Impact of diabetes on physical function in older people
OBJECTIVE: To explore the nature of functional impairment in older people with diabetes.
RESEARCH DESIGN AND METHODS: A population-based case-control study with detailed assessment of diabetes and functional status was undertaken.
RESULTS: Altogether, 403 case subjects and 403 matched control subjects were studied (median age 75 years, 51% female). Subjects with diabetes had more comorbidities than control subjects (mean 2.5 vs. 1.9, P < 0.0001) and were more likely to have severe functional impairment (4 vs. 1%, Barthel score <5, P < 0.001). Health status pertaining to physical function was reduced in case subjects (SF36 60 vs. 40, P < 0.0001). In a multivariate model controlling for age, hypertension, cerebrovascular disease, chronic obstructive pulmonary disease, cancer, osteoarthritis, and dementia, diabetes remained significantly associated with mobility limitation (odds ratio 2.1, P < 0.001).
CONCLUSIONS: Older people with diabetes have considerable functional impairment associated with reduced health status. This population may benefit from comprehensive geriatric assessment and tailored diabetes management.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2008 |
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Erschienen: |
2008 |
Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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Enthalten in: |
Diabetes care - 31(2008), 2 vom: 01. Feb., Seite 233-5 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Sinclair, Alan J [VerfasserIn] |
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Themen: |
Blood Glucose |
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Anmerkungen: |
Date Completed 07.03.2008 Date Revised 07.12.2022 published: Print-Electronic Citation Status MEDLINE |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM175228434 |
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500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a OBJECTIVE: To explore the nature of functional impairment in older people with diabetes | ||
520 | |a RESEARCH DESIGN AND METHODS: A population-based case-control study with detailed assessment of diabetes and functional status was undertaken | ||
520 | |a RESULTS: Altogether, 403 case subjects and 403 matched control subjects were studied (median age 75 years, 51% female). Subjects with diabetes had more comorbidities than control subjects (mean 2.5 vs. 1.9, P < 0.0001) and were more likely to have severe functional impairment (4 vs. 1%, Barthel score <5, P < 0.001). Health status pertaining to physical function was reduced in case subjects (SF36 60 vs. 40, P < 0.0001). In a multivariate model controlling for age, hypertension, cerebrovascular disease, chronic obstructive pulmonary disease, cancer, osteoarthritis, and dementia, diabetes remained significantly associated with mobility limitation (odds ratio 2.1, P < 0.001) | ||
520 | |a CONCLUSIONS: Older people with diabetes have considerable functional impairment associated with reduced health status. This population may benefit from comprehensive geriatric assessment and tailored diabetes management | ||
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