Hiltunen L, Keinänen-Kiukaanniemi S, Läärä E, Kivelä S L
University of Oulu, Department of Public Health Science and General Practice, Finland.
Scand J Prim Health Care. 1996 Dec;14(4):229-37. doi: 10.3109/02813439608997090.
To describe functional ability of elderly persons with diabetes (DM) or impaired glucose tolerance (IGT) and to describe associations between functional ability and glucose tolerance.
A survey among an unselected non-institutionalized elderly population. Diabetes was assessed on the basis of self-reports and 2-h oral glucose tolerance tests. Functional ability was assessed in interviews by four items on mobility, five items on activities of daily living, and four items on instrumental activities of daily living.
Three municipalities in northern Finland.
All non-institutionalized persons aged 70 years or over (n = 483; 180 men). The participation rate was 79%.
Mobility, activities of daily living, and instrumental activities of daily living.
The functional ability of the diabetic persons was poorer than that of the non-diabetic persons. The subjects with IGT also graded their functional ability as somewhat poorer than the non-diabetic subjects. When adjusted for age, gender, history of cardiovascular disease or stroke, these associations became weaker.
Impaired functional ability is associated not only with diabetes but also with IGT in the elderly, but, in addition to age, cardio- and/or cerebrovascular disease is the best predictor of decreased functional ability in the elderly.
描述患有糖尿病（DM）或糖耐量受损（IGT）的老年人的功能能力，并描述功能能力与糖耐量之间的关联。
对未经过挑选的非机构化老年人群进行一项调查。根据自我报告和2小时口服葡萄糖耐量试验评估糖尿病情况。通过关于活动能力的4个项目、关于日常生活活动的5个项目以及关于日常生活工具性活动的4个项目在访谈中评估功能能力。
芬兰北部的三个直辖市。
所有70岁及以上的非机构化人员（n = 483；180名男性）。参与率为79%。
活动能力、日常生活活动和日常生活工具性活动。
糖尿病患者的功能能力比非糖尿病患者差。IGT患者也将他们的功能能力评定为比非糖尿病患者略差。在对年龄、性别、心血管疾病或中风病史进行校正后，这些关联变弱。
功能能力受损不仅与老年人的糖尿病有关，还与IGT有关，但是，除年龄外，心血管和/或脑血管疾病是老年人功能能力下降的最佳预测因素。
