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- Publisher Website: 10.1007/s12603-011-0071-z
- Scopus: eid_2-s2.0-84856303662
- PMID: 22089223
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Article: Older people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services
Title | Older people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services | ||||
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Authors | |||||
Keywords | ageing Diabetes mellitus health care delivery | ||||
Issue Date | 2011 | ||||
Publisher | Editions S E R D I. The Journal's web site is located at http://www.springer.com/medicine/family/journal/12603 | ||||
Citation | Journal Of Nutrition, Health And Aging, 2011, v. 15 n. 9, p. 751-755 How to Cite? | ||||
Abstract | Objectives: To examine the relationship between diabetes and impairments in functional and cognitive status as well as depression in older people. Design: Cross-sectional study. Setting: Elderly Health Centres (EHC) in Hong Kong. Participants: 66,813 older people receiving baseline assessment at EHC in 1998 to 2001. Measurements: Diabetes status was defined by self-report and blood glucose tests. Functional status was assessed by 5 items of instrumental activities of daily living (IADL) and 7 items of activities of daily living (ADL). Cognitive status was screened by the Abbreviated Mental Test-Hong Kong version (AMT). Depressive symptoms were screened by the Geriatric Depression Scale-Chinese version (GDS). Results: Among the subjects, 10.4% reported having regular treatment for diabetes, 3.4% had diabetes but were not receiving regular treatment, and 86.2% did not have diabetes. After controlling for age, sex and education level, those having regular treatment for diabetes were 1.7 times more likely (OR=1.65, 95% CI: 1.51-1.80) to have functional impairment, 1.3 times more likely (OR=1.28, 95% CI: 1.11-1.48) to have cognitive impairment and 1.3 times more likely (OR=1.35, 95% CI: 1.25-1.46) to have depression, than older people without diabetes. Conclusion: Older people with diabetes may be less capable of managing the disease than the younger ones as a result of increased risk of both physical and cognitive impairment. This study provided further evidence for the need of an international consensus statement regarding care of diabetes in older people. © 2011 Serdi and Springer Verlag France. | ||||
Persistent Identifier | http://hdl.handle.net/10722/138116 | ||||
ISSN | 2023 Impact Factor: 4.3 2023 SCImago Journal Rankings: 1.197 | ||||
ISI Accession Number ID |
Funding Information: This study is part of the project entitled "CADENZA: A Jockey Club Initiative for Seniors" funded by The Hong Kong Jockey Club Charities Trust. The authors would like to thank the Elderly Health Service, Department of Health of the Hong Kong Special administrative Region for permission to use their data in this study. Each author contributed to study concept, data analyses, interpretation of data, and manuscript preparation. The authors have no conflicts of interest to declare. | ||||
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Chau, PH | en_HK |
dc.contributor.author | Woo, J | en_HK |
dc.contributor.author | Lee, CH | en_HK |
dc.contributor.author | Cheung, WL | en_HK |
dc.contributor.author | Chen, J | en_HK |
dc.contributor.author | Chan, WM | en_HK |
dc.contributor.author | Hui, L | en_HK |
dc.contributor.author | McGhee, SM | en_HK |
dc.date.accessioned | 2011-08-26T14:40:53Z | - |
dc.date.available | 2011-08-26T14:40:53Z | - |
dc.date.issued | 2011 | en_HK |
dc.identifier.citation | Journal Of Nutrition, Health And Aging, 2011, v. 15 n. 9, p. 751-755 | en_HK |
dc.identifier.issn | 1279-7707 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/138116 | - |
