title: Activity Limitations, Participation, and Quality of Life in American Indians with and without Diabetes.
abstract: The objective of this study was to examine activity limitations, participation, and quality of life (QOL) in American Indians with and without diabetes. It was a cross-sectional study that included 43 participants with diabetes and 31 healthy controls. Participants received evaluations of QOL, activity and participation limitations and factors such as pain, joint motion, hand function, and depression. There were no significant differences between the two groups for past, present, or future global QOL. However, there were significant differences between the two groups for the activity and participation measures and all measures of body structure/function except for left hand strength and depression. Current health and pain, and activity limitation correlated with QOL in both groups. Joint motion and participation correlated with QOL in the group with diabetes. American Indians with diabetes had more impairments in body structure and function and limitations in activities and participation compared to American Indians without diabetes.
authors.affiliation: a 1 Occupational Therapy Graduate Program , University of New Mexico , Albuquerque , NM , USA.
authors.forename: Janet L
authors.initials: JL
authors.lastname: Poole
authors.affiliation: b 2 Zuni Comprehensive Community Health Center , Zuni , NM , USA.
authors.forename: Carrie
authors.initials: C
authors.lastname: Gashytewa
authors.affiliation: c 3 University of Iowa Hospitals and Clinics , Iowa City , IA , USA.
authors.forename: Anne T
authors.initials: AT
authors.lastname: Sullivan
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D003920:Diabetes Mellitus; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D018737:Hand Strength; D006304:Health Status; D006801:Humans; D007198:Indians, North American; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011788:Quality of Life; D055815:Young Adult
keywords: Activity limitations; Diabetes; North American Indians; Participation; Quality of life