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Cross-countrydifferences in theassociation betweendiabetes anddisability Shervin AssariReza Moghani LankaraniMaryam Moghani Lankarani2014 год

Cross-country differences in the association between diabetes and disability
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Аннотация: This study tested possible cross-country differences in the associations between diabetes and activities of daily living (ADLs), and possible confounding / mediating effects of socio-economic status, obesity, and exercise.Data came from Research on Early Life and Aging Trends and Effects (RELATE). The study included a total number of 25,372 community sample of adults who were 40 years or older. We used data from community based surveys in seven countries including China, Mexico, Barbados, Brazil, Chile, Cuba, and Uruguay. Demographics (age and gender), socio-economic status (education and income), obesity, exercise, and ADL (bath, dress, toilet, transfer, heavy, shopping, meals) were measured. Self-reported data on physician diagnosis of diabetes was the independent variable. We tested if diabetes is associated with ADL, before and after adjusting for socio-economics, obesity, and exercise in each country.Based on Model I (age and gender adjusted model), diabetes was associated with limitation in at least one ADL in Mexico, Barbados, Brazil, Chile, Cuba, and Uruguay, but not China. Based on Model II that also controlled for education and income, education explained the association between diabetes and limitation in ADL in Mexico and Uruguay. Based on Model III that also controlled for exercise and obesity, in Cuba and Brazil, exercise explained the link between diabetes and limitation in performing ADLs. Thus, the link between diabetes and ADL was independent of our covariates only in Chile and Barbados.There are cross-country differences in the link between diabetes and limitation in ADL. There are also cross-country differences in how socio-economic status, obesity, and exercise explain the above association.
Год издания: 2014
Авторы: Shervin Assari, Reza Moghani Lankarani, Maryam Moghani Lankarani
Издательство: Springer Nature
Источник: Journal of Diabetes & Metabolic Disorders
Ключевые слова: Diabetes, Cardiovascular Risks, and Lipoproteins, Chronic Disease Management Strategies, Cardiovascular Health and Risk Factors
Другие ссылки: Journal of Diabetes & Metabolic Disorders (PDF)
Journal of Diabetes & Metabolic Disorders (HTML)
Deep Blue (University of Michigan) (PDF)
Deep Blue (University of Michigan) (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
PubMed (HTML)