NDLI: Active life expectancy of Americans with diabetes: risks of heart disease, obesity, and inactivity.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Laditka, Sarah B. Laditka, James N.
Spatial Coverage	United States
Description	Author Affiliation: Laditka SB ( Department of Public Health Sciences, and Associate Professor of Public Policy, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC 28223, United States of America. Electronic address: sladitka@uncc.edu.); Laditka JN ( Department of Public Health Sciences, and Associate Professor of Public Policy, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC 28223, United States of America. Electronic address: jladitka@uncc.edu.)
Abstract	AIMS: Few researchers have studied whether diabetes itself is responsible for high rates of disability or mortality, or if factors associated with diabetes contribute importantly. We estimated associations of diabetes, heart disease, obesity, and physical inactivity with life expectancy (LE), the proportion of life with disability (DLE), and disability in the last year of life. METHODS: Data were from the Panel Study of Income Dynamics (1999-2011 and 1986, African American and white women and men ages 55+, n=1,980, 17,352 person-years). Activities of daily living defined disability. Multinomial logistic Markov models estimated disability transition probabilities adjusted for age, sex, race/ethnicity, education, and the health factors. Microsimulation measured outcomes. RESULTS: White women and men exemplify results. LE was, for women: 3.5 years less with diabetes than without (95% confidence interval, 3.1-4.0), 11.1 less (10.3-12.0) adding heart disease, 21.9 less with all factors (15.3-28.5), all p<0.001. Corresponding results for men: 1.7 years (0.9-2.3, not significant), 8.2 (6.8-9.5) and 18.1 (15.6-20.6), both p<0.001. DLE was, for women: 23.5% (21.7-25.4) with no risk factors, 27.1% (25.7-28.6) with diabetes alone, 34.6% (33.1-36.1) adding heart disease, 52.9% (38.9-66.8) with all factors, all p<0.001; for men: 13.2% (11.7-14.6), 16.3% (14.8-17.8, p<0.01); and 22.1% (20.5-23.7), 36.4% (25.0-47.8), both p<.001. Among people with diabetes, those with other conditions were much less likely to have no disability in the final year of life. CONCLUSIONS: Much of the disability and mortality with diabetes was due to heart disease, obesity, and inactivity, risks that can be modified by health behaviors and medical care.
File Format	HTM / HTML
ISSN	01688227
Issue Number	1
Volume Number	107
e-ISSN	18728227
Journal	Diabetes Research and Clinical Practice
Language	English
Publisher	Elsevier
Publisher Date	2015-01-01
Publisher Place	Ireland
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Obesity United States Mortality Humans Middle Aged Risk Factors Male Sedentary Lifestyle Diabetes Mellitus Epidemiology Activities Of Daily Living Journal Article Discipline Endocrinology Life Expectancy Heart Diseases Adult Female
Content Type	Text
Resource Type	Article
Subject	Endocrinology, Diabetes and Metabolism Internal Medicine Endocrinology

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