Age differences in diabetes-related complications and glycemic control
| Autor: | N. Aiminisani, J. Ataie, A. Mamaghanian, Seyed Morteza Shamshirgaran, M. Iranparvar-Alamdari, Akbar Aliasgarzadeh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Comorbidity Iran Logistic regression lcsh:Diseases of the endocrine glands. Clinical endocrinology Diabetes Complications 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Risk Factors Internal medicine medicine Humans Blood glucose 030212 general & internal medicine Socioeconomic status Glycemic Aged lcsh:RC648-665 business.industry Age Factors General Medicine Middle Aged medicine.disease Middle age Surgery Glycemic index Cross-Sectional Studies Glycemic Index Hyperglycemia Female business Complication Research Article |
| Zdroj: | BMC Endocrine Disorders, Vol 17, Iss 1, Pp 1-7 (2017) BMC Endocrine Disorders |
| ISSN: | 1472-6823 |
| DOI: | 10.1186/s12902-017-0175-5 |
| Popis: | Background This study aimed to examine the associations of age with the presence of complications and glycemic control in the Northwest of Iran. Methods A total of 649 people with diabetes who were >25 years old and had a caring record in diabetes clinics in two Northwestern provinces of Iran during 2014–15, were recruited in this cross-sectional study. General information including demographic, socioeconomic status and lifestyle factors were collected by trained interviewers. Clinical information was retrieved from clinic's record. Univariate and multivariate logistic regression were performed to assess the predictors of diabetes outcome of interest as well as to clarify the role of age in relation to these outcomes. Results Compared to the age group of ≤49, the middle age group (50–59) and the older age group (60 years of age and older) were less likely to report poor glycemic control (OR fully adjusted = 0.49 95% CI: 0.28–0.86 and (OR = 0.44 95% CI: 0.24–0.80), respectively. Additionally, poor glycemic control was associated with income level, disease duration, hypercholesterolemia, high level of LDL and hypertension. In contrast, age was associated with the highest percentage of complications. People with duration of >7 years of disease record were 6 times more likely to have complications (ORadj = 5.98 95% CI: 2.35–15.22). Conclusion Although the prevalence of complications was higher among the older diabetic patients, they had a better glycemic control. The influential factors were variably associated with the two diabetes-related outcomes; therefore, a more comprehensive risk profiles assessment is needed for glycemic control. Electronic supplementary material The online version of this article (doi:10.1186/s12902-017-0175-5) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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