Association of Self-Reported Weight Change and Quality of Life, and Exercise and Weight Management Behaviors Among Adults with Type 2 Diabetes Mellitus: The SHIELD Study.

Susan Grandy,Kathleen M Fox,Debbra D Bazata

doi:10.1155/2012/892564

Abstract

Purpose. This study examined the association between self-reported weight change and quality of life, and exercise and weight management behaviors among individuals with type 2 diabetes mellitus (T2DM). Methods. In the US SHIELD study, respondents reported whether they had lost or gained weight compared with 1 year earlier and completed the SHIELD-WQ-9 quality of life questionnaire as well as provided information on their exercise and weight management behaviors in the past 12 months. Results. Sixteen percent of the respondents reported gaining weight (n = 460), and 30% reported losing weight (n = 895). More respondents who reported losing weight exercised regularly, limited calorie and fat intake, and increased fiber, fruit, and vegetable intake compared with respondents who reported gaining weight (P < 0.01). For all nine aspects of daily life, a significantly greater proportion of respondents who reported losing weight reported improved well-being (12%–44%) compared with respondents who reported gaining weight (P < 0.0001). Conclusions. Self-reported weight loss was associated with improved well-being, better exercise, and weight management behaviors among individuals with T2DM.

Highlights

During the past decade, there has been a dramatic increase in diabetes and obesity in the United States [1]
The present study examined the association between self-reported weight change and well-being utilizing the SHIELD-WQ-9, a new questionnaire developed to link health-related quality of life (HRQOL) assessment to change in weight
The present investigation is a cross-sectional analysis of data from the Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes. (SHIELD) assessing the association between weight change and HRQOL

Summary

Introduction

There has been a dramatic increase in diabetes and obesity in the United States [1]. In the United States, there are 23.5 million adults aged 20 years or older with diabetes [2]. 366 million people have diabetes in 2011, with the number of people with type 2 diabetes mellitus (T2DM) increasing in every country [3]. The increasing prevalence of T2DM is directly related to an increasing rise in the prevalence of obesity and physical inactivity, with an estimated 97 million US adults being overweight or obese [4, 5]. More than 1.1 billion adults worldwide are overweight, and 312 million are obese [8]. 40%–50% of patients with diabetes are obese [9]

Methods

Results

Conclusion