Factors Related to Diabetes Mellitus in the Middle-Aged and Over in Taiwan

Liang, Chia-Chun; Hsu, Wei‐Chung; Tsai, Yao-Te; Weng, Shao-Jen; Liu, Shih‐Chia; Lin, Ching-Sheng

doi:10.3390/healthcare8030242

Cited by 2 publications

(2 citation statements)

References 21 publications

(20 reference statements)

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“…The possible reason for this observation is that CKD patients aged ≥65 years are known to have many traditional risk factors of IS that could substantially elevate the risk of IS. ( Peng et al, 2011 ; Liang et al, 2020 ; Tsao et al, 2021 ). CHM may exert a potential effect in ameliorating the impact of comorbidities ( Wang J. et al, 2012 ; Agyemang et al, 2013 ; Wang et al, 2017 ; Gao et al, 2018 ) thus conducing to the decreased risk of IS in this age group.…”

Section: Discussionmentioning

confidence: 99%

Lower risk of ischemic stroke among patients with chronic kidney disease using chinese herbal medicine as add-on therapy: A real-world nationwide cohort study

et al. 2022

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Background: The incidence of ischemic stroke (IS) is much higher among patients with chronic kidney disease (CKD) compared to the general population. Few studies have evaluated the association between the risk of IS and the use of Chinese herbal medicine (CHM) in patients with CKD. We aimed to investigate the risk of IS among patients with CKD using CHM as add-on therapy.Methods: We conducted a retrospective cohort study based on Taiwan’s National Health Insurance Research Database to assess 21,641 patients with newly diagnosed CKD between 2003 and 2012. Patients were classified as either the CHM (n = 3,149) or the non-CHM group (n = 3,149) based on whether they used CHM after first diagnosis of CKD. We used the proportional subdistribution hazards model of Fine and Gray to examine the hazard ratio (HR) of IS in propensity-score matched samples at a ratio of 1:1 for two groups.Results: The risk of IS was significantly reduced in the CHM group (adjusted HR [aHR]: 0.58, 95% confidence interval [CI]: 0.48–0.70) compared with the non-CHM group. Those who used CHM for >180 days had an even lower risk of IS than those in the non-CHM group (aHR: 0.51, 95% CI: 0.41–0.63). Additionally, frequently prescribed formulae, such as Ji-Sheng-Shen-Qi-Wan, Liu-Wei-Di-Huang-Wan, and Zhen-Wu-Tang were associated with a 30%–50% reduced risk of IS.Conclusion: Our results suggest that patients with CKD who used CHM as add-on therapy had a lower hazard of IS than those in the non-CHM group, especially for patients taking CHM for >180 days. Further experimental studies are required to clarify the causal relationship.

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Section: Discussionmentioning

confidence: 99%

Lower risk of ischemic stroke among patients with chronic kidney disease using chinese herbal medicine as add-on therapy: A real-world nationwide cohort study

et al. 2022

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“…The survey applied a complex sampling survey design with aged‐in cohorts to represent distributions of middle‐aged and older adults in Taiwan. The survey took the household registration population over the age of 60 in 331 townships (excluding mountain villages) in Taiwan as the sample population (aged population), and 4412 samples were selected by stratified multi‐level random sampling (Liang et al, 2020). Individuals 60 years of age or older were eligible.…”

Section: Methodsmentioning

confidence: 99%

Television watching, reading, cognition, depression and life satisfaction among middle‐aged and older populations: A group‐based trajectory modelling analysis of national data

Lin

Peters

Chen

2022

Health Social Care Comm

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This retrospective cohort study aimed to identify heterogeneous cognition, depression, and life satisfaction trajectory groups, and to examine the independent contributions of watching television and reading to these trajectories among middle‐aged and older adults. A sample was taken from the Taiwan Longitudinal Study on Aging (TLSA) with measures of cognition, depression, life satisfaction, watching television, and reading during 12 years of follow‐up (N = 4440). Group‐based trajectory models and multinomial logistic regressions were used. The findings showed that the cohort was separated into three global cognition groups of low‐cognition (n = 376), declining‐cognition (n = 805), and maintained‐cognition (n = 2718); three episodic memory groups of high‐declining (n = 540), middle‐stable (n = 2066), and improving groups (n = 1293); three depression groups of low‐to‐low (n = 2571), median‐to‐high (n = 960), and high‐to‐high groups (n = 368); and three life satisfaction groups of low‐ (n = 1133), middle‐ (n = 977), and high‐level groups (n = 1789). Also, the findings demonstrated that after adjusting for covariates, those who did not watch television or read at the baseline had independently significantly increased odds of having lower global cognitive function, higher depression, and lower life satisfaction over time versus those who watched television or read almost every day. Based on the findings obtained, group‐based trajectories of cognition, depression, and life satisfaction scores identified distinct subgroups among TLSA participants. Moreover, the findings suggest that healthcare providers need to develop more targeted population interventions to ensure successful aging. Healthcare providers can encourage older adults, particularly new retirees, to participate in leisure activities (i.e., watching television and reading) to reduce prevalence rates of cognitive impairment and depression.

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Factors Related to Diabetes Mellitus in the Middle-Aged and Over in Taiwan

Cited by 2 publications

References 21 publications

Lower risk of ischemic stroke among patients with chronic kidney disease using chinese herbal medicine as add-on therapy: A real-world nationwide cohort study

Lower risk of ischemic stroke among patients with chronic kidney disease using chinese herbal medicine as add-on therapy: A real-world nationwide cohort study

Television watching, reading, cognition, depression and life satisfaction among middle‐aged and older populations: A group‐based trajectory modelling analysis of national data

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