Predictores de calidad de vida y diabetes mellitus tipo 1 en Latinoamérica: revisión sistemática
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Palabras clave
Diabetes Mellitus Tipo 1, Calidad de Vida, América Latina
Resumen
La diabetes mellitus es un grave problema de salud pública en todo el mundo. Es una enfermedad metabólica de predominio en la infancia y se caracteriza por la persistencia de una glucemia elevada como consecuencia de un déficit en la secreción o en la acción de la insulina. Es de evolución crónica e impacta en la calidad de vida de los pacientes. Con el fin de describir los predictores de la calidad de vida de los pacientes con diabetes mellitus tipo 1 en los países latinoamericanos se realizó una búsqueda sistematizada en las bases de datos PubMed, Redalyc, SciELO, Scopus y Web of Science con los términos “SF-36”, “WHOQOL” y “diabetes”. Se identificaron 2168 artículos, de los cuales solo cinco fueron incluidos en el análisis cualitativo. Se encontró que la comorbilidad y las complicaciones disminuyen la calidad de vida de los pacientes con diabetes mellitus tipo 1, y que factores como la adecuada adherencia terapéutica, el buen control metabólico y el bienestar psicosocial y emocional impactan positivamente en la calidad de vida de estos pacientes. La comorbilidad y las complicaciones que presentan los pacientes con diabetes mellitus tipo 1 son los principales predictores de mala calidad de vida.
Referencias
1. Mayoral-González B, Riaño-Galán I, Rodríguez-Dehli CR, Labra-Álvarez R, Díaz-Naya L, Menéndez-Torre E. Epidemiología de la diabetes tipo 1 en Asturias:2002-2011. Endocrinol Diabetes Nutr. 2018;65:68-73.
2. Lecumberri E, Ortega M, Iturregui M, Quesada JA, Vázquez C, Orozco D. Quality of life and treatment satisfaction in actual clinical practice of patients with type 1 diabetes mellitus (T1DM) and hypoglycemia treated with insulin degludec. Curr Med Res Opin. 2018;34:1053-9.
3. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33 (Suppl 1):S62-9.
4. Della Manna T, Setian N, Savoldelli RD, Rondina Guedes D, Kuperman H, Menezes Filho HC, et al. Diabetes mellitus in childhood:an emerging condition in the 21st century. Rev Assoc Med Bras. 2016;62:594-601.
5. Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2018;14:88-98
6. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4-14.
7. International Diabetes Federation. Diabetes Atlas. 8th ed. Bruselas, Bélgica;2017.
8. WHOQOL Group. Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res. 1993;2:153-9.
9. WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL):position paper from the World Health Organization. Soc Sci Med Title. 1995;41:1403-9.
10. Santiprabhob J, Kiattisakthavee P, Likitmaskul S, Chaichanwattanakul K, Wekawanich J, Dumrongphol H, et al. Glycemic control, quality of life and self-care behavior among adolescents with type 1 diabetes who attended a diabetes camp. Southeast Asian J Trop Med Public Health. 2012;43:172-84.
11. Guo J, Whittemore R, Jeon S, Grey M, Zhou ZG, He GP, et al. Diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes. J Clin Nurs. 2015;24:1258-68.
12. Hapunda G, Abubakar A, van de Vijver F, Pouwer F. Living with type 1 diabetes is challenging for Zambian adolescents:qualitative data on stress, coping with stress and quality of care and life. BMC Endocr Disord. 2015;15:20.
13. Kalweit KL, Briers N, Olorunju S. The success of various management techniques used in South African children with type 1 diabetes mellitus. S Afr Med J. 2015;105:400-4.
14. Prahalad P, Tanenbaum M, Hood K, Maahs DM. Diabetes technology:improving care, improving patient-reported outcomes and preventing complications in young people with type 1 diabetes. Diabet Med. 2018;35:419-29.
15. Shalitin S, Peter Chase H. Diabetes technology and treatments in the paediatric age group. Int J Clin Pract Suppl. 2011;170:76-82.
16. Christie D, Thompson R, Sawtell M, Allen E, Cairns J, Smith F, et al. Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes:a cluster randomised controlled trial with integral process and economic evaluation —the CASCADE study. Health Technol Assess. 2014;18:1-202.
