Diabetes and physical disability among older US adults
Diabetes and physical disability among older US adults
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DOI：
10.2337/diacare.23.9.1272
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发表时间：
2000-09-01
期刊：
影响因子：
16.2
通讯作者：
Narayan, KMV
中科院分区：
文献类型：
--
作者：
Gregg, EW;Breckles, GLA;Narayan, KMV
研究设计与方法：我们分析了参加第三次全国健康与营养检查调查的6,588名年龄大于或等于60岁的社区男性和女性的全国代表性样本的数据，对糖尿病及其合并疾病(冠心病、间歇性跛行、中风、关节炎和视力障碍)进行了问卷调查。身体残疾的评估是通过自我报告步行四分之一英里、爬10步和做家务的能力来进行的。步行速度。结果：在年龄大于或等于60岁的糖尿病患者中，32%的女性和15%的男性报告无法行走四分之一英里、爬楼梯或做家务，而没有糖尿病的女性和男性的这一比例分别为14%和8%。糖尿病与男性和女性不能完成每项任务的几率增加2到3倍有关，不能完成全部3项任务的风险最高增加3.6倍。在女性中，糖尿病还与步行速度较慢、下肢功能较差、平衡能力下降以及摔倒风险增加有关。在美国500万年龄大于或等于60岁的糖尿病成年人中，有120万人无法完成主要的身体任务。结论-糖尿病与美国老年人身体残疾的主要负担有关，这些残疾可能会严重影响他们的生活质量。
OBJECTIVE - To estimate the prevalence of physical disability associated with diabetes among U.S. adults greater than or equal to 60 years of age.RESEARCH DESIGN AND METHODS - We analyzed data from a nationally representative sample of 6,588 community-dwelling men and women greater than or equal to 60 years of age who participated in the Third National Health and Nutrition Examination Survey Diabetes and comorbidities (coronary heart disease, intermittent claudication, stroke, arthritis, and visual impairment) were assessed by questionnaire. Physical disability was assessed by self-reported ability to walk one-fourth of a mile, climb 10 steps, and do housework. Walking speed. lower-extremity function, and balance were assessed using physical performance rests.RESULTS - Among subjects greater than or equal to 60 years of age with diabetes, 32% of women and 15% of men reported an inability to walk one-fourth of a mile, climb stairs, or do housework compared with 14% of women and 8% of men without diabetes. Diabetes was associated with a 2- to 3-fold increased odds of not being able to do each task among both men and women and up to a 3.6-fold increased risk of not being able to do all 3 tasks. Among women, diabetes was also associated with slower walking speed, inferior lower-extremity function, decreased balance, and an increased risk of falling. Of the >5 million U.S. adults greater than or equal to 60 years of age with diabetes, 1.2 million are unable to do major physical tasks.CONCLUSIONS - Diabetes is associated with a major burden of physical disability in older U.S. adults, and these disabilities are likely to substantially impair their quality of life.