Influence of Type II Diabetes and High Depressive Symptoms on the Likelihood for Developing Activities of Daily Living (ADL) Disability and Mortality in Older Puerto Ricans.

Influence of Type II Diabetes and High Depressive Symptoms on the Likelihood for Developing Activities of Daily Living (ADL) Disability and Mortality in Older Puerto Ricans.
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DOI:
10.1177/0898264317708882
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发表时间:
2017-09
影响因子:
2.8
通讯作者:
Markides KS
Markides KS
中科院分区:
医学3区
文献类型:
--
作者:
Downer B;Crowe M;Markides KS

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根据60岁及以上波多黎各成年人的糖尿病和高抑郁症状,研究ADL残疾和死亡率的发展。数据来自波多黎各老年人的第一波和第二波:健康状况研究(n= 3,419)。采用Logistic回归分析。使用胰岛素和接受精神病治疗分别是糖尿病和抑郁症状疾病严重程度的替代指标。基线时的高抑郁症状与发展中的ADL残疾相关(OR=2.21; 95%CI =1.68-2.91)。基线糖尿病与随访时死亡率相关(OR=1.72; 95%CI =1.34-2.19)。基线糖尿病与发生ADL残疾相关,但仅适用于报告使用胰岛素的患者(OR=1.69; 95%CI =1.08-2.61)。患有糖尿病和高抑郁症状共病的参与者发生ADL残疾和死亡的几率最高。糖尿病和高度抑郁症状是老年波多黎各人发展ADL残疾和死亡的危险因素。
To examine the development of ADL disability and mortality according to diabetes and high depressive symptoms among Puerto Rican adults aged 60 and older. Data came from Wave I and Wave II of the Puerto Rican Elderly: Health Conditions Study (n=3,419). Logistic regression was used. Using insulin and receiving psychiatric treatment were proxy measures of disease severity for diabetes and depressive symptoms, respectively. High depressive symptoms at baseline were associated with developing ADL disability (OR=2.21; 95% CI=1.68-2.91). Diabetes at baseline was associated with mortality at follow-up (OR=1.72; 95% CI=1.34-2.19). Baseline diabetes was associated with developing ADL disability but only for those who reported using insulin (OR=1.69; 95% CI=1.08-2.61). Participants with comorbid diabetes and high depressive symptoms had the highest odds for developing ADL disability and mortality. Diabetes and high depressive symptoms are risk factors for developing ADL disability and mortality for older Puerto Ricans.
DOI: 10.1007/s00125-010-1874-x
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