dc.description.abstract | Objectives: To examine the relationship between diabetes and impairments in functional and cognitive status as well as depression in older people. Design: Cross-sectional study. Setting: Elderly Health Centres (EHC) in Hong Kong. Participants: 66,813 older people receiving baseline assessment at EHC in 1998 to 2001. Measurements: Diabetes status was defined by self-report and blood glucose tests. Functional status was assessed by 5 items of instrumental activities of daily living (IADL) and 7 items of activities of daily living (ADL). Cognitive status was screened by the Abbreviated Mental Test-Hong Kong version (AMT). Depressive symptoms were screened by the Geriatric Depression Scale-Chinese version (GDS). Results: Among the subjects, 10.4% reported having regular treatment for diabetes, 3.4% had diabetes but were not receiving regular treatment, and 86.2% did not have diabetes. After controlling for age, sex and education level, those having regular treatment for diabetes were 1.7 times more likely (OR=1.65, 95% CI: 1.51-1.80) to have functional impairment, 1.3 times more likely (OR=1.28, 95% CI: 1.11-1.48) to have cognitive impairment and 1.3 times more likely (OR=1.35, 95% CI: 1.25-1.46) to have depression, than older people without diabetes. Conclusion: Older people with diabetes may be less capable of managing the disease than the younger ones as a result of increased risk of both physical and cognitive impairment. This study provided further evidence for the need of an international consensus statement regarding care of diabetes in older people. © 2011 Serdi and Springer Verlag France. | en_HK |
dc.language | eng | en_US |
dc.publisher | Editions S E R D I. The Journal's web site is located at http://www.springer.com/medicine/family/journal/12603 | en_HK |
dc.relation.ispartof | Journal of Nutrition, Health and Aging | en_HK |
dc.subject | ageing | en_HK |
dc.subject | Diabetes mellitus | en_HK |
dc.subject | health care delivery | en_HK |
dc.subject.mesh | Activities of Daily Living - psychology | en_HK |
dc.subject.mesh | Aged | en_HK |
dc.subject.mesh | Aged, 80 and over | en_HK |
dc.subject.mesh | Cognition Disorders - epidemiology - psychology | en_HK |
dc.subject.mesh | Cross-Sectional Studies | en_HK |
dc.subject.mesh | Depression - epidemiology - psychology | en_HK |
dc.subject.mesh | Diabetes Mellitus - epidemiology - psychology | en_HK |
dc.subject.mesh | Educational Status | en_HK |
dc.subject.mesh | Female | en_HK |
dc.subject.mesh | Geriatric Assessment - statistics & numerical data | en_HK |
dc.subject.mesh | Hong Kong - epidemiology | en_HK |
dc.subject.mesh | Humans | en_HK |
dc.subject.mesh | Logistic Models | en_HK |
dc.subject.mesh | Male | en_HK |
dc.subject.mesh | Prevalence | en_HK |
dc.subject.mesh | Risk Factors | en_HK |
dc.title | Older people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Hui, L: huic@hkucc.hku.hk | en_HK |
dc.identifier.email | McGhee, SM: smmcghee@hkucc.hku.hk | en_HK |
dc.identifier.authority | Hui, L=rp01698 | en_HK |
dc.identifier.authority | McGhee, SM=rp00393 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1007/s12603-011-0071-z | en_HK |
dc.identifier.pmid | 22089223 | - |
dc.identifier.scopus | eid_2-s2.0-84856303662 | en_HK |
dc.identifier.hkuros | 190124 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-84856303662&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 15 | en_HK |
dc.identifier.issue | 9 | en_HK |
dc.identifier.spage | 751 | en_HK |
dc.identifier.epage | 755 | en_HK |
dc.identifier.isi | WOS:000297669700003 | - |
dc.publisher.place | France | en_HK |
dc.identifier.scopusauthorid | Chau, PH=55412317100 | en_HK |
dc.identifier.scopusauthorid | Woo, J=36040369400 | en_HK |
dc.identifier.scopusauthorid | Lee, CH=27171350200 | en_HK |
dc.identifier.scopusauthorid | Cheung, WL=7202743060 | en_HK |
dc.identifier.scopusauthorid | Chen, J=37123306300 | en_HK |
dc.identifier.scopusauthorid | Chan, WM=55264572400 | en_HK |
dc.identifier.scopusauthorid | Hui, L=12774460100 | en_HK |
dc.identifier.scopusauthorid | McGhee, SM=7003288588 | en_HK |
dc.identifier.issnl | 1279-7707 | - |