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Geriatric syndromes and the cumulative impacts on quality of life in older people with type 2 diabetes mellitus

International Journal of Diabetes in Developing Countries volume 41, pages 148–155 (2021)Cite this article

Abstract

Objective

Older people with diabetes commonly experience geriatric syndromes that affect health. Little is known about the occurrence of geriatric syndromes and the impacts on quality of life in Chinese older people with type 2 diabetes mellitus (T2DM). This study aimed to understand geriatric syndrome and its association with quality of life among this population.

Methods

A descriptive, cross-sectional study design was used. A total of 397 older people with diabetes were consecutively recruited from geriatric and endocrinology departments of a tertiary hospital using convenience sampling. Data on seven specific geriatric syndromes and quality of life were collected through checking medical records and distributing questionnaires.

Results

The participants had 2.81 ± 1.38 geriatric syndromes on an average, with prevalence of 94.7%. The presence of each geriatric syndrome had significantly negative association with the physical component summary and mental component summary of quality of life. The number of geriatric syndromes, co-morbidity, and diabetes duration explained 29.1% of the total variance in physical component summary. The number of geriatric syndromes and co-morbidity explained 23.4% of the total variation in mental component summary.

Conclusions

The number of geriatric syndromes was the major contributing factor to lower quality of life compared with socio-demographics factors and diabetic conditions among older people with T2DM.

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Fig. 1

References

  1. National Bureau of Statistics of China. China statistical yearbook 2019. http://www.stats.gov.cn/tjsj/ndsj/2019/indexch.htm. Accessed 20 Feburary 2020.

  2. Yang GWY, Zeng Y, Gao GF, Liang X, Zhou M, Wan X, et al. Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet. 2013;381(9882):1987–2015. https://doi.org/10.1016/S0140-6736(13)61097-1.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lou P, Qin Y, Zhang P, Chen P, Zhang L, Chang G, et al. Association of sleep quality and quality of life in type 2 diabetes mellitus: a cross-sectional study in China. Diabetes Res Clin Pract. 2015;107(1):69–76. https://doi.org/10.1016/j.diabres.2014.09.060.

    Article  PubMed  Google Scholar 

  4. Laiteerapong N, Karter AJ, Liu JY, Moffet HH, Sudore R, Schillinger D, et al. Correlates of quality of life in older adults with diabetes: the diabetes & aging study. Diabetes Care. 2011;34(8):1749–53.

    Article  Google Scholar 

  5. McRae PJ, Peel NM, Walker PJ, de Looze JW, Mudge AM. Geriatric syndromes in individuals admitted to vascular and urology surgical units. J Am Geriatr Soc. 2014;62(6):1105–9. https://doi.org/10.1111/jgs.12827.

    Article  PubMed  Google Scholar 

  6. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55(5):780–91.

    Article  Google Scholar 

  7. Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults: a consensus report. J Am Geriatr Soc. 2012;60(12):2342–56. https://doi.org/10.1111/jgs.12035.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Nezu S, Okamoto N, Morikawa M, Saeki K, Obayashi K, Tomioka K, et al. Health-related quality of life (HRQOL) decreases independently of chronic conditions and geriatric syndromes in older adults with diabetes: the Fujiwara-kyo study. J Epidemiol. 2014;24(4):259–66. https://doi.org/10.2188/jea.JE20130131.

    Article  PubMed  Google Scholar 

  9. Xu Y. Prevalence and control of diabetes in Chinese adults. J Am Med Assoc. 2013;310(9):948–59. https://doi.org/10.1001/jama.2013.168118.

    CAS  Article  Google Scholar 

  10. Rosso AL, Eaton CB, Wallace R, Gold R, Stefanick ML, Ockene JK, et al. Geriatric syndromes and incident disability in older women: results from the women’s health initiative observational study. J Am Geriatr Soc. 2013;61(3):371–9. https://doi.org/10.1111/jgs.12147.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kim S, Park JH, Won CW. Combined effects of four major geriatric syndromes on adverse outcomes based on Korean National Health Insurance claims data. Geriatr Gerontol Int. 2018;18(10):1463–8. https://doi.org/10.1111/ggi.13513.

