Prevalence of prediabetes and associated factors in the oldest old: a cross sectional study in the octabaix cohort
Autor/a
Padrós, Gloria
Ferrer, Assumpta
Formiga, Francesc
Cunillera, Oriol
Badia, Teresa
Corbella Virós, Xavier
Octabaix Study Group
Fecha de publicación
2017-06ISSN
1873-9598
Resumen
Background: The leading high-risk state for diabetes mellitus (DM) – prediabetes – is increasing; however, a lack of information exists in oldest old subjects. The objective of this study is to describe the rate of prediabetes and the associated factors among community-dwelling 85-year-olds. Methods: A cross-sectional survey including data from 321 subjects on cardiovascular risk factors, functional status, comorbidities and laboratory tests was conducted. Participants were divided in three groups: normoglycemic (fasting plasma glucose (FPG) < 5.6 mmol/L), prediabetes (FPG 5.6–6.9 mmol/L) and DM (FPG ≥ 7 mmol/L, or DM diagnostic, or antidiabetics use). Comparative analysis was performed between the 3 groups. Results: One hundred seventy-nine (55.8%) participants were classified as normoglycemic, 86 (26.8%) as DM and 56 (17.4%) as prediabetic. Multinomial logistic regression model found no association of explanatory variables with normoglycemia in front of prediabetes, while there was significant association with DM (rather than prediabetes) and Angiotensin converting enzyme (ACE) treatment (OR: 7.04 95% CI 2.52–19.61), diuretics (OR: 2.46, 95% CI 1.04–5.78) and Charlson Index (OR: 2.67, 95% CI 1.77–4.02), with higher odds of being in DM than in prediabetic group. Conclusion: Prevalence of prediabetes is high among the 85-year-old population studied. The comparison between prediabetic and DM groups revealed that the major clinical differences were the higher Charlson comorbidity Index scores, diuretics and ACE drugs in the DM group.
Tipo de documento
Artículo
Versión del documento
Versión aceptada
Lengua
Inglés
Materias (CDU)
61 - Medicina
Palabras clave
Diabetis
Gerontologia
Diabetis -- Factors de risc
Diabetes
Gerontología
Diabetes -- Factores de riesgo
Diabetes
Gerontology
Diabetes -- Risk factors
Páginas
3
Publicado por
Elsevier
Colección
11;
Publicado en
International Journal of Gerontology
Citación
Padrós, Gloria; Ferrer, Assumpta; Formiga, Francesc [et al.]. Prevalence of prediabetes and associated factors in the oldest old: a cross sectional study in the octabaix cohort. International Journal of Gerontology, 2017, 11, p. 90-94. Disponible en: <https://www.sciencedirect.com/science/article/pii/S1873959817300637>. Fecha de acceso: 7 jul. 2020. DOI: 10.1016/j.ijge.2016.05.006
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Derechos
© 2017 Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).
Excepto si se señala otra cosa, la licencia del ítem se describe como https://creativecommons.org/licenses/by-nc-nd/4.0/