17. International Diabetes Federation. Global fact sheet from IDF Diabetes Atlas, 8th ed. 2017. Disponible en:https://www.worlddiabetesfoundation.org/sites/default/files/Atlas-8e-Global-factsheet.pdf
18. Sánchez-de la Cruz JP, González-Morales DL, González-Castro TB, Tovilla-Zárate CA, Juárez-Rojop E, López-Narváez L, et al. Quality of life of Latin-American individuals with type 2 diabetes mellitus:a systematic review. Prim Care Diabetes. 2019;14:317-34.
19. Gómez-Pimienta E, González-Castro TB. Decreased quality of life in individuals with type 2 diabetes mellitus is associated with emotional distress. Int J Environ Res Public Health. 2019;16:2652.
20. Juárez-Rojop IE, Fortuny-Falconi CM, González-Castro TB, Tovilla-Zárate CA, Villar-Soto M, RodríguezSánchez E, et al. Association between reduced quality of life and depression in patients with type 2 diabetes mellitus:a cohort study in a Mexican population. Neuropsychiatr Dis Treat. 2018;14:2511-8.
21. Novato TS, Grossi SAA, Kimura M. Quality of life and self-esteem of adolescents with diabetes mellitus. Acta Paulista de Enfermagem. 2008;21:562-7.
22. Miranzi SSC, Ferreira FS, Iwamoto HH, Araújo Pereira G, Silveira Miranzi MA. Qualidade de vida de indivíduos com diabetes mellitus e hipertensão acompanhados por uma equipe de saúde da família. Texto Contexto Enferm. 2008;17:672.
23. Dos Santos MA, Silva AFS, Oliveira-Cardoso EA, Mastropietro AP, Voltarelli JC. Impact of autologous hematopoietic stem cell transplantation on the quality of life of type 1 diabetes mellitus patients. Psicol Reflex Crit. 2011;24:264-71.
24. Almeida SA, Silveira MM, Espírito Santo PF, Pereira RC, SaloméGM. Avaliação da qualidade de vida em pacientes com diabetes mellitus e péulcerado. Rev Bras Cir Plast. 2013;28:142-6.
25. De Ornelas Maia ACC, de Azevedo Braga A, Paes F, Machado S, Carta MG, Nardi AE, et al. Comorbidity of depression and anxiety:association with poor quality of life in type 1 and 2 diabetic patients. Clin Pract Epidemiol Ment Health. 2013;9:136-41.
26. Hart HE, Redekop WK, Berg M, Bilo HJG, Meyboom-de Jong B. Factors that predicted change in health-related quality of life were identified in a cohort of diabetes mellitus type 1 patients. J Clin Epidemiol. 2005;58:1158-64.
27. Marshall SL, Edidin D, Sharma V, Ogle G, Arena VC, Orchard T. Current clinical status, glucose control, and complication rates of children and youth with type 1 diabetes in Rwanda. Pediatr Diabetes. 2013;14:217-26.
28. Quah JHM, Wang P, Ng RRG, Luo N, Tan NC. Health-related quality of life of older Asian patients with multimorbidity in primary care in a developed nation. Geriatr Gerontol Int. 2017;17:1429-37.
29. Dos Santos KdFR, da Silva PR, Ferreira VT, Rocha Domingues EA, Anselmo Simões IR, Silva Lima R, et al. Quality of life of people with chronic ulcers. J Vasc Nurs. 2016;34:131-6.
30. Nemcova J, Hlinkova E, Farsky I, ŽiakováK, JarošováD, ZeleníkováR, et al. Quality of life of patients with diabetic foot ulcer in the Visegrad countries. J Clin Nurs. 2017;26:1245-56.
31. Rechenberg K, Whittemore R, Grey M. Anxiety in youth with type 1 diabetes. J Pediatr Health Care. 2017;32:64-71.
32. Vanstone M, Rewegan A, Brundisini F, Dejean D, Giacomini M. Patient perspectives on quality of life with uncontrolled type 1 diabetes mellitus:a systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser. 2015;15:1-29.