    Article  PubMed  Google Scholar 

  12. Wang S-Y, Shamliyan TA, Talley KMC, Ramakrishnan R, Kane RL. Not just specific diseases: systematic review of the association of geriatric syndromes with hospitalization or nursing home admission. Arch Gerontol Geriatr. 2013;57(1):16–26. https://doi.org/10.1016/j.archger.2013.03.007.

    Article  PubMed  Google Scholar 

  13. Sinclair A, Dunning T, Rodriguez-Mañas L. Diabetes in older people: new insights and remaining challenges. Lancet Diabetes Endocrinol. 2015;3(4):275–85. https://doi.org/10.1016/S2213-8587(14)70176-7.

    Article  PubMed  Google Scholar 

  14. Kim H, Kim K. Health-related quality-of-life and diabetes self-care activity in elderly patients with diabetes in Korea. J Community Health. 2017;42(5):998–1007. https://doi.org/10.1007/s10900-017-0347-2.

    Article  PubMed  Google Scholar 

  15. Noale M, Veronese N, Cavallo Perin P, Pilotto A, Tiengo A, Crepaldi G, et al. Polypharmacy in elderly patients with type 2 diabetes receiving oral antidiabetic treatment. Acta Diabetol. 2016;53(2):323–30. https://doi.org/10.1007/s00592-015-0790-4.

    CAS  Article  PubMed  Google Scholar 

  16. Umegaki H. Sarcopenia and frailty in older patients with diabetes mellitus. Geriatr Gerontol Int. 2016;16(3):293–9. https://doi.org/10.1111/ggi.12688.

    Article  PubMed  Google Scholar 

  17. Zhang P, Lou P, Chang G, Chen P, Zhang L, Li T, et al. Combined effects of sleep quality and depression on quality of life in patients with type 2 diabetes. BMC Fam Pract. 2016;17(1):40. https://doi.org/10.1186/s12875-016-0435-x.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  18. Merskey H. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Pain Suppl. 1995;3(2):S1.

    Google Scholar 

  19. Longstreth G, Thompson W, Chey W, Houghton L, Mearin F, Spiller R. Functional bowel disorders. Gastroenterology. 2006;130(5):1480–91. https://doi.org/10.1053/j.gastro.2005.11.061.

    Article  PubMed  Google Scholar 

  20. World Health Organization. Falls. 2012. http://www.who.int/news-room/fact-sheets/detail/falls. Accessed 1 January 2018.

  21. Z-b C, Y-q L, Q-d C, S-l S, B-t S, Z-c G. The relevance study of Chinese Short Form of International Consultation on Incontinence questionnaire (ICIQ-SF) and urodynamics. J Mod Urol. 2011;16(9):403–5.

    Google Scholar 

  22. He X, Liu X. Evaluation of reliability and validity of mini-nutritional assessment and Chinese nutrition screen. Nurs J Chin People’s Lib Army. 2010;27(6B):894–6.

    Google Scholar 

  23. Bauer J, Kaiser M, Anthony P, Guigoz Y, Sieber C. The mini nutritional assessment-its history, today’s practice, and future perspectives. Nutr Clin Pract. 2008;23(4):388–96. https://doi.org/10.1177/0884533608321132.

    Article  PubMed  Google Scholar 

  24. Tsai P-S, Wang S-Y, Wang M-Y, Su C-T, Yang T-T, Huang C-J, et al. Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Qual Life Res. 2005;14(8):1943–52. https://doi.org/10.1007/s11136-005-4346-x.

    CAS  Article  PubMed  Google Scholar 

  25. Li L, Wang H, Shen Y. Development and psychometric tests of a Chinese version of the SF-36 Health Survey Scales. Chin J Prev Med. 2002;36(2):109–13.

    Google Scholar 

  26. Dogan H, Harman E, Kocoglu H, Sargin G. Can metabolic control variables of diabetic patients predict their quality of life? J Am Soc Hypertens. 2016;10(1):81–8. https://doi.org/10.1016/j.jash.2015.11.014.

