Burden of diabetes in Australia: life expectancy and disability-free life expectancy in adults with diabetes
Burden of diabetes in Australia: life expectancy and disability-free life expectancy in adults with diabetes
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DOI：
10.1007/s00125-016-3948-x
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发表时间：
2016-07-01
期刊：
影响因子：
8.2
通讯作者：
Magliano, Dianna J.
中科院分区：
文献类型：
--
作者：
Huo, Lili;Shaw, Jonathan E.;Magliano, Dianna J.
目的/假设-这项工作的目的是估计预期寿命（LE）和无残疾预期寿命（DFLE）的成年人和没有diabetes.Methods的Chiang方法和适应沙利文方法估计LE和DFLE的年龄和性别。2011年的死亡率数据来自国家糖尿病服务计划和普通人群的标准国家死亡率数据集。关于残疾和严重或深度核心活动受限的流行率的数据来自2012年澳大利亚残疾、老龄化和照顾者调查。SDAC中使用的残疾定义遵循国际功能、残疾和健康分类。糖尿病患病率数据来自澳大利亚糖尿病、肥胖和生活方式研究。（95%不确定区间[UI]）为30.2（30.0、30.4）和12.7（11.5，13.7）年，分别为男性糖尿病患者，估计为33.9（33.6，34.1）和13.1（12.3，13.9）岁。与无糖尿病的同龄人相比，50岁时与糖尿病相关的LE估计损失为男性3.2（3.0，3.4）年，女性3.1（2.9，3.4）年。相应的估计DFLE损失男性为8.2（6.7，9.7）年，女性为9.1（7.9，10.4）年。与患有糖尿病的男子和没有患糖尿病的妇女相比，患有糖尿病的妇女在残疾方面的绝对年数和生命中的比例更大。在整个人群中的LE和DFLE的收益在年龄50岁后，假设消除诊断糖尿病分别为0.6（0.5，0.6）年和1.8（1.0，2.8）years.Conclusions/interpretation在成人中，糖尿病导致LE适度减少和DFLE大幅减少。需要努力查明残疾的具体原因并采取有效的干预措施。
Aims/hypothesis The aim of this work was to estimate the life expectancy (LE) and disability-free life expectancy (DFLE) for adults with and without diabetes.Methods The Chiang method and the adapted Sullivan method were used to estimate LE and DFLE by age and sex. Mortality data in 2011 were available from the National Diabetes Services Scheme for diabetes and from standard national mortality datasets for the general population. Data on prevalence of disability and severe or profound core activity limitation were derived from the 2012 Australian Survey of Disability, Ageing and Carers (SDAC). The definitions of disability used in the SDAC followed the International Classification of Functioning, Disability and Health. Data on diabetes prevalence were derived from the Australian Diabetes, Obesity and Lifestyle study.Results The estimated LE and DFLE (with 95% uncertainty interval [UI]) at age 50 years were 30.2 (30.0, 30.4) and 12.7 (11.5, 13.7) years, respectively, for men with diabetes, and the estimates were 33.9 (33.6, 34.1) and 13.1 (12.3, 13.9) years, respectively, for women with diabetes. The estimated loss of LE associated with diabetes at age 50 years was 3.2 (3.0, 3.4) years for men and 3.1 (2.9, 3.4) years for women, as compared with their counterparts without diabetes. The corresponding estimated loss of DFLE was 8.2 (6.7, 9.7) years for men and 9.1 (7.9, 10.4) years for women. Women with diabetes spent a greater number of absolute years and a greater proportion of their life with disability as compared with men with diabetes and women without diabetes. The gains in LE and DFLE across the whole population at age 50 years after hypothetically eliminating diagnosed diabetes were 0.6 (0.5, 0.6) years and 1.8 (1.0, 2.8) years.Conclusions/interpretation In adults, diabetes results in a modest reduction in LE and a substantial reduction in DFLE. Efforts to identify the specific causes of disability and effective interventions are needed.