33. Smith-Palmer J, Bae JP, Boye KS, Norrbacka K, Hunt B, Valentine WJ. Evaluating health-related quality of life in type 1 diabetes:a systematic literature review of utilities for adults with type 1 diabetes. Clinicoecon Outcomes Res. 2016;8:559-71.
34. Glasgow RE, Ruggiero L, Eakin EG, Dryfoos J, Chobanian L. Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care. 1997;20:562-7.
35. Gu B, Miao H, Zhang J, Hu J, Zhou W, Gu W, et al. Clinical benefits of autologous haematopoietic stem cell transplantation in type 1 diabetes patients. Diabetes Metab. 2018;44:341-5.
36. Snarski E, Szmurło D, Hałaburda K, Król M, Urbanowska E, Milczarczyk A, et al. An economic analysis of autologous hematopoietic stem cell transplantation (AHSCT) in the treatment of new onset type 1 diabetes. Acta Diabetol. 2015;52:881-8.
37. Penaforte-Saboia JG, Montenegro RM Jr, Couri CE, Batista LA, Montenegro APDR, Fernandes VO, et al. Microvascular complications in type 1 diabetes:a comparative analysis of patients treated with autologous nonmyeloablative hematopoietic stem-cell transplantation and conventional medical therapy. Front Endocrinol (Lausanne). 2017;8:331.
38. Shehadeh N, Maor Y. Effect of a new insulin treatment regimen on glycaemic control and quality of life of Muslim patients with type 2 diabetes mellitus during Ramadan fast —an open label, controlled, multicentre, cluster randomised study. Int J Clin Pract Suppl. 2015;69:1281-8.
39. Gao L, Ji L, Su Q, Feng B, Shan Z, Hu R, et al. Impact of structured self-monitoring of blood glucose on the quality of life of insulin-treated Chinese patients with type 2 diabetes mellitus:results from the COMPASS study. Diabetes Res Clin Pract. 2016;112:88-93.
40. Ridderstrale M, Evans LM, Jensen HH, Bøgelund M, Jensen MM, Ericsson A, et al. Estimating the impact of changes in HbA1c, body weight and insulin injection regimen on health related quality-of-life:a time trade off study. Diabetes Res Clin Pract. 2016;14:13.
41. Hermanns N, Kulzer B, Kohlmann T, Jacob S, Landgraf W, Theobald K, et al. Treatment satisfaction and quality-of-life between type 2 diabetes patients initiating long- vs. intermediate-acting basal insulin therapy in combination with oral hypoglycemic agents —a randomized, prospective, crossover, open clinical trial. Health Qual Life Outcomes. 2015;13:77.
2. Lecumberri E, Ortega M, Iturregui M, Quesada JA, Vázquez C, Orozco D. Quality of life and treatment satisfaction in actual clinical practice of patients with type 1 diabetes mellitus (T1DM) and hypoglycemia treated with insulin degludec. Curr Med Res Opin. 2018;34:1053-9.
3. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33 (Suppl 1):S62-9.
4. Della Manna T, Setian N, Savoldelli RD, Rondina Guedes D, Kuperman H, Menezes Filho HC, et al. Diabetes mellitus in childhood:an emerging condition in the 21st century. Rev Assoc Med Bras. 2016;62:594-601.
5. Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2018;14:88-98
6. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4-14.
7. International Diabetes Federation. Diabetes Atlas. 8th ed. Bruselas, Bélgica;2017.
8. WHOQOL Group. Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res. 1993;2:153-9.
9. WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL):position paper from the World Health Organization. Soc Sci Med Title. 1995;41:1403-9.
10. Santiprabhob J, Kiattisakthavee P, Likitmaskul S, Chaichanwattanakul K, Wekawanich J, Dumrongphol H, et al. Glycemic control, quality of life and self-care behavior among adolescents with type 1 diabetes who attended a diabetes camp. Southeast Asian J Trop Med Public Health. 2012;43:172-84.
11. Guo J, Whittemore R, Jeon S, Grey M, Zhou ZG, He GP, et al. Diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes. J Clin Nurs. 2015;24:1258-68.
