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Article: Older people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services
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TitleOlder people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services
 
AuthorsChau, PH3 1 2
Woo, J3 1 2
Lee, CH3 1 2
Cheung, WL3 1 2
Chen, J3 1 2
Chan, WM3 1 2
Hui, L3 1 2
McGhee, SM3 1 2
 
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
 
CitationJournal Of Nutrition, Health And Aging, 2011, v. 15 n. 9, p. 751-755 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s12603-011-0071-z
 
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.
 
ISSN1279-7707
2013 Impact Factor: 2.659
2013 SCImago Journal Rankings: 0.886
 
DOIhttp://dx.doi.org/10.1007/s12603-011-0071-z
 
ISI Accession Number IDWOS:000297669700003
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.

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorChau, PH
 
dc.contributor.authorWoo, J
 
dc.contributor.authorLee, CH
 
dc.contributor.authorCheung, WL
 
dc.contributor.authorChen, J
 
dc.contributor.authorChan, WM
 
dc.contributor.authorHui, L
 
dc.contributor.authorMcGhee, SM
 
dc.date.accessioned2011-08-26T14:40:53Z
 
dc.date.available2011-08-26T14:40:53Z
 
dc.date.issued2011
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Nutrition, Health And Aging, 2011, v. 15 n. 9, p. 751-755 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s12603-011-0071-z
 
dc.identifier.doihttp://dx.doi.org/10.1007/s12603-011-0071-z
 
dc.identifier.epage755
 
dc.identifier.hkuros190124
 
dc.identifier.isiWOS:000297669700003
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.

 
dc.identifier.issn1279-7707
2013 Impact Factor: 2.659
2013 SCImago Journal Rankings: 0.886
 
dc.identifier.issue9
 
dc.identifier.pmid22089223
 
dc.identifier.scopuseid_2-s2.0-84856303662
 
dc.identifier.spage751
 
dc.identifier.urihttp://hdl.handle.net/10722/138116
 
dc.identifier.volume15
 
dc.languageeng
 
dc.publisherEditions S E R D I. The Journal's web site is located at http://www.springer.com/medicine/family/journal/12603
 
dc.publisher.placeFrance
 
dc.relation.ispartofJournal of Nutrition, Health and Aging
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshActivities of Daily Living - psychology
 
dc.subject.meshAged
 
dc.subject.meshAged, 80 and over
 
dc.subject.meshCognition Disorders - epidemiology - psychology
 
dc.subject.meshCross-Sectional Studies
 
dc.subject.meshDepression - epidemiology - psychology
 
dc.subject.meshDiabetes Mellitus - epidemiology - psychology
 
dc.subject.meshEducational Status
 
dc.subject.meshFemale
 
dc.subject.meshGeriatric Assessment - statistics & numerical data
 
dc.subject.meshHong Kong - epidemiology
 
dc.subject.meshHumans
 
dc.subject.meshLogistic Models
 
dc.subject.meshMale
 
dc.subject.meshPrevalence
 
dc.subject.meshRisk Factors
 
dc.subjectageing
 
dc.subjectDiabetes mellitus
 
dc.subjecthealth care delivery
 
dc.titleOlder people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services
 
dc.typeArticle
 
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<contributor.author>Cheung, WL</contributor.author>
<contributor.author>Chen, J</contributor.author>
<contributor.author>Chan, WM</contributor.author>
<contributor.author>Hui, L</contributor.author>
<contributor.author>McGhee, SM</contributor.author>
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Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong Government
  3. Chinese University of Hong Kong