Factors associated with diabetes among the elderly receiving care at a specialized gerontology-geriatric outpatient clinic

Ramos, Roberta de Souza Pereira da Silva; Marques, Ana Paula de Oliveira; Ramos, Vânia Pinheiro; Borba, Anna Karla de Oliveira Tito; Aguiar, Avelino Maciel Alves de; Leal, Márcia Carréra Campos

doi:10.1590/1981-22562017020.160145

Cited by 17 publications

(17 citation statements)

References 16 publications

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“…As for age, the elderly have a higher prevalence, which may be justified by the physiological changes inherent in the aging process 24,25 . DM in the elderly is related to a higher risk of premature death, a greater association with other comorbidities and major geriatric syndromes, as well as impairments regarding functional capacity, autonomy and quality of life 26 . It is important to highlight that DM, as well as the metabolic syndrome, which is associated with cardiovascular diseases in adulthood, is increasing in young populations.…”

Section: Discussionmentioning

confidence: 99%

Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde

Malta

Duncan

Schmidt

et al. 2019

Rev. bras. epidemiol.

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RESUMO: Objetivo: Analisar as prevalências de diabetes mellitus segundo diferentes critérios diagnósticos, na população adulta brasileira, segundo os resultados laboratoriais da Pesquisa Nacional de Saúde. Métodos: Análise dos dados laboratoriais da Pesquisa Nacional de Saúde, coletados entre os anos de 2014 e 2015. Foram calculadas as prevalências de diabetes conforme diferentes critérios diagnósticos. Foram calculadas as prevalências de diabetes segundo o critério de hemoglobina glicosilada ≥ 6,5% ou em uso de medicamentos, empregando regressão de Poisson para o cálculo da razão de prevalência (RP) bruta e ajustada e intervalo de confiança de 95% (IC95%). Resultados: A prevalência de diabetes segundo diferentes critérios pode variar 6,6 a 9,4%; e a hiperglicemia intermediária, ou pré-diabetes, de 6,8 a 16,9%. Usando-se o critério laboratorial ou uso de medicamentos, a prevalência de diabetes foi de 8,4%. A RP ajustada para sexo, idade, escolaridade e região foi menor no sexo masculino (RP = 0,75; IC95% 0,63 - 0,89); aumentou com a idade: 30 a 34 anos (RP=2,32; IC95% 1,33 - 4,07), 40 a 59 anos (RP = 8,1; IC95% 4,86 - 13,46), 60 anos ou mais (RP = 12,6; IC95% 7,1 - 21,0); e a escolaridade elevada foi protetora (RP = 0,8; IC95% 0,6 - 0,9). Maior RP foi encontrada na Região Centro-Oeste (RP = 1,3; IC95% 1,04 - 1,7) e naqueles com sobrepeso (RP = 1,8; IC95% 1,4 - 2,1) e obesidade (RP = 3,3; IC95% 2,6 - 4,1). Conclusão: A prevalência de diabetes foi maior no sexo feminino, naqueles com idade maior que 30 anos, em população com baixa escolaridade, com excesso de peso e obesidade. Os critérios laboratoriais são mais fidedignos para o conhecimento da situação real do diabetes no país.

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Section: Discussionmentioning

confidence: 99%

Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde

Malta

Duncan

Schmidt

et al. 2019

Rev. bras. epidemiol.

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“…Large international studies have shown the harms diabetes can cause to older adults, especially in IADL. IADL are more complex and require greater integrity of the most diverse human organ systems for their execution, especially the musculoskeletal and nervous systems (Ramos et al, 2017;Rekeneire & Volpato, 2015).…”

Section: Discussionmentioning

confidence: 99%

Functional capacity of diabetic older adults living in a municipality in Northeastern Brazil

Bezerra¹,

Nobre²,

Vasconcelos³

et al. 2020

IJAERS

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Diabetes Mellitus is a disease that contribute to the loss of functional capacity in older adults. This study aimed to measure diabetic older adults' functional capacity for activities of daily living (ADL) and instrumental activities of daily living (IADL). We carried out a descriptive and analytical crosssectional study with older adults aged 65+ years at a specialized health care center of Brazil. The medical records of the patients were selected using non-probability sampling. In this study was found, significantly statistical, higher prevalence in ADL among persons aged 75+ years, those with low levels of education and relation between self-rated current health status. For dependence in IADL, it was common among 75+ years old people, those with lower levels of education, with income of up to 2 minimum wages and worse self-rated health. There is a need to work on public policies that contribute to active and successful aging by promoting the autonomy and functional independence of older adults in the household and community.

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“…The inner ear has intense metabolic activity, but unlike other organs, it does not have a stored energy reserve, making it more sensitive to fluctuations due to the requirement of resources, specifically glucose and oxygen, necessary for its adequate functioning 6,7 . Thus, hypertension and DM2 are factors that can cause changes in PB 21 .…”

Section: Iibmentioning

confidence: 99%

“…It is estimated that 15.3% of hospital costs of the Unified Health System in Brazil, between 2008 and 2010, were caused by DM. Financial damages are not the only concerns as DM2 can cause damage to the organs and systems of the body, reducing functional capacity and autonomy 1,6 .…”

Section: Introductionmentioning

confidence: 99%

Diseases and symptoms associated with changes in postural balance in diabetics: an integrating literature review

et al. 2019

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Purpose: to verify the diseases and symptoms associated with changes in postural balance in middle-aged and elderly individuals with type 2 diabetes mellitus. Methods: an integrative review was performed using the following descriptors: "Dizziness," "Vertigo," "Vestibular Diseases," "Labyrinth Diseases," and "Type 2, Diabetes Mellitus" in English and in Portuguese in databases such as PubMed, SciELO, LILACS, Web of Science, and Scopus. Observational articles involving individuals aged 40 years or more with type 2 diabetes mellitus and with alteration in postural balance having presented at least one disease or symptom associated with that alteration were selected. Results: the search yielded 1,209 articles, but only five met the eligibility criteria. Individuals in the selected studies had systemic arterial hypertension, high body mass index, peripheral neuropathy, and postural instability when walking on irregular surfaces and in the dark, when looking at moving objects, moving the head quickly and changing posture, resulting in stumbling when walking, and falls. The articles were classified as IIb and III, according to the levels of evidence of the American Speech-Language Hearing Association. Conclusion: the subjects in the studied articles presented cardiovascular alterations, peripheral neuropathy, vestibular symptoms, difficulties in tasks/movements in challenging contexts, and falls.

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Factors associated with diabetes among the elderly receiving care at a specialized gerontology-geriatric outpatient clinic

Cited by 17 publications

References 16 publications

Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde

Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde

Functional capacity of diabetic older adults living in a municipality in Northeastern Brazil

Diseases and symptoms associated with changes in postural balance in diabetics: an integrating literature review

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