Profile of diabetes in men aged 79-97 years: The Western Australian Health in Men Study

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Abstract

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.
Original languageEnglish
Pages (from-to)786-793
Number of pages8
JournalDiabetic Medicine
Volume34
Issue number6
Early online date2016
DOIs
Publication statusPublished - Jun 2017

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Men's Health
Health
Odds Ratio
Western Australia
Leisure Activities
Hypoglycemic Agents
Walking
Life Style
Heart Diseases
Fasting
Knee

Cite this

@article{0e343ce08ac640f999780af8c4722381,
title = "Profile of diabetes in men aged 79-97 years: The Western Australian Health in Men Study",
abstract = "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.",
author = "M. Henze and H. Alfonso and Leon Flicker and Jill George and Chubb, {Paul A.P.} and Hankey, {Graeme J.} and Almeida, {Osvaldo P.} and J. Golledge and Norman, {Paul E.} and Yeap, {Bu B.}",
year = "2017",
month = "6",
doi = "10.1111/dme.13274",
language = "English",
volume = "34",
pages = "786--793",
journal = "Diabetic Medicine: journal of diabetes UK",
issn = "0742-3071",
publisher = "John Wiley & Sons",
number = "6",

}

TY - JOUR

T1 - Profile of diabetes in men aged 79-97 years

T2 - The Western Australian Health in Men Study

AU - Henze, M.

AU - Alfonso, H.

AU - Flicker, Leon

AU - George, Jill

AU - Chubb, Paul A.P.

AU - Hankey, Graeme J.

AU - Almeida, Osvaldo P.

AU - Golledge, J.

AU - Norman, Paul E.

AU - Yeap, Bu B.

PY - 2017/6

Y1 - 2017/6

N2 - 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.

AB - 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.

U2 - 10.1111/dme.13274

DO - 10.1111/dme.13274

M3 - Article

VL - 34

SP - 786

EP - 793

JO - Diabetic Medicine: journal of diabetes UK

JF - Diabetic Medicine: journal of diabetes UK

SN - 0742-3071

IS - 6

ER -