Hewitt J, Smeeth L, Bulpitt C J, Fletcher A E
Portsmouth Hospitals Trust, Portsmouth, UK.
Diabet Med. 2009 Apr;26(4):370-6. doi: 10.1111/j.1464-5491.2009.02687.x.
Prevalence estimates of Type 2 diabetes and its associated health problems in elderly populations are rare, especially in the very elderly.
A sample of 15 095 community-dwelling older people aged > or = 75 years were assessed. Type 2 diabetes and associated health problems were identified using self-reporting, general practitioner records, drug histories, and blood and urine measurements.
There were 1177 people identified as having Type 2 diabetes mellitus, giving an overall prevalence of 7.8% (95% confidence interval 7.1, 8.5), 9.4% (8.4, 10.5) for men and 6.8% (6.1, 7.6) for women. The age, sex and smoking adjusted odds ratios for various health problems, comparing people with and without diabetes were: low vision 1.6 (1.3, 1.9), proteinuria 1.7 (1.4, 2.1), chronic kidney disease stage 4 or 5 1.5 (1.0, 2.1), angina 1.3 (1.1, 1.6), myocardial infarction 1.5 (1.2, 1.8), cerebrovascular event 2.0 (1.8, 2.1) and foot ulceration 1.7 (1.2, 2.4).
The prevalence of Type 2 diabetes is not high in community-dwelling older people, but diabetes was a contributory factor to a number of health problems.
关于老年人群中2型糖尿病及其相关健康问题的患病率估计较为少见，尤其是在高龄老人中。
对15095名年龄≥75岁的社区居住老年人进行了抽样评估。通过自我报告、全科医生记录、用药史以及血液和尿液检测来确定2型糖尿病及相关健康问题。
共识别出1177名患有2型糖尿病的患者，总体患病率为7.8%（95%置信区间7.1, 8.5），男性患病率为9.4%（8.4, 10.5），女性患病率为6.8%（6.1, 7.6）。在比较患糖尿病和未患糖尿病的人群时，对各种健康问题进行年龄、性别和吸烟因素调整后的优势比为：视力低下1.6（1.3, 1.9），蛋白尿1.7（1.4, 2.1），慢性肾脏病4或5期1.5（1.0, 2.1），心绞痛1.3（1.1, 1.6），心肌梗死1.5（1.2, 1.8），脑血管事件2.0（1.8, 2.1）以及足部溃疡1.7（1.2, 2.4）。
社区居住的老年人中2型糖尿病的患病率并不高，但糖尿病是导致一些健康问题的一个因素。
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