title: Diabetes mellitus and functional impairment in Taiwanese older men and women.
abstract: Type 2 diabetes mellitus is strongly related to many kinds of functional impairment, even after adjusting for demographic and comorbid conditions. The current study examined sex differences in the relationships between Type 2 diabetes mellitus and functional impairment in an Asian population sample. Data were obtained from a national survey, the Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan. A total of 652 older adults aged > or =65 years were included in the study. Pearson's chi(2)-test and multiple logistic regression analysis were used to examine the relationships between diabetes and functional impairments in older men and women. The reported numbers of impairments were significantly higher in women, in those aged > or =75 years, and in those with diabetes. There were sex and age differences in the relationships between diabetes and functional difficulties. Even after adjustment for age, education, and co-morbid conditions, men with diabetes were about four times more likely to have difficulties related to self-care, and women with diabetes were about two to three times more likely to have difficulties related to higher functioning than their non-diabetic counterparts. Sex differences should be considered when understanding the relationships between diabetes and functional impairments in older adults.
authors.affiliation: Division of Geriatric Research, Population Health Science Institute, National Health Research Institutes, No. 17 Xu-Zhou Road, Taipei 100, Taiwan.
authors.forename: Chih-Hsun
authors.initials: CH
authors.lastname: Wu
authors.forename: Ching-Yu
authors.initials: CY
authors.lastname: Chen
authors.forename: Yin-Chang
authors.initials: YC
authors.lastname: Wu
authors.forename: Li-Jen
authors.initials: LJ
authors.lastname: Weng
authors.forename: Hurng
authors.initials: H
authors.lastname: Baai-Shyun
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology*; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness; D012720:Severity of Illness Index