Project Details
Abstract
Background: Most previous studies of health outcomes in adults with diabetes have focused on
laboratory indicators and assessment of diabetes complications. These indicators do not necessarily
reflect patients’ self-rated physical functioning, activities, and participations. Diabetes is associated
with an increased risk of functional decline in older adults. However, to date no studies have
investigated the associated factors of functioning in older adults with diabetes by a systematic
framework. With the approval of the International Classification of Functioning, Disability and
Health (ICF) we could base on a globally agreed systematic framework and classification to explore
the problems in functioning of patients with diabetes.
Objective: The objectives of this study are three-fold. First, we investigate the associated factors of
functional disability in older adults with diabetes based on ICF. Second, we compare the health
status between older adults with and without diabetes based on ICF. Third, we compare 3-year
mortality risk between older adults with and without diabetes and explore their associated factors
based on ICF.
Method: This is a prospective study involving participants in the Taiwan National Health Interview
Survey (NHIS), 2005 and 2009. Those individuals aged 65 and above will be included in this study.
Deaths will be verified by indexing to the National Register of Deaths with a personal identification
number for 3 years. We assess factors considered to be associated with functional decline and
mortality in older adults with diabetes including the age at diagnosis, use of insulin, other chronic
conditions, participations, social support, and health-related behaviors.
Statistical analysis: Logistic regression analysis will be performed to assess the association
between functional decline and its associated factors. Multivariate Cox’s proportional hazards
models will be used to examine the association between mortality and its associated factors. We
used the SAS (SAS Institute, Cary, NC) for all analyses.
Project IDs
Project ID:PF10308-0618
External Project ID:MOST103-2410-H182-022
External Project ID:MOST103-2410-H182-022
Status | Finished |
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Effective start/end date | 01/08/14 → 31/07/15 |
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