    Article  PubMed  Google Scholar 

  27. Bowen PG, Clay OJ, Lee LT, Vice J, Ovalle F, Crowe M. Associations of social support and self-efficacy with quality of life in older adults with diabetes. J Gerontol Nurs. 2015;41(12):21–9; quiz 30-1. https://doi.org/10.3928/00989134-20151008-44.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Werfalli M, Kassanjee R, Kalula S, Kowal P, Phaswana-Mafuya N, Levitt NS. Diabetes in South African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE Wave 1 data. Glob Health Action. 2018;11(1):1449924. https://doi.org/10.1080/16549716.2018.1449924.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Araki A, Ito H. Diabetes mellitus and geriatric syndromes. Geriatr Gerontol Int. 2009;9(2):105–14. https://doi.org/10.1111/j.1447-0594.2008.00495.x.

    Article  PubMed  Google Scholar 

  30. Okayasu S, Kitaichi K, Hori A, Suwa T, Horikawa Y, Yamamoto M, et al. The evaluation of risk factors associated with adverse drug reactions by metformin in type 2 diabetes mellitus. Biol Pharm Bull. 2012;35(6):933–7.

    CAS  Article  Google Scholar 

  31. Liberman O, Peleg R, Shvartzman P. Chronic pain in type 2 diabetic patients: a cross-sectional study in primary care setting. Eur J Gen Pract. 2014;20(4):260–7. https://doi.org/10.3109/13814788.2014.887674.

    Article  PubMed  Google Scholar 

  32. Vetrano DL, Foebel AD, Marengoni A, Brandi V, Collamati A, Heckman GA, et al. Chronic diseases and geriatric syndromes: the different weight of comorbidity. Eur J Intern Med. 2016;27:62–7. https://doi.org/10.1016/j.ejim.2015.10.025.

    Article  PubMed  Google Scholar 

  33. Koroukian SM, Schiltz N, Warner DF, Sun J, Bakaki PM, Smyth KA, et al. Combinations of chronic conditions, functional limitations, and geriatric syndromes that predict health outcomes. J Gen Intern Med. 2016;31(6):630–7. https://doi.org/10.1007/s11606-016-3590-9.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Abdelhafiz AH, Sinclair AJ. Diabetes in the elderly. Medicine. 2019;47(2):119–22. https://doi.org/10.1016/j.mpmed.2018.11.007.

    Article  Google Scholar 

  35. Bennich BB, Munch L, Egerod I, Konradsen H, Ladelund S, Knop FK, et al. Patient assessment of family function, glycemic control and quality of life in adult patients with type 2 diabetes and incipient complications. Can J Diabetes. 2019;43(3):193–200. https://doi.org/10.1016/j.jcjd.2018.09.002.

    Article  PubMed  Google Scholar 

  36. Rausch C, Liang Y, Bultmann U, de Rooij SE, Johnell K, Laflamme L, et al. Social position and geriatric syndromes among Swedish older people: a population-based study. BMC Geriatr. 2019;19(1):267. https://doi.org/10.1186/s12877-019-1295-8.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

The authors would like to sincerely thank the patients with type 2 diabetes mellitus for their participation in this study. We also wish to thank the staff of geriatric and endocrinology departments who allowed us to recruit patients from their department.

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Authors and Affiliations

  1. School of Nursing, Qingdao University, No. 38 Dengzhou Road, Qingdao, 266021, Shandong Province, China

    Ting Liu & Xiuxin Miao

  2. The affiliated Qingdao Municipal Hospital of Qingdao University, No. 1 Jiaozhou Road, Qingdao, 266011, Shandong Province, China

    Xiaoyun Man

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  1. Ting Liu
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Corresponding author

Correspondence to Xiuxin Miao.

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The study was approved by the Ethics Review Committee of Faculty of Medicine at Qingdao University where the study was conducted. All the participants signed informed consent prior to their participation.

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The authors declare that they have no conflict of interest.

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Liu, T., Man, X. & Miao, X. Geriatric syndromes and the cumulative impacts on quality of life in older people with type 2 diabetes mellitus. Int J Diabetes Dev Ctries 41, 148–155 (2021). https://doi.org/10.1007/s13410-020-00848-x

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  • DOI: https://doi.org/10.1007/s13410-020-00848-x

Keywords

  • Diabetes mellitus
  • Geriatric syndrome
  • Older people
  • Quality of life