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    Impact of diabetes on physical function in older people

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    Authors
    Sinclair, Alan J.
    Conroy, Simon P.
    Bayer, Antony J.
    Affiliation
    University of Bedfordshire
    Nottingham University
    Cardiff University
    Issue Date
    2007-11-16
    Subjects
    diabetes
    physical function
    older adults
    older people
    elderly
    
    Metadata
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    Abstract
    Objective: To explore the nature of functional impairment in older people with diabetes Research design and methods: A population based case-control study, with detailed assessment of diabetes and functional status, was undertaken. Results: 403 cases and 403 matched controls were studied, median age 75 years, 51% female. Subjects with diabetes had more comorbidities than controls (mean 2.5 v 1.9, p<0.0001) and were more likely to have severe functional impairment (4% v 1%, Barthel score <5, p<0.001). Health status pertaining to physical function was reduced in cases (SF36 60 v 40, p<0.0001). In a multivariate model controlling for age, hypertension, cerebrovascular disease, COPD, cancer, osteoarthritis and dementia, diabetes remained significantly associated with mobility limitation (OR 2.1, p<0.001). Conclusions: Older people with diabetes have considerable functional impairment associated with reduced health status. This population may benefit from comprehensive geriatric assessment and tailored diabetes management.
    Citation
    Sinclair, A.J., Conroy, S.P., Bayer, A.J. (2007) 'Impact of Diabetes on Physical Function in Older People' Diabetes Care 31 (2):233
    Publisher
    American Diabetes Association
    Journal
    Diabetes Care
    URI
    http://hdl.handle.net/10547/593450
    DOI
    10.2337/dc07-1784
    Additional Links
    http://care.diabetesjournals.org/cgi/doi/10.2337/dc07-1784
    Type
    Article
    Language
    en
    ISSN
    0149-5992
    1935-5548
    ae974a485f413a2113503eed53cd6c53
    10.2337/dc07-1784
    Scopus Count
    Collections
    IHR Institute for Health Research

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