골다공증이 있는 폐경 후 당뇨 여성의 건강관련 삶의 질 영향요인: 제7기 국민건강영양조사 자료(2016-2018년) 활용
Factors influencing the health-related quality of life of postmenopausal women with diabetes and osteoporosis: a secondary analysis of the Seventh Korea National Health and Nutrition Examination Survey (2016–2018)
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Purpose: The prevalence of osteoporosis in postmenopausal women is increasing, and diabetes patients have decreased bone density. Their health-related quality of life (HRQoL) is diminished by the resultant physical dysfunction and depression. The purpose of this study was to identify factors influencing HRQoL in postmenopausal women with diabetes and osteoporosis.Methods: This was a secondary data analysis of the Seventh Korea Health and Nutrition Examination Survey (2016–2018), which utilized a complex, multistage probability sample design. The participants in the study were 237 women with diabetes and osteoporosis. To evaluate the factors that influenced HRQoL, a complex-samples general linear model was constructed, and the Bonferroni correction was performed.Results: In this sample of women aged 45 to 80 years (mean±standard deviation, 71.12±7.21 years), the average HRQoL score was 0.83±0.18 out of 1.0. Factors influencing HRQoL were age (70s: t=–3.74, p<.001; 80s: t=–3.42, p=.001), walking for exercise more than 5 days a week (t=–2.83, p=.005), cerebrovascular disease (t=–8.33, p<.001), osteoarthritis (t=–2.04, p=.014), hypertension (t=2.03, p=.044), higher perceived stress (t=–2.17, p=.032), poor glycemic control (t=3.40, p=.001), waist circumference (t=–2.76, p=.007), sitting time per day (t=–2.10, p=.038), and a longer postmenopausal period (t=3.09, p=.002).Conclusion: In order to improve the HRQoL of postmenopausal women with osteoporosis and diabetes, it is necessary to implement intervention strategies that enable the effective management of chronic diseases, while preventing the complications of diabetes and minimizing stress through physical activity.
Abstract
Purpose: The prevalence of osteoporosis in postmenopausal women is increasing, and diabetes patients have decreased bone density. Their health-related quality of life (HRQoL) is diminished by the resultant physical dysfunction and depression. The purpose of this study was to identify factors influencing HRQoL in postmenopausal women with diabetes and osteoporosis.Methods: This was a secondary data analysis of the Seventh Korea Health and Nutrition Examination Survey (2016–2018), which utilized a complex, multistage probability sample design. The participants in the study were 237 women with diabetes and osteoporosis. To evaluate the factors that influenced HRQoL, a complex-samples general linear model was constructed, and the Bonferroni correction was performed.Results: In this sample of women aged 45 to 80 years (mean±standard deviation, 71.12±7.21 years), the average HRQoL score was 0.83±0.18 out of 1.0. Factors influencing HRQoL were age (70s: t=–3.74, p<.001; 80s: t=–3.42, p=.001), walking for exercise more than 5 days a week (t=–2.83, p=.005), cerebrovascular disease (t=–8.33, p<.001), osteoarthritis (t=–2.04, p=.014), hypertension (t=2.03, p=.044), higher perceived stress (t=–2.17, p=.032), poor glycemic control (t=3.40, p=.001), waist circumference (t=–2.76, p=.007), sitting time per day (t=–2.10, p=.038), and a longer postmenopausal period (t=3.09, p=.002).Conclusion: In order to improve the HRQoL of postmenopausal women with osteoporosis and diabetes, it is necessary to implement intervention strategies that enable the effective management of chronic diseases, while preventing the complications of diabetes and minimizing stress through physical activity.
참고문헌 (34)
- Dong Won Byun, "Assessment of patient-reported outcomes (PROs): treatment satisfaction, medication adherence, and quality of life (QoL) and the associated factors in postmenopausal osteoporosis (PMO) patients in Korea", Journal of Bone and Mineral Metabolism, 37(3), pp.563~572 (2018), Springer Science and Business Media LLC[DOI]
