20.500.12556/RUL-156224 Beyond diagnosis investigating factors influencing health-related quality of life in older people with type 2 diabetes in Slovenia Aims: To examine the present state of health-related quality of life (HRQOL) among elderly individuals with type 2 diabetes (T2D) receiving integrated care and identify risk factors associated with low HRQOL. Methods: A multi-centre cross-sectional survey among elderly individuals with T2D, treated in Slovenian urban and rural primary care settings was performed. HRQOL was investigated using EuroQol 5-dimension (EQ-5D) questionnaire and Appraisal of Diabetes Scale (ADS). Furthermore, socio-demographic, clinical, and laboratory data were collected. Low HRQOL was defined as EQ-5D utility score <10%. Statistical analysis was performed using univariate and multivariate binary logistic regression statistics. Results: Examining 358 people with median age of 72 (range 65–98) years and with a mean EQ-5D utility score of 0.80, the study found that lower HRQOL correlated with older age, higher body mass index (BMI), lower education, elevated depressive symptoms, increased challenges across all EQ-5D dimensions, and less favourable appraisal of diabetes. When considering age, gender, education, and HbA1c, the main predictors of low HRQOL were BMI (OR 1.35, 95% CI 1.04–1.76, p = 0.025) and ADS score (OR 1.63, 95% CI 1.13–2.35, p = 0.009). Conclusions: To improve HRQOL, integrated care models should consider interventions that target mental health, obesity prevention, chronic pain management, diabetes education, self-management, and treatment plan personalisation. quality of life type 2 diabetes elderly obesity appraisal of diabetes resilience kakovost življenja diabetes tip 2 starostniki debelost ocena sladkorne bolezni odpornost true false true Angleški jezik Slovenski jezik Članek v reviji 2024-05-15 08:21:08 2024-05-15 08:21:14 2024-05-16 03:53:21 0000-00-00 00:00:00 2024 0 0 Str. 157–162 iss. 2 Vol. 18 2024 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.379 1751-9918 10.1016/j.pcd.2024.01.010 186518531 1-s2.0-S1751991824000111-main.pdf 1-s2.0-S1751991824000111-main.pdf 1 1A0879ACACB1925A4593D06D85681FEB d4bf41e215675d39214ccafe48748933a725fb4c4aef0e89eb7d6d7dfda0bba3 1703fda0-1286-11ef-af1f-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=183575 https://www.sciencedirect.com/science/article/pii/S1751991824000111 0 082266b6-1286-11ef-af1f-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=183574 https://www.primary-care-diabetes.com/article/S1751-9918(24)00011-1/fulltext 1 550b0555-1283-11ef-af1f-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=183569 Medicinska fakulteta 0 0 0