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Healthcare
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Health Promotion and Quality of Life in People with Diabetes
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Health Promotion and Quality of Life in People with Diabetes

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Chronic Care".

Deadline for manuscript submissions: 15 August 2025 | Viewed by 3005

Special Issue Editors

Dr. José Antonio Ponce-Blandón

E-Mail Website
Guest Editor
General Manager Sports Medicine Center Junta de Andalucía, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41004 Sevilla, Spain
Interests: health promotion; community nursing; diabetes, healthy habits
Dr. Vicente Linares

E-Mail Website
Guest Editor
Department of Pharmacy and Pharmaceutical Technology, Faculty of Pharmacy, Universidad de Sevilla, 41012 Sevilla, Spain
Interests: pharmaceutical development; food health; diabetes
Dr. Rocío Romero-Castillo

E-Mail Website
Guest Editor Assistant
Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
Interests: clinical processes; diabetes; healthy habits; health promotion; mental health

Special Issue Information

Dear Colleagues,

We are pleased to invite you to submit your manuscript on diabetes and health promotion to this Special Issue. Diabetes is one of the most common chronic illnesses worldwide, and it constitutes a higher risk for mental and physical health. Diabetes self-management education and support is a fundamental element of care for people with diabetes. Recent evidence suggests some failures in the knowledge and skills of people with diabetes in the treatment administration as well as self-care and monitoring therapeutic regimen and healthy lifestyle habits.  

This Special Issue aims to publish clinical results on healthy lifestyle habits, the prevention of complications and diseases derived from a chronic disease such as diabetes, the evaluation of health promotion in terms of quality of life, and the formulation of strategies to improve physical and mental health in people with diabetes.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Early diagnosis and disease prevention of diabetes.
  • Diabetes morbidity and mortality.
  • Socio-economic burden of chronic care.
  • Health assessment.
  • Medication management.
  • Mental health.

I look forward to receiving your contributions.

Dr. José Antonio Ponce-Blandón
Dr. Vicente Linares
Dr. Rocío Romero-Castillo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health promotion
  • diabetes
  • quality of life
  • family and community nursing
  • healthy habits
  • complications prevention

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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18 pages, 294 KiB  
Article
Poverty and Quality of Life Dimensions: A Cross-Sectional Study of Diabetic Patients in Morocco
by Aicha El Hanafi, Safiya Mahlaq and Mohamed Lmejjati
Healthcare 2025, 13(7), 725; https://doi.org/10.3390/healthcare13070725 - 25 Mar 2025
Viewed by 670
Abstract
Background: The assessment of quality of life highlights the effects of diabetes on patients. While the disease’s impact is often similar, socioeconomic conditions lead to notable differences. The objective of this study is to determine the impact of poverty status on the dimensions [...] Read more.
Background: The assessment of quality of life highlights the effects of diabetes on patients. While the disease’s impact is often similar, socioeconomic conditions lead to notable differences. The objective of this study is to determine the impact of poverty status on the dimensions of quality of life of patients with diabetes. Materials and Methods: We conducted a cross-sectional analytical study among diabetic patients in the province of Agadir Ida Outanane, Morocco. We measured quality of life using the Moroccan version of the D 39 diabetes-specific quality of life questionnaire. Multiple linear regression was applied to predict the relationship between poverty status and quality of life dimensions, with adjustments for other covariates (sociodemographic, clinical, and therapeutic); univariate analyses were significant with a p < 0.25 value and multiple linear regression at p < 0.05. Results: There were 338 confirmed diabetic patients undergoing treatment included in the study. The poverty rate among this diabetic population was 37.3%. The study revealed median scores for impaired quality of life in diabetes control 62.5 [50.5–75], anxiety and worry 81.3 [56.3–93.8], overall perceived quality of life 50 [25–50], and diabetes severity 75 [50–100]. The results of multiple linear regression demonstrated that poverty status was associated with both dimensions anxiety and worry (β = 13.95, IC 95%: 8.12, 19.78, p < 0.001) and diabetes control (β = 8.90, IC 95%: 4.82, 12.97, p < 0.001). Conclusions: The management and psychological impact of diabetes are influenced by poverty status. It is crucial to prioritize this vulnerable population to enhance the effectiveness of interventions for comprehensive disease management. Full article
(This article belongs to the Special Issue Health Promotion and Quality of Life in People with Diabetes)

