
8. Timar R, Velea I, Timar B, Lungeanu D, Oancea C, Roman D, et al. Factors influencing the quality of life perception in patients with type 2 diabetes mellitus. Patient Prefer Adherence. 2016; 10: 2471–2477.
9. Pichon-Riviere A, Irazola V, Beratarrecheal A, Alcaraz A, Carrara C. Quality of life in type 2 diabetes mellitus patients requiring insulin treatment in Buenos Aires, Argentina: a cross-sectional study. Int J Health Policy Manage. 2015; 4(7): 475–480.
10. Lemon SC, Rosal MC, Welch G. Measuring quality of life in low-income, Spanish speaking Puerto Ricans with type 2 diabetes residing in the mainland U.S. Qual Life Res. 2011; 20: 1507–1511.
11. Chung JO, Cho DH, Chung DJ, Chung MY. An assessment of the impact of type 2 diabetes on the quality of life based on age at diabetes diagnosis. Acta Diabetol. 2014; 51(6): 1065–1072.
12. Donald M, Dower J, Coll JR, Baker P, Mukandi B, Doi SAR. Mental health issues decrease diabetes-specific quality of life independent of glycaemic control and complications: findings from Australia’s living with diabetes cohort study. Health Qual Life Out. 2013; 11: 170.
13. Daher AM, AlMashoor SHA, Winn T. Performance of the Malay Audit of Diabetes Dependent Quality of Life-18 and associates of quality of life among patients with type 2 diabetes mellitus from Major Ethnic Groups of Malaysia. PLoS One. 2016, doi:10.1371/journal.pone.0163701.
14. Ozder A, Sekeroglu M, Eker HH. Quality of life and satisfaction with treatment in subjects with type 2 diabetes: results from primary health care in Turkey. Int J Clin Exp Med. 2014; 7(12): 5715–5722.
15. Chung JO, Cho DH, Chung DJ, Chung MY. Assessment of factors associated with the quality of life in Korean type 2 diabetic patients. Intern Med. 2013; 52: 179–185.
16. Wang HF, Bradley C, Chang TJ, Chuang LM, Yeh, MC. Assessing the impact of diabetes on quality of life: validation of the Chinese version of the 19-item Audit of Diabetes-Dependent Quality of Life for Taiwan. Int J Qual Health Care. 2017; 29(3): 335–342.
17. Kong D, Ding Y, Zuo X, Su W, Xiu L, Lin M, et al. Adaptation of the Audit of Diabetes Dependent Quality of Life questionnaire to people with diabetes in China. Diabetes Res Clin Pract. 2011; 94: 45–52.
18. Bradley C, Todd C, Gordon T, Symonds E, Martin A, Plowright R. The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life; the ADDQOL. Qual Life Res. 1999; 8: 79–91.
19. daCosta FA, Guerreiro JP, Duggan C. An Audit of Diabetes Dependent Quality of Life (ADDQoL) for Portugal: exploring validity and reliability. Pharm Pract. 2006; 4(3): 123–128.
20. Johari N, Manaf ZA, Ibrahim N, Shahar S, Mustafa N. Predictors of quality of life among hospitalized geriatric patients with diabetes mellitus upon discharge. Clin Intervent Aging. 2016; 11: 1455–1461.
21. Soon SS, Goh SY, Bee YM, Poon JL, Li SC, Thumboo J, Wee HL. Audit of Diabetes-Dependent Quality of Life (ADDQoL) [Chinese Version for Singapore] questionnaire: reliability and validity among Singaporeans with type 2 diabetes mellitus. Appl Health Econ Health Policy. 2010; 8(4): 239–249.
22. Turk E, Prevolnik-Rupel V, Tapajner A, Isola A. Reliability and validity of the Audit on Diabetes-Dependent Quality of Life (ADDQoL) and EQ-5D in elderly Slovenian diabetes mellitus type 2 patients. Health. 2014; 6: 699–711.
23. Collins MM, O’Sullivan T, Harkins V, Perry IJ. Quality of life and quality of care in patients with diabetes experiencing different models of care. Diabetes Care. 2009; 32(4): 603–605.
24. Iversen MM, Espehaug B, Rokne B, Haugstvedt A, Graue M. Psychometric properties of the Norwegian version of the Audit of Diabetes-Dependent Quality of Life. Qual Life Res. 2013; 22: 2809–2812.
25. Ostini R, Dower J, Donald M. The audit of diabetes-dependent quality of life 19 (ADDQoL): feasibility, reliability and validity in a population-based sample of Australian adults. Qual Life Res. 2012; 21: 1471–7.
26. Bąk E, Marcisz C, Nowak-Kapusta Z, Dobrzyn-Matusiak D, Marcisz E., Krzeminska S. Psychometric properties of the Audit of Diabetes-Dependent Quality of Life (ADDQoL) in a population-based sample of Polish adults with type 1 and 2 diabetes. Health Qual Life Out. 2018; 16(1): 53. doi: 10.1186/s12955–018–0878-y.
27. Chudiak A, Lomper K, Jankowska-Polanska B, Uchmanowicz I. The impact of diabetes education on the assessment of the quality of life of patients type 2 diabetes. Problemy Pielęgniarstwa 2015; (1): 1–6. [Polish].
28. Głowacka M, Roszak A, Kornatowski T, et al. Elderly patients’ quality of life as show on the example of HF and diabetes patients. Geriatria 2017; 11: 171–176. [Polish].
29. Kocka K, Bartoszek A, Ślusarska B et al. [The treatment, duration and complications of diabetes type 2 and the quality of life of the patients]. Med Rodz. 2017; 20(1): 9–16. [Polish].
30. Fal AM, Jankowska B, Uchmanowicz I, Sen M, Panaszek B, Polanski J. Type 2 diabetes quality of life patients treated with insulin and oral hypoglycemic medication. Act. Diab. 2011; 48(3): 237–42. doi: 10.1007/s00592–010–0244-y.
31. Juczyński Z. Measurement tools in the promotion health; 1 st ed. Warszawa: The Psychological Tests Lab of the Polish Psychological Association; 2001. p. 171–174.
32. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. Psychological Corporation San Antonio, TX, USA; 1996.
33. Bąk E, Marcisz C, Krzeminska S, Dobrzyn-Matusiak D, Foltyn A, Drosdzol-Cop A. Does type 1 diabetes modify sexuality and mood of women and men? Int J Environ Res Public Health. 2018; 15: 598. doi: 10.3390/ijerph15050958.
34. DAFNE Study Group. Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. BMJ. 2002; 5: 325(7367), 746.