Association Among Depression, Physical Functioning, and Hearing and Vision Impairment in Adults With Diabetes

Loprinzi, Paul D.; Smit, Ellen; Pariser, Gina

doi:10.2337/diaspect.26.1.6

Cited by 14 publications

(8 citation statements)

References 41 publications

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“…It is noteworthy that these similar results come from two studies that used different measures of depression. Our finding on depression contradicts several other studies that found: no differences between DSL and single sensory impairment [35,36], worse results for DSL when compared to both VL and HL [38][39][40][41], and worse results for DSL only when compared to HL [37,42]. There are several differences between these prior studies and ours which may account for the mixed findings including diverse measures of sensory impairment and depression, and sample's age range.…”

Section: Discussioncontrasting

confidence: 99%

Older adults with dual sensory loss in rehabilitation show high functioning and may fare better than those with single sensory loss

2020

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The population of older adults that have Dual Sensory Loss (DSL) is increasing, yet most research to date has focused on single sensory impairment and is inconclusive as to whether DSL is associated with worse impact on health and well-being over single sensory loss. The primary aim of this study was to characterize the health and functioning of community-dwelling older adults with DSL who were receiving sensory rehabilitation, using an understudied assessment: the interRAI Community Health Assessment (CHA). The secondary aim was to investigate whether older adults with DSL had worse health-related outcomes than their peers with only vision loss (VL) or only hearing loss (HL). We report and compare the interRAI CHA results in a sample of 200 older adults (61+ years of age) who had DSL, VL or HL. Overall, all sensory impairment groups showed high functioning in the areas of cognition, communication, activities of daily living, depression, and psycho-social well-being. DSL was not always associated with worse outcomes compared to a single sensory loss. Rather, the results varied depending on the tasks assessed, as well as which groups were compared. Our findings highlight that despite the negative impact of sensory losses, community-dwelling older adults receiving sensory rehabilitation services tend to have overall good health and a high level of independence. These results also show that DSL is not always associated with worse outcomes compared to a single sensory loss. Further research is needed to better characterize older adults with DSL who have more severe sensory and cognitive difficulties than those in our sample, and among those who are not receiving rehabilitation services. Background Researchers have traditionally investigated vision loss (VL) and hearing loss (HL) separately, but evidence suggests that these sensory impairments may be associated. In older adults (65+),

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Section: Discussioncontrasting

confidence: 99%

Older adults with dual sensory loss in rehabilitation show high functioning and may fare better than those with single sensory loss

2020

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“…Research indicates that depression contributes to suboptimal metabolic control (21), mediated in part by diabetes-specific emotional distress (10,22). Furthermore, the presence of depression in diabetes has been linked to advanced diabetes-related complications (23), greater functional impairment (24), more frequent intensive care unit admissions (25), and increased cardiac and all-cause mortality (26–28). In turn, it is suggested that frequent hyperglycemia, the presence of diabetes complications, and comorbid conditions are associated with increased risk of depression (29).…”

Section: Introductionmentioning

confidence: 99%

Increased Risk of Incident Chronic Kidney Disease, Cardiovascular Disease, and Mortality in Patients With Diabetes With Comorbid Depression

