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Authors
Advisor(s)
Abstract(s)
Introdução: Em recentes anos, a diabetes mellitus tem-se tornado numa preocupação
primária e crescente de saúde pública apresentando associativamente várias
comorbilidades com afeção na qualidade de vida tanto geral como relacionada com a
visão. Deste modo, é de relevo entender o estado atual de qualidade de vida dos sujeitos
afetados de modo a melhor aplicar tratamentos ajustados às suas necessidades pessoais.
Objetivos: Estimar e analisar características sociodemográficas e deficiências visuais em
pacientes diabéticos no concelho da Covilhã comparativamente a uma população de não
diabéticos e a outros estudos epidemiológicos noutras regiões, assim como identificar e
caracterizar o impacto destas características sociodemográficas e deficiências visuais na
qualidade de vida de pacientes diabéticos do Concelho da Covilhã.
Métodos: Este estudo transversal foi baseado numa população de 856 diabéticos e num
controlo de 40 sujeitos não diabéticos com 45 ou mais anos. Ambos com resultados
sociodemográficos, de acuidade visual habitual binocular e do 39-item National Eye
Institute Visual Functioning Questionnaire válidos mediante consulta com optometristas
treinados para o efeito.
Resultados: Dos 856 sujeitos diabéticos analisado, 384 (44,9 %) eram mulheres e 472
homens (55,1 %) com uma idade média de 67,2 ± 10,5 anos. Dentro dos 40 sujeitos não
diabéticos, 18 eram mulheres (45,0%) e 22 homens (55,0%) com uma idade média de 70,9
± 11,0 anos. Foi encontrada melhor qualidade de vida relacionada com a visão nos sujeitos
não diabéticas em relação aos diabéticos nos subgrupos de dor ocular, funcionamento
social, condução e visão das cores do 39-item National Eye Institute Visual Functioning
Questionnaire através de teste-t para amostras independentes. Dentro dos sujeitos
diabéticos foi encontrada pior pontuações de NEI-VFQ-39 em sujeitos com maior idade,
maior duração da diabetes, pior acuidade visual habitual binocular ao perto e ao longe e
sexo feminino. Dentro dos sujeitos não diabéticos não foi encontrada nenhuma associação
significativa entre idade, sexo e o 39-item National Eye Institute Visual Functioning
Questionnaire.
Conclusões: Alguns aspetos da qualidade de vida relacionada com a visão dos sujeitos
diabéticos no concelho da Covilhã são significativamente reduzidos em relação a sujeitos
não diabéticos. Adicionalmente, progressão da diabetes e pior acuidade visual estão
relacionados com pior qualidade de vida relacionada com a visão. Mais estudos centrados
na qualidade de vida de sujeitos diabéticos devem ser realizados no futuro de modo a
confirmar os presentes resultados e daí permitir serviços de saúde mais bem-adaptados às
necessidades pessoais dos pacientes.
Introduction: In recent years, diabetes mellitus has become a primary and growing public health concern with several associated comorbidities affecting quality of life, both general and vision related. Thus, it is important to understand the current state of quality of life of affected subjects in order to better apply treatments adjusted to their personal needs. Objectives: To estimate and analyze socio-demographic characteristics and visual impairments in diabetic patients in the Covilhã Municipality compared to a non-diabetic population and to other epidemiological studies in other regions, as well as to identify and characterize the impact of these socio-demographic characteristics and visual impairments on the quality of life of diabetic patients in the Covilhã Municipality. Methods: This cross-sectional study was based on a population of 856 diabetics and a control of 40 non-diabetic subjects aged 45 or older. Both with valid sociodemographic, binocular habitual visual acuity and 39-item National Eye Institute Visual Functioning Questionnaire results upon consultation with trained optometrists. Results: Of the 856 diabetic subjects analyzed, 384 (44.9 %) were female and 472 male (55.1 %) with a mean age of 67.2 ± 10.5 years. Within the 40 non-diabetic subjects, 18 were female (45.0 %) and 22 male (55.0 %) with a mean age of 70.9 ± 11.0 years. Better visionrelated quality of life was found in the non-diabetic subjects compared to the diabetic subjects in the 39-item National Eye Institute Visual Functioning Questionnaire subgroups of eye pain, social functioning, driving and color vision by independent t-test. Within the diabetic subjects worse NEI-VFQ-39 scores were found in subjects with higher age, longer duration of diabetes, worse binocular habitual near and distant visual acuity, and female gender. Within the non-diabetic subjects, no significant association was found between age, sex, and the 39-item National Eye Institute Visual Functioning Questionnaire. Conclusions: Some aspects of vision-related quality of life of diabetic subjects in the municipality of Covilhã are significantly reduced compared to non-diabetic subjects. Additionally, diabetes progression and worse visual acuity are related to worse visionrelated quality of life. Further studies focusing on the quality of life of diabetic subjects should be performed in the future in order to confirm the present results and thus allow for health services better adapted to the personal needs of the patients.
Introduction: In recent years, diabetes mellitus has become a primary and growing public health concern with several associated comorbidities affecting quality of life, both general and vision related. Thus, it is important to understand the current state of quality of life of affected subjects in order to better apply treatments adjusted to their personal needs. Objectives: To estimate and analyze socio-demographic characteristics and visual impairments in diabetic patients in the Covilhã Municipality compared to a non-diabetic population and to other epidemiological studies in other regions, as well as to identify and characterize the impact of these socio-demographic characteristics and visual impairments on the quality of life of diabetic patients in the Covilhã Municipality. Methods: This cross-sectional study was based on a population of 856 diabetics and a control of 40 non-diabetic subjects aged 45 or older. Both with valid sociodemographic, binocular habitual visual acuity and 39-item National Eye Institute Visual Functioning Questionnaire results upon consultation with trained optometrists. Results: Of the 856 diabetic subjects analyzed, 384 (44.9 %) were female and 472 male (55.1 %) with a mean age of 67.2 ± 10.5 years. Within the 40 non-diabetic subjects, 18 were female (45.0 %) and 22 male (55.0 %) with a mean age of 70.9 ± 11.0 years. Better visionrelated quality of life was found in the non-diabetic subjects compared to the diabetic subjects in the 39-item National Eye Institute Visual Functioning Questionnaire subgroups of eye pain, social functioning, driving and color vision by independent t-test. Within the diabetic subjects worse NEI-VFQ-39 scores were found in subjects with higher age, longer duration of diabetes, worse binocular habitual near and distant visual acuity, and female gender. Within the non-diabetic subjects, no significant association was found between age, sex, and the 39-item National Eye Institute Visual Functioning Questionnaire. Conclusions: Some aspects of vision-related quality of life of diabetic subjects in the municipality of Covilhã are significantly reduced compared to non-diabetic subjects. Additionally, diabetes progression and worse visual acuity are related to worse visionrelated quality of life. Further studies focusing on the quality of life of diabetic subjects should be performed in the future in order to confirm the present results and thus allow for health services better adapted to the personal needs of the patients.
Description
Keywords
Diabetes Qualidade de Vida Qualidade de Vida Relacionada com a Visão