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Article: Older people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services

TitleOlder people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services
Authors
Keywordsageing
Diabetes mellitus
health care delivery
Issue Date2011
PublisherEditions S E R D I. The Journal's web site is located at http://www.springer.com/medicine/family/journal/12603
Citation
Journal Of Nutrition, Health And Aging, 2011, v. 15 n. 9, p. 751-755 How to Cite?
Abstract
Objectives: To examine the relationship between diabetes and impairments in functional and cognitive status as well as depression in older people. Design: Cross-sectional study. Setting: Elderly Health Centres (EHC) in Hong Kong. Participants: 66,813 older people receiving baseline assessment at EHC in 1998 to 2001. Measurements: Diabetes status was defined by self-report and blood glucose tests. Functional status was assessed by 5 items of instrumental activities of daily living (IADL) and 7 items of activities of daily living (ADL). Cognitive status was screened by the Abbreviated Mental Test-Hong Kong version (AMT). Depressive symptoms were screened by the Geriatric Depression Scale-Chinese version (GDS). Results: Among the subjects, 10.4% reported having regular treatment for diabetes, 3.4% had diabetes but were not receiving regular treatment, and 86.2% did not have diabetes. After controlling for age, sex and education level, those having regular treatment for diabetes were 1.7 times more likely (OR=1.65, 95% CI: 1.51-1.80) to have functional impairment, 1.3 times more likely (OR=1.28, 95% CI: 1.11-1.48) to have cognitive impairment and 1.3 times more likely (OR=1.35, 95% CI: 1.25-1.46) to have depression, than older people without diabetes. Conclusion: Older people with diabetes may be less capable of managing the disease than the younger ones as a result of increased risk of both physical and cognitive impairment. This study provided further evidence for the need of an international consensus statement regarding care of diabetes in older people. © 2011 Serdi and Springer Verlag France.
Persistent Identifierhttp://hdl.handle.net/10722/138116
ISSN
2013 Impact Factor: 2.659
2013 SCImago Journal Rankings: 0.886
ISI Accession Number ID
Funding AgencyGrant Number
Hong Kong Jockey Club Charities Trust
Funding Information:

This study is part of the project entitled "CADENZA: A Jockey Club Initiative for Seniors" funded by The Hong Kong Jockey Club Charities Trust. The authors would like to thank the Elderly Health Service, Department of Health of the Hong Kong Special administrative Region for permission to use their data in this study. Each author contributed to study concept, data analyses, interpretation of data, and manuscript preparation. The authors have no conflicts of interest to declare.

References

 

Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong Government
  3. Chinese University of Hong Kong
DC FieldValueLanguage
dc.contributor.authorChau, PHen_HK
dc.contributor.authorWoo, Jen_HK
dc.contributor.authorLee, CHen_HK
dc.contributor.authorCheung, WLen_HK
dc.contributor.authorChen, Jen_HK
dc.contributor.authorChan, WMen_HK
dc.contributor.authorHui, Len_HK
dc.contributor.authorMcGhee, SMen_HK
dc.date.accessioned2011-08-26T14:40:53Z-
dc.date.available2011-08-26T14:40:53Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of Nutrition, Health And Aging, 2011, v. 15 n. 9, p. 751-755en_HK
dc.identifier.issn1279-7707en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138116-
dc.description.abstractObjectives: To examine the relationship between diabetes and impairments in functional and cognitive status as well as depression in older people. Design: Cross-sectional study. Setting: Elderly Health Centres (EHC) in Hong Kong. Participants: 66,813 older people receiving baseline assessment at EHC in 1998 to 2001. Measurements: Diabetes status was defined by self-report and blood glucose tests. Functional status was assessed by 5 items of instrumental activities of daily living (IADL) and 7 items of activities of daily living (ADL). Cognitive status was screened by the Abbreviated Mental Test-Hong Kong version (AMT). Depressive symptoms were screened by the Geriatric Depression Scale-Chinese version (GDS). Results: Among the subjects, 10.4% reported having regular treatment for diabetes, 3.4% had diabetes but were not receiving regular treatment, and 86.2% did not have diabetes. After controlling for age, sex and education level, those having regular treatment for diabetes were 1.7 times more likely (OR=1.65, 95% CI: 1.51-1.80) to have functional impairment, 1.3 times more likely (OR=1.28, 95% CI: 1.11-1.48) to have cognitive impairment and 1.3 times more likely (OR=1.35, 95% CI: 1.25-1.46) to have depression, than older people without diabetes. Conclusion: Older people with diabetes may be less capable of managing the disease than the younger ones as a result of increased risk of both physical and cognitive impairment. This study provided further evidence for the need of an international consensus statement regarding care of diabetes in older people. © 2011 Serdi and Springer Verlag France.en_HK
dc.languageengen_US
dc.publisherEditions S E R D I. The Journal's web site is located at http://www.springer.com/medicine/family/journal/12603en_HK
dc.relation.ispartofJournal of Nutrition, Health and Agingen_HK
dc.subjectageingen_HK
dc.subjectDiabetes mellitusen_HK
dc.subjecthealth care deliveryen_HK
dc.subject.meshActivities of Daily Living - psychologyen_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshCognition Disorders - epidemiology - psychologyen_HK
dc.subject.meshCross-Sectional Studiesen_HK
dc.subject.meshDepression - epidemiology - psychologyen_HK
dc.subject.meshDiabetes Mellitus - epidemiology - psychologyen_HK
dc.subject.meshEducational Statusen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshGeriatric Assessment - statistics & numerical dataen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLogistic Modelsen_HK
dc.subject.meshMaleen_HK
dc.subject.meshPrevalenceen_HK
dc.subject.meshRisk Factorsen_HK
dc.titleOlder people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes servicesen_HK
dc.typeArticleen_HK
dc.identifier.emailHui, L: huic@hkucc.hku.hken_HK
dc.identifier.emailMcGhee, SM: smmcghee@hkucc.hku.hken_HK
dc.identifier.authorityHui, L=rp01698en_HK
dc.identifier.authorityMcGhee, SM=rp00393en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s12603-011-0071-zen_HK
dc.identifier.pmid22089223en_HK
dc.identifier.scopuseid_2-s2.0-84856303662en_HK
dc.identifier.hkuros190124en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84856303662&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue9en_HK
dc.identifier.spage751en_HK
dc.identifier.epage755en_HK
dc.identifier.isiWOS:000297669700003-
dc.publisher.placeFranceen_HK
dc.identifier.scopusauthoridChau, PH=55412317100en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK
dc.identifier.scopusauthoridLee, CH=27171350200en_HK
dc.identifier.scopusauthoridCheung, WL=7202743060en_HK
dc.identifier.scopusauthoridChen, J=37123306300en_HK
dc.identifier.scopusauthoridChan, WM=55264572400en_HK
dc.identifier.scopusauthoridHui, L=12774460100en_HK
dc.identifier.scopusauthoridMcGhee, SM=7003288588en_HK

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