Geriatrics, May 1984, p 37 Diabetes in the elderly: diagnosis and epidemiology

Bennett, P. H.

doi:10.1177/014572178401000319

Cited by 17 publications

(23 citation statements)

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“…However, for diabetes, without blood glucose measurement, approximately up to 50% may have been undetected. 27 Therefore it is possible that the association between diabetes and the three anthropometric indices would have been stronger. This is supported by the increasing likelihood ratio with increasing BMI in both men and women, in spite of statistical significance not being reached.…”

Section: Discussionmentioning

confidence: 99%

Is waist circumference a useful measure in predicting health outcomes in the elderly?

Woo

et al. 2002

Int J Obes

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OBJECTIVE:To examine the effect of age on the relationship between body mass index (BMI) and waist circumference (WC), and the usefulness of BMI, WC and waist -hip ratio (WHR) in predicting mortality and cardiovascular risk in the elderly population. DESIGN: Longitudinal observational study of 36 months duration. SUBJECTS AND METHOD: A stratified random sample of 2032 Chinese subjects (990 male, 1033 female) mean age (s.d.) 80.1 (7.5), interviewed and examined at baseline and after 36 months. Deaths and presence of diabetes mellitus and hypertension were documented. A younger data set of 1010 subjects (500 male, 510 female), mean age (s.d.) 45.5 (11.6), was used for comparison of the BMI -WC relationship between younger and older subjects. In predicting outcomes using different values of BMI, WC and WHR, receiver operating characteristic curve analysis was used to derive cut-off values with optimal sensitivity and specificity, and the likelihood ratios for mortality, diabetes and hypertension for different anthropometric values were plotted. RESULTS: The waist circumference values corresponding to BMI values of 25 and 30 kg=m 2 were higher in elderly (92 and 103 cm for men; 88 and 99 cm for women) compared with younger subjects (85 and 97 cm for men; 78 and 88 cm for women). BMI and WC are inversely associated with mortality, in both men and women, positively associated with diabetes in men but not in women. WC was positively associated with hypertension in men and women. WHR was not associated with any outcome measures. The anthropometric measurement at the point of intersection of the likelihood curves for mortality and diabetes may be considered the optimum value, being BMI ¼ 21 kg=m 2 for men and 25 kg=m 2 for women, WC between 80 and 85 cm, and WHR 0.88 -0.90. CONCLUSION: Waist measurement values for predicting health outcomes in elderly people aged 70 y and over are different compared with younger subjects, and have similar predictive accuracy compared with body mass index. Waist -hip ratio is not a useful predictor.

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Section: Discussionmentioning

confidence: 99%

Is waist circumference a useful measure in predicting health outcomes in the elderly?

Woo

et al. 2002

Int J Obes

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“…In the absence of protective behaviors (eg, good diet and exercise), even healthy older adults experience changes that increase their vulnerability to CHD (3,100), namely, greater insulin resistance from sedentary behavior and greater adipose tissue (47,101). Aging, poor health habits, and chronic stress may jointly exacerbate pathophysiology and lead to even greater health risks, particularly if chronic stress and CHD have been present for many years.…”

Section: Stress Metabolic Syndrome Coronary Diseasementioning

confidence: 99%

A Path Model of Chronic Stress, the Metabolic Syndrome, and Coronary Heart Disease

Vitaliano

Scanlan

Zhang

et al. 2002

Psychosomatic Medicine

398

311

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“…It has been suggested that the prevalence of diabetes is about 17% in people older than 65 years in the United States [5,6]. The second National Health and Nutrition Examination Survey (Hanes II) in the USA found a prevalence of diabetes of 17% in Caucasoid persons and 25% in Black persons aged 65-74 in 1976-80 [7].…”

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Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland

Tuomilehto

Nissinen

Sl³

et al. 1986

Diabetologia

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Summary.We studied the prevalence of diabetes mellitus in men aged 65 to 84 years in Finland. The study sample consisted of 763 men, the survivors of the Finnish cohort of the "Seven Countries Study" first examined in 1959. The participation rate in the present survey was 94%. Blood glucose, fasting and 2 h after a 75-g oral glucose load, was determined from capillary blood. Current WHO criteria for diabetes mellitus were used. The mean fasting blood glucose level, adjusted for age and body mass index, was higher in east than west Finland. It rose with age in both areas. The prevalence of diabetes was 38% in the east and 36% in west Finland. About one-third of the men had impaired glucose tolerance. In the age group 75 to 79 years, the prevalence of diabetes was 65% in the east and 50% in the west. No systematic variation in the prevalence of impaired glucose tolerance with age was found. The mean levels of body mass index decreased with age in the same way in men with diabetes, impaired glucose tolerance and normal glucose tolerance. Body mass index was not higher in men with diabetes or impaired glucose tolerance than in men with normal glucose tolerance.

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Geriatrics, May 1984, p 37 Diabetes in the elderly: diagnosis and epidemiology

Cited by 17 publications

References 0 publications

Is waist circumference a useful measure in predicting health outcomes in the elderly?

Is waist circumference a useful measure in predicting health outcomes in the elderly?

A Path Model of Chronic Stress, the Metabolic Syndrome, and Coronary Heart Disease

Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland

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