Profile of diabetes in men aged 79–97 years: the Western Australian Health in Men Study
Aims To investigate behavioural, physical and biochemical characteristics associated with diabetes in the oldest age group of elderly men. Methods We conducted a cross‐sectional analysis of community‐dwelling men aged 79–97 years from Perth, Western Australia. Lifestyle behaviours, self‐rated health...
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| Veröffentlicht in: | Diabetic medicine 2017-06, Vol.34 (6), p.786-793 |
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| creator | Henze, M. Alfonso, H. Flicker, L. George, J. Chubb, S. A. P. Hankey, G. J. Almeida, O. P. Golledge, J. Norman, P. E. Yeap, B. B. |
| description | Aims
To investigate behavioural, physical and biochemical characteristics associated with diabetes in the oldest age group of elderly men.
Methods
We conducted a cross‐sectional analysis of community‐dwelling men aged 79–97 years from Perth, Western Australia. Lifestyle behaviours, self‐rated health, physical function, and fasting glucose and HbA1c levels were assessed.
Results
Of 1426 men, 315 had diabetes (22%). Men with diabetes were of similar age to men without (84.9 vs 84.5 years; P = 0.14). Only 26.5% of men with diabetes self‐rated their health as excellent or very good, compared with 40.6% of men without diabetes (P < 0.001). Diabetes was associated with less involvement with recreational walking (32.7 vs 41.0%; P < 0.01) and leisure activities (19.0 vs 26.5%; P < 0.01). Men with diabetes had poorer physical function on multiple measures, including longer times for the Timed Up‐and‐Go test (15.0 ± 6.9 s vs 13.4 ± 5.3 s; P < 0.001) and weaker knee extension (20.2 vs 21.9 kg; P < 0.001). In multivariate analyses, diabetes was associated with an increased prevalence of myocardial infarction (odds ratio 1.80, 95% CI 1.25–2.60; P < 0.001) and falls resulting in injury (odds ratio 1.55, 95% CI 1.06–2.26; P = 0.02). Average HbA1c was 49 ± 8 mmol/mol (6.6 ± 0.8%) in men with diabetes, with 90.6% of these men on diet or oral hypoglycaemic therapy.
Conclusions
In older men, diabetes is associated with poorer self‐perceived health, reduced healthy lifestyle behaviours and physical function, heart disease and injurious falls. The majority of these men with diabetes had good glycaemic control. Encouraging healthy lifestyle behaviours and improving physical function should be evaluated as interventions to improve quality‐of‐life and health outcomes.
What's new?
The phenotype of diabetes in the oldest age range of elderly people is not well characterized.
In men aged 79–97 years, diabetes is associated with less participation in recreational behaviours, poorer self‐rated health, reduced physical function and falls resulting in injury.
The mean HbA1c concentration in men with diabetes in this age group is |
| doi_str_mv | 10.1111/dme.13274 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835505968</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835505968</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-bbc48bf7620dd9a0b788bac90595474f8859bf9c12252ed8604cf0ca0e2e95e63</originalsourceid><addsrcrecordid>eNp1kMtKxDAUQIMozvhY-AMScKOLjkmaNIm7wTfMoKAirkra3mqljzFpke78B__QLzFj1YXg3dzNuYfLQWiHkgn1c5hVMKEhk3wFjSmPeCC4pqtoTCRnQUgkHaEN554JoUyHeh2NmJQR1Twao4dr2-RFCbjJcVaYBFpwuKhxBTU2j5BhqT_e3rXEPRjrjnD7BPgeXAu2xtPOtdaUhanxBZiyfVoezv3hTdtl_RZay03pYPt7b6K7s9Pb44tgdnV-eTydBWkoQh4kScpVksuIkSzThiRSqcSkmggtuOS5UkInuU4pY4JBpiLC05ykhgADLSAKN9H-4F3Y5qXzr8VV4VIoS1ND07mYqlAIb4uUR_f-oM9NZ2v_nae0ilgoNPfUwUCltnHOQh4vbFEZ28eUxMvese8df_X27O63sUsqyH7Jn8AeOByAVx-5_98Un8xPB-UnztKH_Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1898623594</pqid></control><display><type>article</type><title>Profile of diabetes in men aged 79–97 years: the Western Australian Health in Men Study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Henze, M. ; Alfonso, H. ; Flicker, L. ; George, J. ; Chubb, S. A. P. ; Hankey, G. J. ; Almeida, O. P. ; Golledge, J. ; Norman, P. E. ; Yeap, B. B.</creator><creatorcontrib>Henze, M. ; Alfonso, H. ; Flicker, L. ; George, J. ; Chubb, S. A. P. ; Hankey, G. J. ; Almeida, O. P. ; Golledge, J. ; Norman, P. E. ; Yeap, B. B.</creatorcontrib><description><![CDATA[Aims
To investigate behavioural, physical and biochemical characteristics associated with diabetes in the oldest age group of elderly men.
