Evidence map›Paper›PMID 40487765›Full record

Observational studyFrontiers in endocrinology2025

Health-related quality of life in populations with diabetes, prediabetes, and normal glycemic levels in Guangzhou, China: a cross-sectional study.

Meichen Li, Na Liu, Guli Jiang, Hongli Zeng, Jianwen Guo, Darong Wu, Hui Zhou, Zehuai Wen, Li Zhou

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05315895 (A Multi-Center Prospective Cohort Study of Dampness Syndrome in China), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05315895 recruitingnot on this map

A Multi-Center Prospective Cohort Study of Dampness Syndrome in China

Typeobservational_patient_registrySponsorGuangzhou University of Traditional Chinese MedicineRan2022 to 2028Enrolled100,000ConditionsChronic Disease, Cancer, Dementia Alzheimers, Metabolic DiseaseArmsnatural aging process
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Meichen Li *The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Na Liu *Department of Health Management Center, Guangzhou 11th People's Hospital, Guangzhou, China.
Guli JiangDepartment of Health Management Center, Guangzhou 11th People's Hospital, Guangzhou, China.
Hongli ZengDepartment of Health Management Center, Guangzhou 11th People's Hospital, Guangzhou, China.
Jianwen GuoState Key Laboratory of Dampness Syndrome of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Darong WuState Key Laboratory of Dampness Syndrome of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Hui ZhouDepartment of Health Management Center, Guangzhou 11th People's Hospital, Guangzhou, China.
Zehuai WenState Key Laboratory of Dampness Syndrome of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Li ZhouState Key Laboratory of Dampness Syndrome of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The association of prediabetes and diabetes on health-related quality of life (HRQoL) remains inconclusive in current epidemiological research. In this investigation, we administered 5-level EuroQoL-5 dimension version (EQ-5D-5L) to systematically assess HRQoL across glycemic strata (diabetes, prediabetes, and normal glycemic levels) in Guangzhou, and to offer baseline data that can be easily compared to other regions in China or across countries. Method: This investigation utilized baseline cross-sectional data extracted from a three-year prospective cohort study conducted at the Health Management Center of Guangzhou 11th People's Hospital. Propensity score matching was implemented at a 1:1:4 ratio to balance participants across diabetes, prediabetes, and normal glycemic group. HRQoL outcomes, operationalized through EQ-Index and EQ visual analog scale (EQ-VAS) measurements, were compared across groups using one-way ANOVA or Wilcoxon rank-sum tests. Multivariate linear regression was constructed to adjust for potential confounders, followed by subgroup analyses stratified by sex, age categories, body mass index (BMI) classifications, and hypertension comorbidity status. Results: A total of 18,605 participants were included in the study. After propensity score matching, 533 participants allocated to the prediabetes group, 533 to the diabetes group, and 2064 to the normal glycemic group. Intergroup comparisons demonstrated significantly lower EQ-VAS scores in the diabetes group (79.11) compared to both prediabetes (80.67) and normal glycemic group (81.65). Similarly, the diabetes group exhibited the lowest EQ-Index scores (0.968) relative to prediabetes (0.972) and normal glycemic group (0.972). Multivariate linear regression adjusted with sex, age, BMI, etc. revealed a 2.139-point reduction in EQ-VAS scores for the diabetes group versus normal glycemic group (95% CI: -3.748, -0.530; Discussion: Prediabetes and diabetes mellitus are associated with diminished HRQoL compared to normal glycemic levels, with a more pronounced negative associations observed among female populations, older adults, and individuals with obesity. These findings emphasize the clinical necessity for implementing targeted interventions to optimize HRQoL outcomes in these high-risk subgroups, which aligns with the fundamental objectives of contemporary diabetes management frameworks. Clinical trial registration: ClinicalTrials.gov ID: NCT05315895.

Indexed as

Blood GlucoseDiabetes MellitusPrediabetic StateQuality of LifeAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesBlood GlucosediabetesEQ-5DEQ visual analoghealth-related quality of lifeprediabetes

Identifiers

PMID40487765
PMCPMC12140990

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.