Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing
Objective. To explore risk factors for macro- and microvascular complications in a nationally representative sample of adults aged 50 years and over with type 2 diabetes in Ireland. Methods. Data from the first wave of The Irish Longitudinal Study on Ageing (TILDA) (2009–2011) was used in cross-sect...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/5975903 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564006608437248 |
|---|---|
| author | Marsha L. Tracey Sheena M. McHugh Anthony P. Fitzgerald Claire M. Buckley Ronan J. Canavan Patricia M. Kearney |
| author_facet | Marsha L. Tracey Sheena M. McHugh Anthony P. Fitzgerald Claire M. Buckley Ronan J. Canavan Patricia M. Kearney |
| author_sort | Marsha L. Tracey |
| collection | DOAJ |
| description | Objective. To explore risk factors for macro- and microvascular complications in a nationally representative sample of adults aged 50 years and over with type 2 diabetes in Ireland. Methods. Data from the first wave of The Irish Longitudinal Study on Ageing (TILDA) (2009–2011) was used in cross-sectional analysis. The presence of doctor diagnosis of diabetes, risk factors, and macro- and microvascular complications were determined by self-report. Gender-specific differences in risk factor prevalence were assessed with the chi-squared test. Binomial regression analysis was conducted to explore independent associations between established risk factors and diabetes-related complications. Results. Among 8175 respondents, 655 were classified as having type 2 diabetes. Older age, being male, a history of smoking, a lower level of physical activity, and a diagnosis of high cholesterol were independent predictors of macrovascular complications. Diabetes diagnosis of 10 or more years, a history of smoking, and a diagnosis of hypertension were associated with an increased risk of microvascular complications. Older age, third-level education, and a high level of physical activity were protective factors (p<0.05). Conclusions. Early intervention to target modifiable risk factors is urgently needed to reduce diabetes-related morbidity in the older population in Ireland. |
| format | Article |
| id | doaj-art-afd354d474e249f49c9b25bce25555db |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-afd354d474e249f49c9b25bce25555db2025-02-03T01:12:05ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/59759035975903Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on AgeingMarsha L. Tracey0Sheena M. McHugh1Anthony P. Fitzgerald2Claire M. Buckley3Ronan J. Canavan4Patricia M. Kearney5Department of Epidemiology and Public Health, University College Cork, Western Road, Western Gateway Building, Cork, IrelandDepartment of Epidemiology and Public Health, University College Cork, Western Road, Western Gateway Building, Cork, IrelandDepartment of Epidemiology and Public Health, University College Cork, Western Road, Western Gateway Building, Cork, IrelandDepartment of Epidemiology and Public Health, University College Cork, Western Road, Western Gateway Building, Cork, IrelandDepartment of Endocrinology, St. Vincent’s University Hospital, Elm Park, Dublin 4, IrelandDepartment of Epidemiology and Public Health, University College Cork, Western Road, Western Gateway Building, Cork, IrelandObjective. To explore risk factors for macro- and microvascular complications in a nationally representative sample of adults aged 50 years and over with type 2 diabetes in Ireland. Methods. Data from the first wave of The Irish Longitudinal Study on Ageing (TILDA) (2009–2011) was used in cross-sectional analysis. The presence of doctor diagnosis of diabetes, risk factors, and macro- and microvascular complications were determined by self-report. Gender-specific differences in risk factor prevalence were assessed with the chi-squared test. Binomial regression analysis was conducted to explore independent associations between established risk factors and diabetes-related complications. Results. Among 8175 respondents, 655 were classified as having type 2 diabetes. Older age, being male, a history of smoking, a lower level of physical activity, and a diagnosis of high cholesterol were independent predictors of macrovascular complications. Diabetes diagnosis of 10 or more years, a history of smoking, and a diagnosis of hypertension were associated with an increased risk of microvascular complications. Older age, third-level education, and a high level of physical activity were protective factors (p<0.05). Conclusions. Early intervention to target modifiable risk factors is urgently needed to reduce diabetes-related morbidity in the older population in Ireland.http://dx.doi.org/10.1155/2016/5975903 |
| spellingShingle | Marsha L. Tracey Sheena M. McHugh Anthony P. Fitzgerald Claire M. Buckley Ronan J. Canavan Patricia M. Kearney Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing Journal of Diabetes Research |
| title | Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing |
| title_full | Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing |
| title_fullStr | Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing |
| title_full_unstemmed | Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing |
| title_short | Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing |
| title_sort | risk factors for macro and microvascular complications among older adults with diagnosed type 2 diabetes findings from the irish longitudinal study on ageing |
| url | http://dx.doi.org/10.1155/2016/5975903 |
| work_keys_str_mv | AT marshaltracey riskfactorsformacroandmicrovascularcomplicationsamongolderadultswithdiagnosedtype2diabetesfindingsfromtheirishlongitudinalstudyonageing AT sheenammchugh riskfactorsformacroandmicrovascularcomplicationsamongolderadultswithdiagnosedtype2diabetesfindingsfromtheirishlongitudinalstudyonageing AT anthonypfitzgerald riskfactorsformacroandmicrovascularcomplicationsamongolderadultswithdiagnosedtype2diabetesfindingsfromtheirishlongitudinalstudyonageing AT clairembuckley riskfactorsformacroandmicrovascularcomplicationsamongolderadultswithdiagnosedtype2diabetesfindingsfromtheirishlongitudinalstudyonageing AT ronanjcanavan riskfactorsformacroandmicrovascularcomplicationsamongolderadultswithdiagnosedtype2diabetesfindingsfromtheirishlongitudinalstudyonageing AT patriciamkearney riskfactorsformacroandmicrovascularcomplicationsamongolderadultswithdiagnosedtype2diabetesfindingsfromtheirishlongitudinalstudyonageing |