Tyrovolas Stefanos, Zeimbekis Akis, Bountziouka Vassiliki, Voutsa Katia, Pounis George, Papoutsou Stalo, Metallinos George, Ladoukaki Evangelia, Polychronopoulos Evangelos, Lionis Christos, Panagiotakos Demosthenes B
Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.
Rev Diabet Stud. 2009 Spring;6(1):54-63. doi: 10.1900/RDS.2009.6.54. Epub 2009 May 10.
The aim of the present work was to evaluate the relationships between socio-demographic, clinical, lifestyle and psychological characteristics and the presence of diabetes mellitus, among elderly individuals without known cardiovascular disease.
During 2005-2007, 1190 elderly (aged 65 to 100 years) men and women (from Cyprus, Mitilini, Samothraki, Cephalonia, Crete, Lemnos, Corfu and Zakynthos) were enrolled. Socio-demographic, clinical and lifestyle factors were assessed using standard procedures. Diabetes mellitus was defined as fasting blood glucose >125 mg/dl or use of special medication.
21% of males and 23% of females had diabetes. Only 70% of diabetic participants were on a special diet and 76% were receiving pharmaceutical treatment. Diabetic individuals had higher prevalence of hypertension (80% vs. 64%, p < 0.001) and hypercholesterolemia (63% vs. 51%, p < 0.001) and reported lower physical activity status (p < 0.001), compared with non-diabetic participants. After adjusting for various confounders, hypertension and hypercholesterolemia were associated with a 144% (95% CI, 1.37-4.35) and 83% (95% CI, 1.13-2.94) higher likelihood of having diabetes, while moderate and vigorous exercise correlated with a 82% (95% CI, 0.09-0.81) and 67% (95% CI, 0.11-0.97) lower likelihood of diabetes.
A considerable proportion of our elderly sample had diabetes and other metabolic disorders, almost 25% of which were untreated. Promotion of physical activities, even in the elderly, may contribute to reducing their burden of diabetes and provide them with a better quality of living.
本研究旨在评估社会人口学、临床、生活方式和心理特征与无已知心血管疾病的老年人糖尿病患病情况之间的关系。
在2005年至2007年期间，招募了1190名年龄在65至100岁之间的老年人（来自塞浦路斯、米蒂利尼、萨莫色雷斯、凯法利尼亚、克里特岛、莱姆诺斯、科孚岛和扎金索斯岛），男女不限。使用标准程序评估社会人口学、临床和生活方式因素。糖尿病定义为空腹血糖>125mg/dl或使用特殊药物。
21%的男性和23%的女性患有糖尿病。只有70%的糖尿病参与者采用特殊饮食，76%正在接受药物治疗。与非糖尿病参与者相比，糖尿病患者高血压患病率更高（80%对64%，p<0.001）、高胆固醇血症患病率更高（63%对51%，p<0.001），且身体活动水平更低（p<0.001）。在对各种混杂因素进行调整后，高血压和高胆固醇血症与患糖尿病的可能性分别高出144%（95%CI，1.37 - 4.35）和83%（95%CI，1.13 - 2.94），而适度和剧烈运动与患糖尿病的可能性分别降低82%（95%CI，0.09 - 0.81）和67%（95%CI，0.11 - 0.97）。
我们的老年样本中有相当一部分患有糖尿病和其他代谢紊乱，其中近25%未得到治疗。推广体育活动，即使对老年人来说，也可能有助于减轻他们的糖尿病负担，提高生活质量。