12. Hapunda G, Abubakar A, van de Vijver F, Pouwer F. Living with type 1 diabetes is challenging for Zambian adolescents:qualitative data on stress, coping with stress and quality of care and life. BMC Endocr Disord. 2015;15:20.
13. Kalweit KL, Briers N, Olorunju S. The success of various management techniques used in South African children with type 1 diabetes mellitus. S Afr Med J. 2015;105:400-4.
14. Prahalad P, Tanenbaum M, Hood K, Maahs DM. Diabetes technology:improving care, improving patient-reported outcomes and preventing complications in young people with type 1 diabetes. Diabet Med. 2018;35:419-29.
15. Shalitin S, Peter Chase H. Diabetes technology and treatments in the paediatric age group. Int J Clin Pract Suppl. 2011;170:76-82.
16. Christie D, Thompson R, Sawtell M, Allen E, Cairns J, Smith F, et al. Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes:a cluster randomised controlled trial with integral process and economic evaluation —the CASCADE study. Health Technol Assess. 2014;18:1-202.
17. International Diabetes Federation. Global fact sheet from IDF Diabetes Atlas, 8th ed. 2017. Disponible en:https://www.worlddiabetesfoundation.org/sites/default/files/Atlas-8e-Global-factsheet.pdf
18. Sánchez-de la Cruz JP, González-Morales DL, González-Castro TB, Tovilla-Zárate CA, Juárez-Rojop E, López-Narváez L, et al. Quality of life of Latin-American individuals with type 2 diabetes mellitus:a systematic review. Prim Care Diabetes. 2019;14:317-34.
19. Gómez-Pimienta E, González-Castro TB. Decreased quality of life in individuals with type 2 diabetes mellitus is associated with emotional distress. Int J Environ Res Public Health. 2019;16:2652.
20. Juárez-Rojop IE, Fortuny-Falconi CM, González-Castro TB, Tovilla-Zárate CA, Villar-Soto M, RodríguezSánchez E, et al. Association between reduced quality of life and depression in patients with type 2 diabetes mellitus:a cohort study in a Mexican population. Neuropsychiatr Dis Treat. 2018;14:2511-8.
21. Novato TS, Grossi SAA, Kimura M. Quality of life and self-esteem of adolescents with diabetes mellitus. Acta Paulista de Enfermagem. 2008;21:562-7.
22. Miranzi SSC, Ferreira FS, Iwamoto HH, Araújo Pereira G, Silveira Miranzi MA. Qualidade de vida de indivíduos com diabetes mellitus e hipertensão acompanhados por uma equipe de saúde da família. Texto Contexto Enferm. 2008;17:672.
23. Dos Santos MA, Silva AFS, Oliveira-Cardoso EA, Mastropietro AP, Voltarelli JC. Impact of autologous hematopoietic stem cell transplantation on the quality of life of type 1 diabetes mellitus patients. Psicol Reflex Crit. 2011;24:264-71.
24. Almeida SA, Silveira MM, Espírito Santo PF, Pereira RC, SaloméGM. Avaliação da qualidade de vida em pacientes com diabetes mellitus e péulcerado. Rev Bras Cir Plast. 2013;28:142-6.
25. De Ornelas Maia ACC, de Azevedo Braga A, Paes F, Machado S, Carta MG, Nardi AE, et al. Comorbidity of depression and anxiety:association with poor quality of life in type 1 and 2 diabetic patients. Clin Pract Epidemiol Ment Health. 2013;9:136-41.
26. Hart HE, Redekop WK, Berg M, Bilo HJG, Meyboom-de Jong B. Factors that predicted change in health-related quality of life were identified in a cohort of diabetes mellitus type 1 patients. J Clin Epidemiol. 2005;58:1158-64.
27. Marshall SL, Edidin D, Sharma V, Ogle G, Arena VC, Orchard T. Current clinical status, glucose control, and complication rates of children and youth with type 1 diabetes in Rwanda. Pediatr Diabetes. 2013;14:217-26.
28. Quah JHM, Wang P, Ng RRG, Luo N, Tan NC. Health-related quality of life of older Asian patients with multimorbidity in primary care in a developed nation. Geriatr Gerontol Int. 2017;17:1429-37.