Methods
We conducted a cross‐sectional analysis of community‐dwelling men aged 79–97 years from Perth, Western Australia. Lifestyle behaviours, self‐rated health, physical function, and fasting glucose and HbA1c levels were assessed.
Results
Of 1426 men, 315 had diabetes (22%). Men with diabetes were of similar age to men without (84.9 vs 84.5 years; P = 0.14). Only 26.5% of men with diabetes self‐rated their health as excellent or very good, compared with 40.6% of men without diabetes (P < 0.001). Diabetes was associated with less involvement with recreational walking (32.7 vs 41.0%; P < 0.01) and leisure activities (19.0 vs 26.5%; P < 0.01). Men with diabetes had poorer physical function on multiple measures, including longer times for the Timed Up‐and‐Go test (15.0 ± 6.9 s vs 13.4 ± 5.3 s; P < 0.001) and weaker knee extension (20.2 vs 21.9 kg; P < 0.001). In multivariate analyses, diabetes was associated with an increased prevalence of myocardial infarction (odds ratio 1.80, 95% CI 1.25–2.60; P < 0.001) and falls resulting in injury (odds ratio 1.55, 95% CI 1.06–2.26; P = 0.02). Average HbA1c was 49 ± 8 mmol/mol (6.6 ± 0.8%) in men with diabetes, with 90.6% of these men on diet or oral hypoglycaemic therapy.
Conclusions
In older men, diabetes is associated with poorer self‐perceived health, reduced healthy lifestyle behaviours and physical function, heart disease and injurious falls. The majority of these men with diabetes had good glycaemic control. Encouraging healthy lifestyle behaviours and improving physical function should be evaluated as interventions to improve quality‐of‐life and health outcomes.
What's new?
The phenotype of diabetes in the oldest age range of elderly people is not well characterized.
In men aged 79–97 years, diabetes is associated with less participation in recreational behaviours, poorer self‐rated health, reduced physical function and falls resulting in injury.
The mean HbA1c concentration in men with diabetes in this age group is <53 mmol/mol (<7.0%), with 90% of men on oral therapy.
Improving lifestyle behaviours and physical performance should be tested as potential interventions to improve diabetes outcomes in this expanding demographic.]]></description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.13274</identifier><identifier>PMID: 27761946</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Age ; Aged ; Aged, 80 and over ; Biochemical characteristics ; Coronary artery disease ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - epidemiology ; Fasting ; Geriatrics ; Health risk assessment ; Health Status ; Heart diseases ; Humans ; Knee ; Laboratory testing ; Life Style ; Lifestyles ; Male ; Men's Health - statistics & numerical data ; Mens health ; Myocardial infarction ; Quality of Life ; Surveys and Questionnaires ; Walking ; Western Australia - epidemiology</subject><ispartof>Diabetic medicine, 2017-06, Vol.34 (6), p.786-793</ispartof><rights>2016 Diabetes UK</rights><rights>2016 Diabetes UK.</rights><rights>Diabetic Medicine © 2017 Diabetes UK</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-bbc48bf7620dd9a0b788bac90595474f8859bf9c12252ed8604cf0ca0e2e95e63</citedby><cites>FETCH-LOGICAL-c3534-bbc48bf7620dd9a0b788bac90595474f8859bf9c12252ed8604cf0ca0e2e95e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.13274$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.13274$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27761946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Henze, M.</creatorcontrib><creatorcontrib>Alfonso, H.</creatorcontrib><creatorcontrib>Flicker, L.</creatorcontrib><creatorcontrib>George, J.</creatorcontrib><creatorcontrib>Chubb, S. A. P.</creatorcontrib><creatorcontrib>Hankey, G. J.</creatorcontrib><creatorcontrib>Almeida, O. P.</creatorcontrib><creatorcontrib>Golledge, J.</creatorcontrib><creatorcontrib>Norman, P. E.</creatorcontrib><creatorcontrib>Yeap, B. B.</creatorcontrib><title>Profile of diabetes in men aged 79–97 years: the Western Australian Health in Men Study</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description><![CDATA[Aims
To investigate behavioural, physical and biochemical characteristics associated with diabetes in the oldest age group of elderly men.
