糖尿病和老年人的功能限制:来自一个大型,代表性的加纳老龄化研究的证据
Razak M Gyasi1, Julius Odei2, Mohammed Gazali Hambali2
1African Population and Health Research Center, Nairobi, Kenya; National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, NSW, Australia.
糖尿病 (DM) 在老年人中显著增加功能限制 (FL). 身体活动和某些健康状况部分解释了这种联系,表明整体管理是公共健康的关键.
科学领域:
- 老年学与公共卫生
- 慢性疾病流行病学 慢性疾病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在低收入和中等收入国家,糖尿病 (DM) 与功能状态之间的联系存在有限的数据.
- 在老年人中,影响DM和功能限制 (FL) 之间的关联的因素仍然不太清楚.
研究的目的:
- 检查老年人中DM和FL之间的关联.
- 为了确定影响DM-FL协会在这个人口群体中的潜在因素.
主要方法:
- 对1201名年龄≥50岁的成年人进行了横截面分析.
- 根据医生诊断的自我报告来定义DM.
- 通过Hayes PROCESS宏的等级回归和引导被用于评估关联.
主要成果:
- 患DM的患病率为10.1%,FL为36.1%.
- DM与FL的几率增加有关 (OR=2.50),随着限制的数量增加,几率增加.
- 身体活动,高血压,中风和疼痛减弱了DM-FL的关联,身体活动介导了效果的40.39%.
结论:
- 患有DM的老年人表现出更高的功能限制的可能性.
- 身体活动和其他健康变量部分解释了DM和FL之间的关联.
- 建议在公共卫生规划中采用整体管理方法,以解决老年人群中DM诱导的FL问题.
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