et al. 2016

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OBJECTIVEIt is not known if patients with diabetes with depression have an increased risk of chronic kidney disease (CKD). We examined the association between depression and incident CKD, mortality, and incident cardiovascular events in U.S. veterans with diabetes.RESEARCH DESIGN AND METHODSAmong a nationally representative prospective cohort of >3 million U.S. veterans with baseline estimated glomerular filtration rate (eGFR) ≥60 mL/min/1.73 m2, we identified 933,211 patients with diabetes. Diabetes was ascertained by an ICD-9-CM code for diabetes, an HbA1c >6.4%, or receiving antidiabetes medication during the inclusion period. Depression was defined by an ICD-9-CM code for depression or by antidepressant use during the inclusion period. Incident CKD was defined as two eGFR levels <60 mL/min/1.73 m2 separated by ≥90 days and a >25% decline in baseline eGFR. The associations between depression and outcomes were assessed using Cox proportional regression.RESULTSDepression was present in 340,806 patients at enrollment. Depressed patients were younger (61 ± 11 vs. 65 ± 11 years), had higher eGFR (84 ± 15 vs. 81 ± 14 mL/min/1.73 m2), but had more comorbidities. Incident CKD developed in 180,343 patients. Depression was associated with 20% higher risk of incident CKD (adjusted hazard ratio [aHR] and 95% CI: 1.20 [1.19–1.21]). Similarly, depression was associated with increased all-cause mortality (aHR and 95% CI: 1.25 [1.24–1.26]).CONCLUSIONSThe presence of depression in patients with diabetes is associated with higher risk of developing CKD compared with nondepressed patients. Intervention studies should determine if effective treatment of depression in patients with diabetes would prevent major renal and cardiovascular complications.

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“…Based on previous studies, the most common chronic illnesses among elderly include lung diseases (Kennison & Cox, 2013;Niti, Ng, Kua, Ho, & Tan, 2007;Manen et al, 2002); heart diseases (Kennison & Cox, 2013;Karakus & Patton, 2011;Clark & Currie, 2009); arthritis (Karakus & Patton, 2011;Niti et al, 2007); and diabetes (Karakus & Patton, 2011;Niti et al, 2007). Recent studies have dwelt on the impact of chronic illness on physical functioning (Loprinzi, Smit, & Pariser, 2013;Greenglass, Fiksenbaum, & Eaton, 2006;Nakajima et al, 2006;Manen et al, 2002;Kurtz, Kurtz, Stommel, Given, Given, 2001) and life satisfaction (Boen, Dalgard, Johansen, & Nord, 2012;Liyu & Guo, 2008). Notably, a negative correlation exists between chronic illness and the two aforementioned variables (Liyu & Guo, 2008).…”

Section: Chronic Illnessmentioning

confidence: 93%

Examining the Structural Relationship of Chronic Illness, Physical Function, Life Satisfaction, and Social Support in the Development of Depression Among Filipino Elderly in Institutionalized Settings

Guzman

Jurado

Juson

2014

Educational Gerontology

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Considering the increasing prevalence of chronic illness in the Filipino elderly, this study seeks to test a model that describes the relationship between chronic illness and depression and how this link might interact with physical functioning, life satisfaction, and social support. Structural equation modeling was used to examine the causalities among these variables. With the participation of 151 respondents, data were gathered using a five-part instrument consisting of the robotfoto, Katz Index of Independence in Activities of Daily Living, Life Satisfaction Checklist, Social Support Scale, and Geriatric Depression Scale. Data were analyzed using AMOS version 19. Results showed that the duration and number of present chronic illness will not lead to an increase in social support, although those things proved to have a negative effect on physical functioning and life satisfaction. Social support from the family also showed to have a direct impact on life satisfaction while social support from the caregivers revealed a negative effect on physical functioning. Life satisfaction had a negative influence on depression while other suggested variables have no impact on depression at all. Through this model examining the variables relating to depression, holistic care must be provided to manage not only the medical conditions of the elderly but also their physical, social, and psychological well-being.

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Association Among Depression, Physical Functioning, and Hearing and Vision Impairment in Adults With Diabetes

Abstract: Feature Article / Depression, Physical Functioning, and Sensory Impairment in Diabetes

Cited by 14 publications

References 41 publications

Older adults with dual sensory loss in rehabilitation show high functioning and may fare better than those with single sensory loss

Older adults with dual sensory loss in rehabilitation show high functioning and may fare better than those with single sensory loss

Increased Risk of Incident Chronic Kidney Disease, Cardiovascular Disease, and Mortality in Patients With Diabetes With Comorbid Depression

Examining the Structural Relationship of Chronic Illness, Physical Function, Life Satisfaction, and Social Support in the Development of Depression Among Filipino Elderly in Institutionalized Settings

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