Methods
We conducted a cross‐sectional analysis of community‐dwelling men aged 79–97 years from Perth, Western Australia. Lifestyle behaviours, self‐rated health, physical function, and fasting glucose and HbA1c levels were assessed.
Results
Of 1426 men, 315 had diabetes (22%). Men with diabetes were of similar age to men without (84.9 vs 84.5 years; P = 0.14). Only 26.5% of men with diabetes self‐rated their health as excellent or very good, compared with 40.6% of men without diabetes (P < 0.001). Diabetes was associated with less involvement with recreational walking (32.7 vs 41.0%; P < 0.01) and leisure activities (19.0 vs 26.5%; P < 0.01). Men with diabetes had poorer physical function on multiple measures, including longer times for the Timed Up‐and‐Go test (15.0 ± 6.9 s vs 13.4 ± 5.3 s; P < 0.001) and weaker knee extension (20.2 vs 21.9 kg; P < 0.001). In multivariate analyses, diabetes was associated with an increased prevalence of myocardial infarction (odds ratio 1.80, 95% CI 1.25–2.60; P < 0.001) and falls resulting in injury (odds ratio 1.55, 95% CI 1.06–2.26; P = 0.02). Average HbA1c was 49 ± 8 mmol/mol (6.6 ± 0.8%) in men with diabetes, with 90.6% of these men on diet or oral hypoglycaemic therapy.
Conclusions
In older men, diabetes is associated with poorer self‐perceived health, reduced healthy lifestyle behaviours and physical function, heart disease and injurious falls. The majority of these men with diabetes had good glycaemic control. Encouraging healthy lifestyle behaviours and improving physical function should be evaluated as interventions to improve quality‐of‐life and health outcomes.
What's new?
The phenotype of diabetes in the oldest age range of elderly people is not well characterized.
In men aged 79–97 years, diabetes is associated with less participation in recreational behaviours, poorer self‐rated health, reduced physical function and falls resulting in injury.
The mean HbA1c concentration in men with diabetes in this age group is <53 mmol/mol (<7.0%), with 90% of men on oral therapy.
Improving lifestyle behaviours and physical performance should be tested as potential interventions to improve diabetes outcomes in this expanding demographic.]]></description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biochemical characteristics</subject><subject>Coronary artery disease</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Fasting</subject><subject>Geriatrics</subject><subject>Health risk assessment</subject><subject>Health Status</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Knee</subject><subject>Laboratory testing</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Men's Health - statistics & numerical data</subject><subject>Mens health</subject><subject>Myocardial infarction</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><subject>Walking</subject><subject>Western Australia - epidemiology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKxDAUQIMozvhY-AMScKOLjkmaNIm7wTfMoKAirkra3mqljzFpke78B__QLzFj1YXg3dzNuYfLQWiHkgn1c5hVMKEhk3wFjSmPeCC4pqtoTCRnQUgkHaEN554JoUyHeh2NmJQR1Twao4dr2-RFCbjJcVaYBFpwuKhxBTU2j5BhqT_e3rXEPRjrjnD7BPgeXAu2xtPOtdaUhanxBZiyfVoezv3hTdtl_RZay03pYPt7b6K7s9Pb44tgdnV-eTydBWkoQh4kScpVksuIkSzThiRSqcSkmggtuOS5UkInuU4pY4JBpiLC05ykhgADLSAKN9H-4F3Y5qXzr8VV4VIoS1ND07mYqlAIb4uUR_f-oM9NZ2v_nae0ilgoNPfUwUCltnHOQh4vbFEZ28eUxMvese8df_X27O63sUsqyH7Jn8AeOByAVx-5_98Un8xPB-UnztKH_Q</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Henze, M.</creator><creator>Alfonso, H.</creator><creator>Flicker, L.</creator><creator>George, J.</creator><creator>Chubb, S. A. P.</creator><creator>Hankey, G. J.</creator><creator>Almeida, O. P.</creator><creator>Golledge, J.</creator><creator>Norman, P. E.</creator><creator>Yeap, B. B.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201706</creationdate><title>Profile of diabetes in men aged 79–97 years: the Western Australian Health in Men Study</title><author>Henze, M. ; Alfonso, H. ; Flicker, L. ; George, J. ; Chubb, S. A. P. ; Hankey, G. J. ; Almeida, O. P. ; Golledge, J. ; Norman, P. E. ; Yeap, B. B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-bbc48bf7620dd9a0b788bac90595474f8859bf9c12252ed8604cf0ca0e2e95e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biochemical characteristics</topic><topic>Coronary artery disease</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Fasting</topic><topic>Geriatrics</topic><topic>Health risk assessment</topic><topic>Health Status</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Knee</topic><topic>Laboratory testing</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Men's Health - statistics & numerical data</topic><topic>Mens health</topic><topic>Myocardial infarction</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><topic>Walking</topic><topic>Western Australia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Henze, M.