Impact of diabetes on physical function in older people

Sinclair, Alan J., Conroy, Simon P. and Bayer, Antony James ORCID: https://orcid.org/0000-0002-7514-248X 2008. Impact of diabetes on physical function in older people. Diabetes Care 31 (2) , pp. 233-235. 10.2337/dc07-1784

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Abstract

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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	COPD, chronic obstructive pulmonary disease; IQR, interquartile range
Publisher:	American Diabetes Association
ISSN:	0149-5992
Last Modified:	20 Oct 2022 08:57
URI:	https://orca.cardiff.ac.uk/id/eprint/30205

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