title: Quality of life in elderly diabetic patients with peripheral arterial disease.
abstract: OBJECTIVE
  To study the impact of peripheral arterial disease (PAD) on quality of life and functional status in Egyptian elderly diabetic patients.
  
  
  METHODS
  This case-control study included 90 non-demented patients aged 60 years and older. Quality of life assessment was carried out using the Short Form 36 health survey (SF-36), Arterial duplex for diagnosis of peripheral arterial disease; Mini-Mental State Examination, Geriatric Depression Scale, Activity of Daily Living and Instrumental Activity of Daily Living were used.
  
  
  RESULTS
  SF-36 domains (except emotional well-being) were significantly affected in diabetic patients with PAD compared with the diabetic patients without PAD. Most of functional assessment items were significantly affected in diabetic patients with PAD compared with diabetic patients without PAD. Increasing PAD severity and presence of PAD symptoms had a significant negative impact on SF-36 scores. Among diabetic complications in PAD patients, cardiovascular disease or stroke significantly affected quality of life.
  
  
  CONCLUSIONS
  PAD significantly affects quality of life and functional status in elderly diabetic patients.
authors.affiliation: Geriatric Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Moatassem S
authors.initials: MS
authors.lastname: Amer
authors.forename: Mohamad A
authors.initials: MA
authors.lastname: Alsadany
authors.forename: Mohammad F
authors.initials: MF
authors.lastname: Tolba
authors.forename: Omar H
authors.initials: OH
authors.lastname: Omar
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D055109:Ankle Brachial Index; D002318:Cardiovascular Diseases / Q000150:complications / Q000523:psychology; D016022:Case-Control Studies; D003704:Dementia / Q000523:psychology; D003863:Depression / Q000523:psychology; D048909:Diabetes Complications / Q000523:psychology*; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000523:psychology; D004522:Educational Status; D004534:Egypt; D004644:Emotions; D005260:Female; D015577:Geriatric Assessment; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications / Q000523:psychology; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007398:Interpersonal Relations; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D009043:Motor Activity; D010146:Pain / Q000523:psychology; D058729:Peripheral Arterial Disease / Q000150:complications / Q000523:psychology*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000523:psychology; D011788:Quality of Life; D020521:Stroke / Q000150:complications / Q000523:psychology
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin