Age differences in diabetes-related complications and glycemic control

BMC Endocrine Disorders

Research Article

M. Iranparvar-Alamdari¹  A. Mamaghanian²  N. Aiminisani²  S. M. Shamshirgaran³  A. Aliasgarzadeh⁴  J. Ataie⁵ 

[1] Department of Internal Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran;Department of Statistics and Epidemiology, School of Health Sciences Tabriz University of Medical Sciences, Tabriz, Iran;Department of Statistics and Epidemiology, School of Health Sciences Tabriz University of Medical Sciences, Tabriz, Iran;Injury Epidemiology Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;Khalkhal Health Center, School of Khalkhal Medical Sciences, Ardabil University of Medical Sciences, Ardabil, Iran;

关键词: Diabetes mellitus;    Hyperglycemia;    Complication;    Comorbidity;    Blood glucose;   

DOI  :  10.1186/s12902-017-0175-5

 received in 2016-10-27, accepted in 2017-04-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThis study aimed to examine the associations of age with the presence of complications and glycemic control in the Northwest of Iran.MethodsA total of 649 people with diabetes who were >25 years old and had a caring record in diabetes clinics in two Northwestern provinces of Iran during 2014–15, were recruited in this cross-sectional study. General information including demographic, socioeconomic status and lifestyle factors were collected by trained interviewers. Clinical information was retrieved from clinic's record. Univariate and multivariate logistic regression were performed to assess the predictors of diabetes outcome of interest as well as to clarify the role of age in relation to these outcomes.ResultsCompared to the age group of ≤49, the middle age group (50–59) and the older age group (60 years of age and older) were less likely to report poor glycemic control (OR fully adjusted = 0.49 95% CI: 0.28–0.86 and (OR = 0.44 95% CI: 0.24–0.80), respectively. Additionally, poor glycemic control was associated with income level, disease duration, hypercholesterolemia, high level of LDL and hypertension. In contrast, age was associated with the highest percentage of complications. People with duration of >7 years of disease record were 6 times more likely to have complications (ORadj = 5.98 95% CI: 2.35–15.22).ConclusionAlthough the prevalence of complications was higher among the older diabetic patients, they had a better glycemic control. The influential factors were variably associated with the two diabetes-related outcomes; therefore, a more comprehensive risk profiles assessment is needed for glycemic control.

【 授权许可】

CC BY   
© The Author(s). 2017