Patterns of disability related to diabetes mellitus in older women.
Patterns of disability related to diabetes mellitus in older women.
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老年女性与糖尿病相关的残疾模式。
DOI：
10.1093/gerona/59.2.m148
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Blaum,CarolineS
中科院分区：
文献类型：
--
作者：
Maty,SiobhanC;Fried,LindaP;Volpato,Stefano;Williamson,Jeff;Brancati,FrederickL;Blaum,CarolineS
目的。确定老年妇女与糖尿病相关的残疾模式，并确定残疾在多大程度上由选定的糖尿病并发症介导。方法。对一项以人口为基础的研究数据进行横断面分析，该研究由居住在巴尔的摩大都市区的 3570 名 65 岁及以上非收容妇女代表样本组成，她们同意接受妇女健康和老龄化研究的筛查。结果。483 名 (13.5%) 的妇女报告称医生诊断的糖尿病。与未患糖尿病的女性相比，患有糖尿病的女性更有可能在 15 项日常任务中的 14 项中报告困难，包括步行 2-3 个街区、举重 10 磅、使用电话和洗澡（比值比范围 [OR] 1.5-2.8；allp<.01）。调整年龄、种族和婚姻状况后，患有糖尿病的女性在四个功能组（活动能力、上肢、高级功能任务或自我护理）中的任何一个组中报告困难的可能性约为两倍（OR 2.2；95%置信区间[CI] 1.8-2.7），在高级功能和自我护理任务相结合的组中报告困难的可能性是其三倍以上（OR 3.2；95% CI） 2.4–4.1）。对自我报告的心脏病、中风、高血压和视力问题进行调整并没有减弱这些关联。结论。糖尿病与老年女性的多种残疾密切相关。这种关联似乎不是由普遍的糖尿病并发症和风险、心脏病、高血压、中风或眼病介导的。糖尿病的其他并发症（例如神经病变、周围血管疾病）可能会导致老年人出现糖尿病相关的残疾。
Purpose.To identify pattern(s) of disability related to diabetes in older women and to determine the extent to which disability is mediated by selected diabetes complications.Methods.Cross-sectional analysis of data from a population-based study composed of a representative sample of 3570 noninstitutionalized women aged 65 years and older living in the Baltimore metropolitan area who agreed to be screened for the Women's Health and Aging Study.Results.483 (13.5%) of the women reported physician-diagnosed diabetes. Compared to women without diabetes, women with diabetes were significantly more likely to report difficulty in 14 of 15 daily tasks, including walking 2–3 blocks, lifting 10 pounds, using the telephone, and bathing (range of odds ratios [OR] 1.5–2.8; allp<.01). After adjustment for age, race, and marital status, women with diabetes were about twice as likely to report difficulty in any one of four functioning groups (mobility, upper extremity, higher functioning tasks, or self-care) (OR 2.2; 95% confidence interval [CI] 1.8–2.7), and over three times as likely to report difficulty in a group combining higher functioning and self-care tasks (OR 3.2; 95% CI 2.4–4.1). Adjustment for self-reported heart disease, stroke, high blood pressure, and visual problems did not attenuate these associations.Conclusions.Diabetes is strongly associated with a wide range of disabilities in older women. This association does not appear to be mediated by prevalent diabetes complications and risks, heart disease, high blood pressure, stroke, or eye disease. Other complications of diabetes (e.g., neuropathy, peripheral vascular disease) may mediate diabetes-associated disability in older adults.
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影响因子：
7.2
作者：
Fried, LP;Bandeen-Roche, K;Guralnik, JM
通讯作者：
Guralnik, JM
影响因子：
5.4
作者：
VERBRUGGE, LM;JETTE, AM
通讯作者：
JETTE, AM
四个社区老年人的糖尿病健康负担。
DOI：
--
发表时间：
1994
期刊：
Public health reports (Washington, D.C. : 1974)
影响因子：
--
作者：
Moritz,DJ;Ostfeld,AM;Blazer2nd,D;Curb,D;Taylor,JO;Wallace,RB
通讯作者：
Wallace,RB
DOI：
10.1093/geronj/45.6.m203
发表时间：
1990-11-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
JETTE, AM;BRANCH, LG;BERLIN, J
通讯作者：
BERLIN, J
DOI：
10.1093/gerona/55.1.m43
发表时间：
2000
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
--
作者：
L. Fried;K. Bandeen-Roche;P. Chaves;Brent A. Johnson
通讯作者：
L. Fried;K. Bandeen-Roche;P. Chaves;Brent A. Johnson