- "The 7th Korea national health and nutrition examination survey (2016-2018)" (2020)[URL]
- "Quick reference guideline" (2021)[URL]
- M. Janghorbani, "Systematic Review of Type 1 and Type 2 Diabetes Mellitus and Risk of Fracture", American Journal of Epidemiology, 166(5), pp.495~505 (2007), Oxford University Press (OUP)[DOI]
- Chiung-Yu Huang, "Risk Factors and Coping Style Affect Health Outcomes in Adults With Type 2 Diabetes", Biological Research For Nursing, 18(1), pp.82~89 (2015), SAGE Publications[DOI]
- 김지순, "중년 이후 여성에서 삶의 질 저하에 영향을 미치는 요인: 폐경 형태와 대사증후군 위험요인을 중심으로", 여성건강간호학회지, 22(4), pp.275~286 (2016), 한국여성건강간호학회[DOI]
- Min Kyong Moon, "Combination Therapy of Oral Hypoglycemic Agents in Patients with Type 2 Diabetes Mellitus", The Journal of Korean Diabetes, 19(1), pp.23~30 (2018), Korean Diabetes Association[DOI]
- "The prevalence of diabetes" (2021)[URL]
- 정유준, "여가제약, 삶의 질, 자살생각 간의 관계", 관광연구, 31(8), pp.121~144 (2016), 대한관광경영학회[DOI]
- 최금자, "폐경 후 연령대별 골밀도 영향 요인", 보건의료산업학회지, 11(4), pp.145~155 (2017), 보건의료산업학회
- 김은숙, "골다공증이 있는 폐경 여성의 삶의 질 영향요인: 제7기 2016년도 국민건강영양조사를 활용한 이차 자료분석", Journal of The Korean Data Analysis Society, 22(1), pp.403~417 (2020), 한국자료분석학회[DOI]
- 조정란, "2형 당뇨병이 있는 50세 이상 남성 및 폐경후여성에서의 골밀도", 한국컴퓨터정보학회논문지, 26(8), pp.197~207 (2021), 한국컴퓨터정보학회[DOI]
- 홍상모, "한국 노인 여성에서 골다공증은 삶의 질의 저하와 연관이 있다", OSTEOPOROSIS, 9(2), pp.175~179 (2011), 대한골다공증학회
- ". Available from"[URL]
- Korean Diabetes Association, "2015 Treatment guideline for diabetes", pp.24~40 (2015), Korean Diabetes Association
- American Diabetes Association, "6. Glycemic Targets: <i>Standards of Medical Care in Diabetes—2018<", i>, 2017, pp.41(Supplement_1), S55~S64[DOI]
- 정윤주, "중년기 여성의 골다공증 지식 및 예방행위, 자기효능감이 건강관련 삶의 질에 미치는 영향", 문화기술의 융합, 7(2), pp.107~116 (2021), 국제문화기술진흥원
- 김시월, "베이비붐 세대의 재정상태가 삶의 만족도에 미치는 영향- 취업자와 비취업자의 비교 분석 -", Financial Planning Review, 6(3), pp.1~33 (2013), 한국FP학회
- 정경화, "스트레스, 사회적 지지, 생활습관이 중년여성의 건강관련 삶의 질에 미치는 영향", Journal of Korean Biological Nursing Science, 21(1), pp.62~69 (2019), 한국기초간호학회[DOI]
- 이호민, "저소득층 폐경기 여성의 비만에 따른 대사적 건강상태와 신체활동 및 좌식행동과의 관련성", Asian Journal of Physical Education and Sport Science, 8(2), pp.75~89 (2020), 학교체육연구소[DOI]
- Lee HJ, "Exercise in osteoporosis", Geriatr Rehabilit, 6(1), pp.27~34 (2016)
- 권명진, "독거노인의 좌식시간과 건강관련 삶의 질: 제7기 국민건강영양조사 자료(2016~2018) 활용", 기본간호학회지, 28(3), pp.343~352 (2021), 기본간호학회[DOI]
- 이성은, "노인의 시력이 주관적 건강에 미치는 영향과 사회활동 참여의 매개효과", 특수교육재활과학연구, 55(4), pp.27~41 (2016), 특수교육재활과학연구소[DOI]
- 방소연, "고혈압 노인의 건강 생활습관과 삶의 질", 디지털콘텐츠학회논문지, 19(11), pp.2159~2166 (2018), 한국디지털콘텐츠학회[DOI]
- 손정태, "농촌지역 골관절염 환자의 삶의 질에 영향을 미치는 요인", 한국노년학, 34(1), pp.23~35 (2014), 한국노년학회
- 정은선, "60대 이상 고령층의 류마티스 관절염과 생활행태가 삶의 질에 미치는 영향에 대한 연구: 국민건강영양조사(2015-2019)를 중심으로", 한국산학기술학회논문지, 22(9), pp.56~64 (2021), 한국산학기술학회[DOI]
- 박은영, "골다공증 여성노인의 건강관련 삶의 질 영향 요인: 국민건강영양조사 자료 활용(2015~2016)", 재활간호학회지, 21(2), pp.140~150 (2018), 한국재활간호학회[DOI]
- 오윤환, "한국 노인에서 체질량지수에 따른 좌식시간과 건강 관련 삶의 질 간의 연관성", Korean Journal of Health Promotion, 17(4), pp.209~218 (2017), 대한임상건강증진학회[DOI]
- 강혜연, "혈당조절 양호, 불충분, 불량 군 간의 자가간호행위, 당뇨관련 스트레스, 스트레스 대처의 비교", 기본간호학회지, 19(2), pp.168~178 (2012), 기본간호학회[DOI]
- Erika Leung, "Diabetes Management in the Elderly", Diabetes Spectrum, 31(3), pp.245~253 (2018), American Diabetes Association[DOI]
- Pranita Ashok, "Psychological Well-Being and obesity in Peri and Post-menopausal women", National Journal of Physiology, Pharmacy and Pharmacology, 3(1), pp.97~101 (2013), ScopeMed[DOI]
- 최희정, "폐경", Korean Journal of Family Practice, 10(3), pp.158~163 (2020), 대한가정의학회[DOI]
- Assessment of women’s health during menopausal periods, "Jo JH", Korea Center for Disease Control and Prevention, ~, pp.TRKO201300030803 (2013)
- 신현숙, "폐경 여성의 삶의 질 영향요인", 여성건강간호학회지, 26(4), pp.336~345 (2020), 한국여성건강간호학회[DOI]