Chou Kee-Lee, Chi Iris
Sau Po Centre on Ageing, University of Hong Kong, Hong Kong, SAR, China.
Gerontology. 2005 Sep-Oct;51(5):334-9. doi: 10.1159/000086371.
To investigate the associations between diabetes and disability in three domains and to determine whether the associations are mediated by diabetes-related complications.
A random representative sample of 2,003 non-institutionalized older Hong Kong Chinese was interviewed. The diabetic status was measured by the self-reported method. Disability was assessed by standardized questionnaire on basic activities of daily living (ADLs), instrumental ADLs, and mobility.
12.3% of our participants reported having diabetes. Older adults with diabetes are more likely to report difficulty in 12 of 15 ADLs than older adults without diabetes. Older adults with diabetes are about twice as likely to report disability in higher functioning tasks only, as well as mobility and higher functioning tasks, and 3.5 times as likely to report disability in self-care tasks with or without any other mobility or higher functioning tasks than those without diabetes, after adjusting for age, gender, marital status and education. Adjustment for diabetic-related medical conditions, the first two associations attenuated slightly, but remained significant, whereas the last one became insignificant. The last results were different from what has been found in previous studies.
Diabetes is strongly related to a wide range of disabilities in older Hong Kong adults and the underlying mechanisms might be different for different categories of disability.
研究糖尿病与三个领域残疾之间的关联，并确定这些关联是否由糖尿病相关并发症介导。
对2003名非住院的香港华裔老年人进行了随机抽样调查。通过自我报告法测量糖尿病状况。通过关于日常生活基本活动（ADL）、工具性ADL和 mobility 的标准化问卷评估残疾情况。
12.3%的参与者报告患有糖尿病。与无糖尿病的老年人相比，患有糖尿病的老年人在15项ADL中的12项中更有可能报告有困难。在调整年龄、性别、婚姻状况和教育程度后，患有糖尿病的老年人仅在较高功能任务以及 mobility 和较高功能任务中报告残疾的可能性约为无糖尿病老年人的两倍，在有或无任何其他 mobility 或较高功能任务的自我护理任务中报告残疾的可能性是无糖尿病老年人的3.5倍。对糖尿病相关医疗状况进行调整后，前两个关联略有减弱，但仍具有显著性，而最后一个关联变得不显著。最后的结果与先前研究的结果不同。
糖尿病与香港老年成年人的多种残疾密切相关，不同类型残疾的潜在机制可能不同。
