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, PH1 2 3
Woo, J1 2 3
Lee, CH1 2 3
Cheung, WL1 2 3
Chen, J1 2 3
Chan, WM1 2 3
Hui, L1 2 3
McGhee, SM1 2 3
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
2011 Impact Factor: 2.686
2011 SCImago Journal Rankings: 0.133
DOIhttp://dx.doi.org/10.1007/s12603-011-0071-z
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 2.686
2011 SCImago Journal Rankings: 0.133
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
Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong Government
  3. Chinese University of Hong Kong