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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Diabetes mellitus and incidence of lower body disability among older Mexican Americans.
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Diabetes mellitus and incidence of lower body disability among older Mexican Americans.

机译：墨西哥墨西哥裔美国人的糖尿病和下肢残疾发生率。

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BACKGROUND: Little is known about the effect of diabetes mellitus on subsequent lower body disability in older Mexican Americans, one of the fastest growing ethnic groups in the United States. The aim of this study is to examine the relationship between diabetes mellitus and incident lower body disability over a 7-year follow-up period. METHODS: Ours was a 7-year prospective cohort study of 1835 Mexican-American individuals > or 65 years old, nondisabled at baseline, and residing in five Southwestern states. Measures included self-reported physician diagnosis of diabetes, stroke, heart attack, hip fracture, arthritis, or cancer. Disability measures included activities of daily living (ADLs), mobility tasks, and an 8-foot walk test. Body mass index, depressive symptoms, and vision function were also measured. RESULTS: At 7-year follow-up, 48.7% of diabetic participants nondisabled at baseline developed limitations in one or more measures of lower body function. Cox proportional regression analyses showed that diabetic participants were more likely to report any limitation in lower body ADL function (hazard ratio [HR] = 2.05, 95% confidence interval [CI], 1.58-2.67), mobility tasks (HR = 1.69, 95% CI, 1.39-2.04), and 8-foot walk (HR = 1.46, 95% CI, 1.15-1.85) compared with nondiabetic participants, after controlling for relevant factors. Older age and having one or more diabetic complications were significantly associated with increased risk of limitations in any lower body ADL and mobility task at follow-up. CONCLUSION: Older Mexican Americans with diabetes mellitus are at high risk for development of lower body disability over time. Awareness of disability as a potentially modifiable complication and use of interventions to reduce disability should become health priorities for older Mexican Americans with diabetes.
机译：背景：关于糖尿病对年长墨西哥裔美国人后来的下半身残疾的影响知之甚少，墨西哥裔美国人是美国增长最快的族裔之一。这项研究的目的是在7年的随访期内研究糖尿病与下肢残疾事件之间的关系。方法：我们是一项为期7年的前瞻性队列研究，研究对象是1835名墨西哥或65岁以上的墨西哥人，他们在基线时没有残疾，居住在西南五个州。措施包括自我报告的医生诊断为糖尿病，中风，心脏病，髋部骨折，关节炎或癌症。残疾措施包括日常生活活动（ADL），活动任务和8英尺步行测试。还测量了体重指数，抑郁症状和视觉功能。结果：在7年的随访中，有48.7％的糖尿病参与者在基线时没有残疾，在一项或多项下半身功能测量中出现了局限性。 Cox比例回归分析显示，糖尿病患者更有可能报告下半身ADL功能（危险比[HR] = 2.05、95％置信区间[CI]，1.58-2.67），行动任务（HR = 1.69、95）的任何限制在控制相关因素后，与非糖尿病参与者相比，百分比CI（1.39-2.04）和8英尺步行（HR = 1.46，95％CI，1.15-1.85）。年龄较大，患有一种或多种糖尿病并发症与随访中任何下半身ADL和行动任务受限的风险增加显着相关。结论：随着年龄的增长，墨西哥裔墨西哥老年人患有下肢残疾的风险很高。意识到残疾是一种潜在的可改变的并发症，并采取干预措施以减少残疾，应成为墨西哥裔墨西哥老年人的健康重点。

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