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    Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing.

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    Authors
    Tracey, Marsha L
    McHugh, Sheena M
    Fitzgerald, Anthony P
    Buckley, Claire M
    Canavan, Ronan J
    Kearney, Patricia M
    Issue Date
    2016
    Keywords
    DIABETES MELLITUS
    AGEING
    MeSH
    Age Factors
    Aged
    Cohort Studies
    Cross-Sectional Studies
    Diabetes Mellitus, Type 2
    Diabetic Angiopathies
    Diabetic Foot
    Diabetic Nephropathies
    Diabetic Neuropathies
    Diabetic Retinopathy
    Exercise
    Female
    Heart Failure
    Humans
    Hypercholesterolemia
    Hypertension
    Ireland
    Ischemic Attack, Transient
    Longitudinal Studies
    Male
    Middle Aged
    Myocardial Infarction
    Prevalence
    Prospective Studies
    Risk Factors
    Sex Factors
    Smoking
    Stroke
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    Citation
    Risk Factors for Macro- and Microvascular Complications among Older Adults with Diagnosed Type 2 Diabetes: Findings from The Irish Longitudinal Study on Ageing. 2016, 2016:5975903 J Diabetes Res
    Publisher
    Journal of diabetes research
    Journal
    Journal of diabetes research
    URI
    http://hdl.handle.net/10147/621431
    DOI
    10.1155/2016/5975903
    PubMed ID
    27294152
    Abstract
    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.
    Item Type
    Article
    Language
    en
    ISSN
    2314-6753
    ae974a485f413a2113503eed53cd6c53
    10.1155/2016/5975903
    Scopus Count
    Collections
    St. Finbarr's Hospital

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