Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia
Purpose: This study aimed to identify factors associated with poor-to-moderate quality of life (QOL) among women with gestational diabetes mellitus (GDM) in two tertiary hospitals in Malaysia. Methods: A cross-sectional study was conducted among 526 pregnant women with GDM in two tertiary hospitals...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Springer
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/88969/ http://psasir.upm.edu.my/id/eprint/88969/1/ABSTRACT.pdf |
| _version_ | 1848860739873275904 |
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| author | Lee, Kai Wei Siew, Mooi Ching Hoo, Fan Kee Ramachandran, Vasudevan Chong, Seng Choi Tusimin, Maiza Faith, En Ang Mohd Nordin, Noraihan Devaraj, Navin Kumar |
| author_facet | Lee, Kai Wei Siew, Mooi Ching Hoo, Fan Kee Ramachandran, Vasudevan Chong, Seng Choi Tusimin, Maiza Faith, En Ang Mohd Nordin, Noraihan Devaraj, Navin Kumar |
| author_sort | Lee, Kai Wei |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Purpose: This study aimed to identify factors associated with poor-to-moderate quality of life (QOL) among women with gestational diabetes mellitus (GDM) in two tertiary hospitals in Malaysia.
Methods: A cross-sectional study was conducted among 526 pregnant women with GDM in two tertiary hospitals in Malaysia. Diabetes-related QOL was assessed using the Asian Diabetes Quality of Life Scale (AsianDQoL). Socio-demographic characteristics, glucose monitoring treatments for GDM, past obstetric history, concurrent medical problems and a family history of diseases were captured from patient records. A multiple logistic regression was used for analysis. Results: A total of 526 respondents with GDM entered the analysis. The median age of the respondents was 32 (interquartile range = 7) while 82.3% were Malay women. More than half of the respondents (69.5%) received an oral hypoglycaemic agent (OHA), and/or diet modification in controlling their GDM. The study reported that 23.2% of the respondents had poor-to-moderate QOL. Those with a family history of depression and/or anxiety (adjusted Odds ratio [AOR] 6.934, 95% confidence interval [CI] 2.280-21.081), and a family history of GDM (AOR 1.814, 95% CI 1.185-2.778) were at higher odds of suffering from poor-to-moderate QOL compared to those without a family history. Similarly, those who received insulin, with or without OHA, and/or are on diet modification (AOR 1.955, 95% CI 1.243-3.074) were at higher odds of suffering from poor-to-moderate QOL compared to those receiving OHA and/or diet modification. Conclusion: Nearly one-quarter of Malaysian women with GDM have poor-to-moderate QOL. GDM women with a family history of depression and/or anxiety, family history of GDM, and those who received insulin, with or without OHA, and/or are on diet modification were associated with poor-to-moderate QOL. |
| first_indexed | 2025-11-15T12:50:02Z |
| format | Article |
| id | upm-88969 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:50:02Z |
| publishDate | 2020 |
| publisher | Springer |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-889692021-11-01T23:11:34Z http://psasir.upm.edu.my/id/eprint/88969/ Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia Lee, Kai Wei Siew, Mooi Ching Hoo, Fan Kee Ramachandran, Vasudevan Chong, Seng Choi Tusimin, Maiza Faith, En Ang Mohd Nordin, Noraihan Devaraj, Navin Kumar Purpose: This study aimed to identify factors associated with poor-to-moderate quality of life (QOL) among women with gestational diabetes mellitus (GDM) in two tertiary hospitals in Malaysia. Methods: A cross-sectional study was conducted among 526 pregnant women with GDM in two tertiary hospitals in Malaysia. Diabetes-related QOL was assessed using the Asian Diabetes Quality of Life Scale (AsianDQoL). Socio-demographic characteristics, glucose monitoring treatments for GDM, past obstetric history, concurrent medical problems and a family history of diseases were captured from patient records. A multiple logistic regression was used for analysis. Results: A total of 526 respondents with GDM entered the analysis. The median age of the respondents was 32 (interquartile range = 7) while 82.3% were Malay women. More than half of the respondents (69.5%) received an oral hypoglycaemic agent (OHA), and/or diet modification in controlling their GDM. The study reported that 23.2% of the respondents had poor-to-moderate QOL. Those with a family history of depression and/or anxiety (adjusted Odds ratio [AOR] 6.934, 95% confidence interval [CI] 2.280-21.081), and a family history of GDM (AOR 1.814, 95% CI 1.185-2.778) were at higher odds of suffering from poor-to-moderate QOL compared to those without a family history. Similarly, those who received insulin, with or without OHA, and/or are on diet modification (AOR 1.955, 95% CI 1.243-3.074) were at higher odds of suffering from poor-to-moderate QOL compared to those receiving OHA and/or diet modification. Conclusion: Nearly one-quarter of Malaysian women with GDM have poor-to-moderate QOL. GDM women with a family history of depression and/or anxiety, family history of GDM, and those who received insulin, with or without OHA, and/or are on diet modification were associated with poor-to-moderate QOL. Springer 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88969/1/ABSTRACT.pdf Lee, Kai Wei and Siew, Mooi Ching and Hoo, Fan Kee and Ramachandran, Vasudevan and Chong, Seng Choi and Tusimin, Maiza and Faith, En Ang and Mohd Nordin, Noraihan and Devaraj, Navin Kumar (2020) Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia. Quality of Life Research, 29 (10). pp. 2725-2736. ISSN 0962-9343; ESSN: 1573-2649 https://link.springer.com/article/10.1007%2Fs11136-020-02532-3 10.1007/s11136-020-02532-3 |
| spellingShingle | Lee, Kai Wei Siew, Mooi Ching Hoo, Fan Kee Ramachandran, Vasudevan Chong, Seng Choi Tusimin, Maiza Faith, En Ang Mohd Nordin, Noraihan Devaraj, Navin Kumar Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia |
| title | Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia |
| title_full | Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia |
| title_fullStr | Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia |
| title_full_unstemmed | Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia |
| title_short | Factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in Malaysia |
| title_sort | factors associated with poor‑to‑moderate quality of life among pregnant women with gestational diabetes mellitus: a cross‑sectional study in malaysia |
| url | http://psasir.upm.edu.my/id/eprint/88969/ http://psasir.upm.edu.my/id/eprint/88969/ http://psasir.upm.edu.my/id/eprint/88969/ http://psasir.upm.edu.my/id/eprint/88969/1/ABSTRACT.pdf |