title: Validation of the comprehensive ICF core sets for diabetes mellitus:a Malaysian perspective.
abstract: BACKGROUND
  Diabetes mellitus (DM) is a chronic disease that is prevalent in many countries. The prevalence of DM is on the rise, and its complications pose a heavy burden on the healthcare systems and on the patients' quality of life worldwide.
  
  
  METHODS
  This is a multicentre, cross-sectional study involving 5 Health Clinics conducted by Family Medicine Specialists in Malaysia. Convenience sampling of 100 respondents with DM were selected. The International Classifi cation of Functioning, Disability and Health (ICF) based measures were collected using the Comprehensive Core Set for DM. SF-36 and self-administered forms and comorbidity questionnaire (SCQ) were also used.
  
  
  RESULTS
  Ninety-seven percent had Type 2 DM and 3% had Type 1 DM. The mean period of having DM was 6 years. Body functions related to physical health including exercise tolerance (b455), general physical endurance (b4550), aerobic capacity (b4551) and fatiguability (b4552) were the most affected. For body structures, the structure of pancreas (s550) was the most affected. In the ICF component of activities and participation, limitation in sports (d9201) was the highest most affected followed by driving (d475), intimate relationships (d770), handling stress and other psychological demands (d240) and moving around (d455). Only 7% (e355 and e450) in the environmental category were documented as being a relevant factor by more than 90% of the patients.
  
  
  CONCLUSIONS
  The content validity of the comprehensive ICF Core set DM for Malaysian population were identified and the results show that physical and mental functioning were impaired in contrast to what the respondents perceived as leading healthy lifestyles.
authors.affiliation: Family Health Development Division, Ministry of Health, Malaysia. oombarq@ymail.com
authors.forename: Mohd Faudzi
authors.initials: MF
authors.lastname: Abdullah
authors.forename: Norsiah Mohd
authors.initials: NM
authors.lastname: Nor
authors.forename: Siti Zubaidah
authors.initials: SZ
authors.lastname: Mohd Ali
authors.forename: Norizzati Bukhary
authors.initials: NB
authors.lastname: Ismail Bukhary
authors.forename: Azlin
authors.initials: A
authors.lastname: Amat
authors.forename: Lydia Abdul
authors.initials: LA
authors.lastname: Latif
authors.forename: Nazirah
authors.initials: N
authors.lastname: Hasnan
authors.forename: Zaliha
authors.initials: Z
authors.lastname: Omar
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000145:classification* / Q000453:epidemiology; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D038801:International Classification of Diseases; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010807:Physical Endurance; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult