Abstract
Abstract
Purpose
To investigate the association between comorbidities associated with diabetes and higher-level functional status as well as the relationship between comorbidities associated with diabetes and higher-level functional status in older patients with type 2 diabetes mellitus who have better social networks.
Methods
Participants were outpatients with type 2 diabetes aged ≥ 65 years, excluding individuals with severe cardiovascular or respiratory illness, hyperglycaemic crisis, type 1 diabetes, or diabetic foot. The Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) was used to evaluate the higher-level functional status. A TMIG-IC score of ≤ 9, instrumental activities of daily living (IADL) ≤ 4, intellectual activity or social role ≤ 3 were defined as decline in higher-level functional status. The comorbidities investigated included peripheral neuropathy, retinopathy, nephropathy, cognitive impairment, depression, frailty, sarcopenia, low muscle strength, stroke, heart disease, and arthritis.
Results
The analysis included 198 patients (mean age 75.9 ± 5.7 years, male 60.1%). After adjusting for potential confounders, depression was associated with TMIG-IC (Prevalence ratio (PR) 2.34, 95% confidence interval (CI) 1.44–3.82), low muscle strength was associated with IADL (PR 2.85, 95% CI 1.30–6.27), and frailty was associated with intellectual activity (PR 1.38, 95% CI 1.10–1.74). In the model with social networks added as a confounder, the relationship between depression or low muscle strength and higher-level functional status was not statistically significant.
Conclusion
Comorbidities of depression and low muscle strength for older patients with type 2 diabetes mellitus increase the risk of malfunctioning of higher-level functional status. Increased interactions with family, friends and neighbours may reduce this event.
Funder
National Center for Global Health and Medicine
Japan Association for Diabetes Education and Care
Publisher
Springer Science and Business Media LLC
Reference50 articles.
1. (1984) The uses of epidemiology in the study of the elderly. Report of a WHO scientific group on the epidemiology of aging. World Health Organ Tech Rep Ser 706:1–84
2. Lawton MP (1972) Assessing the competence of older people. In: Kent DP, Kastenbaum R, Sherwood S (eds) Research, planning, and action for the elderly: the power and potential of social science. Behavioral Publications, New York, pp 122–143
3. Nagata H, Miura K, Tanaka S et al (2023) Relationship of higher-level functional capacity with long-term mortality in Japanese older people: NIPPON DATA90. J Epidemiol 33:136–141. https://doi.org/10.2188/jea.JE20210077
4. Murakami K, Tsubota-Utsugi M, Satoh M et al (2016) Impaired higher-level functional capacity as a predictor of stroke in community-dwelling older adults: the Ohasama study. Stroke 47:323–328. https://doi.org/10.1161/STROKEAHA.115.011131
5. Taniguchi Y, Kitamura A, Nofuji Y et al (2019) Association of trajectories of higher-level functional capacity with mortality and medical and long-term care costs among community-dwelling older Japanese. J Gerontol A Biol Sci Med Sci 74:211–218. https://doi.org/10.1093/gerona/gly024
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