Bourdel-Marchasson I, Dubroca B, Manciet G, Decamps A, Emeriau J P, Dartigues J F
Centre de Gériatrie du Centre hospitalier Universitaire de Bordeaux, Hopital Xavier Arnozan, Pessac, France.
J Am Geriatr Soc. 1997 Mar;45(3):295-301. doi: 10.1111/j.1532-5415.1997.tb00943.x.
To evaluate the prevalence of diabetes mellitus in older French subjects and to examine the different aspects of quality of life in an older diabetic population.
From a random sample of 2792 people older than age 65 living in the community, a diabetic sample was selected using three items from a questionnaire: Are you diabetic? Are you on a diabetic diet? What kind of medications do you take daily? Validation of the questionnaire was carried out previously to correct the observed prevalence.
The questionnaire assessed social and demographic aspects, physical, mental, and subjective health, and functional disabilities. Because quality of life assessment was mainly subjective, demented subjects were excluded.
The diabetic group consisted of 237 subjects from the older sample of 2792 (8.5%). No age difference was demonstrated between the two groups (mean, distribution), but the male/female ratio was significantly higher in those with diabetes (49.4% vs 39.3%, P = .003). Corrected prevalence of diabetes was 10.3%. After exclusion of demented subjects, 230/2726 people were investigated. Diabetic subjects were heavier (P < .001), had higher systolic blood pressure (P < .001), and had more frequent symptoms of ischemic heart disease (P < .001) and painful peripheral arterial disease (P < .001) and dyspnea (P < .001), but antecedents of stroke were similar in both groups. Diabetics were more often lacking in autonomy according to the IADL Lawton scale (P < .001), Rosow and Breslow scale (P < .001), and Mobility scale (P = .043), but not according to the Katz ADL scale. They more often exhibited symptoms of depression on the CES-D self-rating scale (21.3% vs 12.7%, P < .001), but evaluation of cognitive function was similar in both groups. Thirteen percent of diabetics, compared with 7.6% of non-diabetics, were unsatisfied with their own situation (P = .002). Health was rated as fair, bad, or very bad by 67.8% of diabetics compared with 49% of non-diabetics (P < .001). Diabetics rated themselves as feeling worse than others (15.3% vs 9.2%, P < < .001) and worried more about their health status (78% vs 63%, P < < .001).
The observed prevalence of diabetes in older French people living in the community was 8.5%. Quality of life in older diabetics was poorer than that of other people of the same age.
评估法国老年人群中糖尿病的患病率，并研究老年糖尿病患者生活质量的不同方面。
从居住在社区的2792名65岁以上的人群中随机抽样，使用问卷中的三个问题选取糖尿病样本：您是否患有糖尿病？您是否遵循糖尿病饮食？您每天服用何种药物？之前已对问卷进行验证以校正观察到的患病率。
问卷评估了社会和人口统计学方面、身体、心理和主观健康状况以及功能残疾情况。由于生活质量评估主要是主观的，因此排除了患有痴呆症的受试者。
糖尿病组由2792名老年样本中的237名受试者组成（8.5%）。两组之间未显示出年龄差异（均值、分布），但糖尿病患者的男女比例显著更高（49.4%对39.3%，P = .003）。校正后的糖尿病患病率为10.3%。排除患有痴呆症的受试者后，对230/2726人进行了调查。糖尿病患者体重更重（P < .001），收缩压更高（P < .001），缺血性心脏病症状更频繁（P < .001）、疼痛性外周动脉疾病症状更频繁（P < .001）以及呼吸困难症状更频繁（P < .001），但两组的中风病史相似。根据IADL劳顿量表（P < .001）、罗索和布雷斯洛量表（P < .001）以及活动量表（P = .043），糖尿病患者更常缺乏自理能力，但根据卡茨ADL量表则不然。在CES-D自评量表上，他们更常表现出抑郁症状（21.3%对12.7%，P < .001），但两组的认知功能评估相似。13%的糖尿病患者对自己的状况不满意，而非糖尿病患者为7.6%（P = .002）。67.8%的糖尿病患者将健康评为一般、差或非常差，而非糖尿病患者为49%（P < .001）。糖尿病患者认为自己感觉比其他人更差（15.3%对9.2%，P < < .001），并且更担心自己的健康状况（78%对63%，P < < .001）。
居住在社区的法国老年人中观察到的糖尿病患病率为8.5%。老年糖尿病患者的生活质量比同龄其他人更差。