</creatorcontrib><creatorcontrib>Alfonso, H.</creatorcontrib><creatorcontrib>Flicker, L.</creatorcontrib><creatorcontrib>George, J.</creatorcontrib><creatorcontrib>Chubb, S. A. P.</creatorcontrib><creatorcontrib>Hankey, G. J.</creatorcontrib><creatorcontrib>Almeida, O. P.</creatorcontrib><creatorcontrib>Golledge, J.</creatorcontrib><creatorcontrib>Norman, P. E.</creatorcontrib><creatorcontrib>Yeap, B. B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Henze, M.</au><au>Alfonso, H.</au><au>Flicker, L.</au><au>George, J.</au><au>Chubb, S. A. P.</au><au>Hankey, G. J.</au><au>Almeida, O. P.</au><au>Golledge, J.</au><au>Norman, P. E.</au><au>Yeap, B. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Profile of diabetes in men aged 79–97 years: the Western Australian Health in Men Study</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2017-06</date><risdate>2017</risdate><volume>34</volume><issue>6</issue><spage>786</spage><epage>793</epage><pages>786-793</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><abstract><![CDATA[Aims
To investigate behavioural, physical and biochemical characteristics associated with diabetes in the oldest age group of elderly men.
Methods
We conducted a cross‐sectional analysis of community‐dwelling men aged 79–97 years from Perth, Western Australia. Lifestyle behaviours, self‐rated health, physical function, and fasting glucose and HbA1c levels were assessed.
Results
Of 1426 men, 315 had diabetes (22%). Men with diabetes were of similar age to men without (84.9 vs 84.5 years; P = 0.14). Only 26.5% of men with diabetes self‐rated their health as excellent or very good, compared with 40.6% of men without diabetes (P < 0.001). Diabetes was associated with less involvement with recreational walking (32.7 vs 41.0%; P < 0.01) and leisure activities (19.0 vs 26.5%; P < 0.01). Men with diabetes had poorer physical function on multiple measures, including longer times for the Timed Up‐and‐Go test (15.0 ± 6.9 s vs 13.4 ± 5.3 s; P < 0.001) and weaker knee extension (20.2 vs 21.9 kg; P < 0.001). In multivariate analyses, diabetes was associated with an increased prevalence of myocardial infarction (odds ratio 1.80, 95% CI 1.25–2.60; P < 0.001) and falls resulting in injury (odds ratio 1.55, 95% CI 1.06–2.26; P = 0.02). Average HbA1c was 49 ± 8 mmol/mol (6.6 ± 0.8%) in men with diabetes, with 90.6% of these men on diet or oral hypoglycaemic therapy.
Conclusions
In older men, diabetes is associated with poorer self‐perceived health, reduced healthy lifestyle behaviours and physical function, heart disease and injurious falls. The majority of these men with diabetes had good glycaemic control. Encouraging healthy lifestyle behaviours and improving physical function should be evaluated as interventions to improve quality‐of‐life and health outcomes.
What's new?
The phenotype of diabetes in the oldest age range of elderly people is not well characterized.
In men aged 79–97 years, diabetes is associated with less participation in recreational behaviours, poorer self‐rated health, reduced physical function and falls resulting in injury.
The mean HbA1c concentration in men with diabetes in this age group is <53 mmol/mol (<7.0%), with 90% of men on oral therapy.
Improving lifestyle behaviours and physical performance should be tested as potential interventions to improve diabetes outcomes in this expanding demographic.]]></abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27761946</pmid><doi>10.1111/dme.13274</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Diabetic medicine, 2017-06, Vol.34 (6), p.786-793 |
| issn | 0742-3071 1464-5491 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Age Aged Aged, 80 and over Biochemical characteristics Coronary artery disease Cross-Sectional Studies Diabetes Diabetes mellitus Diabetes Mellitus - epidemiology Fasting Geriatrics Health risk assessment Health Status Heart diseases Humans Knee Laboratory testing Life Style Lifestyles Male Men's Health - statistics & numerical data Mens health Myocardial infarction Quality of Life Surveys and Questionnaires Walking Western Australia - epidemiology |
| title | Profile of diabetes in men aged 79–97 years: the Western Australian Health in Men Study |
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