29. Dos Santos KdFR, da Silva PR, Ferreira VT, Rocha Domingues EA, Anselmo Simões IR, Silva Lima R, et al. Quality of life of people with chronic ulcers. J Vasc Nurs. 2016;34:131-6.
30. Nemcova J, Hlinkova E, Farsky I, ŽiakováK, JarošováD, ZeleníkováR, et al. Quality of life of patients with diabetic foot ulcer in the Visegrad countries. J Clin Nurs. 2017;26:1245-56.
31. Rechenberg K, Whittemore R, Grey M. Anxiety in youth with type 1 diabetes. J Pediatr Health Care. 2017;32:64-71.
32. Vanstone M, Rewegan A, Brundisini F, Dejean D, Giacomini M. Patient perspectives on quality of life with uncontrolled type 1 diabetes mellitus:a systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser. 2015;15:1-29.
33. Smith-Palmer J, Bae JP, Boye KS, Norrbacka K, Hunt B, Valentine WJ. Evaluating health-related quality of life in type 1 diabetes:a systematic literature review of utilities for adults with type 1 diabetes. Clinicoecon Outcomes Res. 2016;8:559-71.
34. Glasgow RE, Ruggiero L, Eakin EG, Dryfoos J, Chobanian L. Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care. 1997;20:562-7.
35. Gu B, Miao H, Zhang J, Hu J, Zhou W, Gu W, et al. Clinical benefits of autologous haematopoietic stem cell transplantation in type 1 diabetes patients. Diabetes Metab. 2018;44:341-5.
36. Snarski E, Szmurło D, Hałaburda K, Król M, Urbanowska E, Milczarczyk A, et al. An economic analysis of autologous hematopoietic stem cell transplantation (AHSCT) in the treatment of new onset type 1 diabetes. Acta Diabetol. 2015;52:881-8.
37. Penaforte-Saboia JG, Montenegro RM Jr, Couri CE, Batista LA, Montenegro APDR, Fernandes VO, et al. Microvascular complications in type 1 diabetes:a comparative analysis of patients treated with autologous nonmyeloablative hematopoietic stem-cell transplantation and conventional medical therapy. Front Endocrinol (Lausanne). 2017;8:331.
38. Shehadeh N, Maor Y. Effect of a new insulin treatment regimen on glycaemic control and quality of life of Muslim patients with type 2 diabetes mellitus during Ramadan fast —an open label, controlled, multicentre, cluster randomised study. Int J Clin Pract Suppl. 2015;69:1281-8.
39. Gao L, Ji L, Su Q, Feng B, Shan Z, Hu R, et al. Impact of structured self-monitoring of blood glucose on the quality of life of insulin-treated Chinese patients with type 2 diabetes mellitus:results from the COMPASS study. Diabetes Res Clin Pract. 2016;112:88-93.
40. Ridderstrale M, Evans LM, Jensen HH, Bøgelund M, Jensen MM, Ericsson A, et al. Estimating the impact of changes in HbA1c, body weight and insulin injection regimen on health related quality-of-life:a time trade off study. Diabetes Res Clin Pract. 2016;14:13.
41. Hermanns N, Kulzer B, Kohlmann T, Jacob S, Landgraf W, Theobald K, et al. Treatment satisfaction and quality-of-life between type 2 diabetes patients initiating long- vs. intermediate-acting basal insulin therapy in combination with oral hypoglycemic agents —a randomized, prospective, crossover, open clinical trial. Health Qual Life Outcomes. 2015;13:77.
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Publicado
11 octubre 2021
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Artículo de revisión
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Cómo citar
1.
González-Morales DL, Sánchez-de la Cruz JP, González-Castro TB, Tovilla-Zárete CA, Gallegos-Velázquez JF, Juárez-Rojop IE, et al. Predictores de calidad de vida y diabetes mellitus tipo 1 en Latinoamérica: revisión sistemática. Rev Med Inst Mex Seguro Soc [Internet]. 2021 Oct. 11 [cited 2025 Aug. 5];58(5):603-11. Available from: https://revistamedica.imss.gob.mx/index.php/revista_medica/article/view/3452