Other

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27 pages, 490 KiB  
Systematic Review
Effects of Body Image and Self-Concept on the Management of Type 1 Diabetes Mellitus in Adolescents and Young Adults: A Systematic Review
by Miguel Garrido-Bueno, Marta Núñez-Sánchez, María Soledad García-Lozano, Javier Fagundo-Rivera, Alba Romero-Alvero and Pablo Fernández-León
Healthcare 2025, 13(12), 1425; https://doi.org/10.3390/healthcare13121425 - 14 Jun 2025
Viewed by 391
Abstract
Background: Adolescence and young adulthood are critical periods during which psycho-emotional factors can significantly influence disease management and increase the risk of complications. This systematic review aims to examine the impact of body image, self-image, self-perception, and other psycho-emotional variables on the management [...] Read more.
Background: Adolescence and young adulthood are critical periods during which psycho-emotional factors can significantly influence disease management and increase the risk of complications. This systematic review aims to examine the impact of body image, self-image, self-perception, and other psycho-emotional variables on the management of type 1 diabetes mellitus (T1DM) in this population. Methods: This review follows the Cochrane Handbook, PRISMA 2020 guidelines and the JBI Checklist for Systematic Reviews and Research Syntheses. A comprehensive search was conducted across both general and discipline-specific databases (PubMed, Web of Science, Scopus, Embase, CINAHL, APA PsycInfo, APA PsycArticles) between March and April 2025. The inclusion criteria focused on studies involving adolescents with T1DM that addressed relevant emotional or psychological aspects. Methodological quality was assessed using JBI tools. Data extraction was performed independently by four reviewers, with discrepancies resolved by consensus. A total of 25 studies met the inclusion criteria. Results: Body image concerns were found to be highly prevalent among adolescents and young adults with T1DM, and were associated with adverse outcomes such as disordered eating behaviors and suboptimal glycemic control. Gender differences were consistently reported, with adolescent girls and young women displaying greater body dissatisfaction and engaging more frequently in risky weight management practices, including insulin omission. Other factors, such as self-perception, diabetes-specific stress, and identity formation, also played significant roles in treatment adherence and psychosocial adaptation. Notably, this review reveals a lack of interventions specifically designed to address the psychological dimensions of T1DM. Conclusions: Body image and self-concept exert a substantial influence on T1DM management in adolescents and young adults, affecting both glycemic outcomes and psychosocial well-being. There is a pressing need for gender-sensitive and developmentally appropriate interventions that address body image, self-concept, and disease acceptance. Future research should prioritize longitudinal designs and the development and evaluation of targeted psycho-emotional support strategies. Full article
(This article belongs to the Special Issue Health Promotion and Quality of Life in People with Diabetes)
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16 pages, 1632 KiB  
Systematic Review
Health Promotion in Glycemic Control and Emotional Well-Being of People with Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis
by Miguel Garrido-Bueno, Manuel Pabón-Carrasco, Nerea Jiménez-Picón and Rocío Romero-Castillo
Healthcare 2024, 12(23), 2461; https://doi.org/10.3390/healthcare12232461 - 6 Dec 2024
Cited by 1 | Viewed by 1497
Abstract
Background/Objectives: Structured therapeutic patient education is the key to improving biopsychosocial outcomes in people with type 1 diabetes mellitus. This study aimed to determine the effects of structured therapeutic education on glycemic control and emotional well-being in people with type 1 diabetes mellitus. [...] Read more.
Background/Objectives: Structured therapeutic patient education is the key to improving biopsychosocial outcomes in people with type 1 diabetes mellitus. This study aimed to determine the effects of structured therapeutic education on glycemic control and emotional well-being in people with type 1 diabetes mellitus. Methods: This is a systematic review with a meta-analysis (PROSPERO ID: CRD42023390079). Searches were performed in Scopus, MEDLINE, Web of Science, CINAHL, APA PsycInfo, APA PsycArticles, and the Psychology Database (June–August 2024). The eligibility criteria included randomized controlled trials published in English or Spanish within the past 10 years. Data extraction and risk of bias evaluations were independently conducted by two reviewers. The outcomes analyzed included glycated hemoglobin, time in range, emotional well-being, self-management behaviors, and adherence to treatment. Meta-analyses were performed using RevMan with random and fixed effects models. Results: Seventeen studies met the eligibility criteria. There was a significant improvement in glycemic control, stress, anxiety, and treatment satisfaction, although the results for the other emotional outcomes were mixed. Conclusions: Structured therapeutic patient education improves glycemic control and selected emotional outcomes in individuals with type 1 diabetes mellitus. Further trials are needed to refine the characteristics of the intervention and broaden the applicability of the findings to diverse populations. Full article
(This article belongs to the Special Issue Health Promotion and Quality of Life in People with Diabetes)
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