The development of health and functional status in elderly diabetics living in their own environment - the 7 years follow-up

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MATĚJOVSKÁ KUBEŠOVÁ Hana BIELAKOVÁ Katarína MATĚJOVSKÝ Jan

Rok publikování 2015
Druh Článek v odborném periodiku
Časopis / Zdroj Global Journal For Research Analysis
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Obor Ostatní lékařské obory
Klíčová slova diabetes in enderly; self-sufficiency; depression; cognitive
Popis The aim of study was to assess the development of the health and functional status of elderly diabetics during 7 years follow up. Patients and methods. Group of 161 patients, 101 women and 60 men above 65 years living in their own environment was studied as for complex geriatric assessment parameters and other health status parameters development, diabetics and non-diabetics of studied group were compared at the set intervals of 18,30 and 36 months. Results. Studied (73.2+6.48 years) comprised 52 diabetics, 12 out of 52 diabetics and 30 out of the 109 non-diabetics died during the study (ns). The MMSE changed from 27.63+1.7 points, range 24-30 points to the final 26.2+4.5 points, range 14-30 (ns). The results of the depression scale show a trend towards a statistically significant increase in the incidence and severity of depression. Metabolic serum parameters were significantly worse in diabetics at the start of the study, but the difference lost its significance during the study. Conclusions. Interventions against risk factors of cardiovascular damage were more effective in the group of diabetics. This may explain the comparable mortality of the latter despite their higher morbidity. In general, more consistent continuous monitoring of theelderly population asa tool for early diagnostics, therapy and self-sufficiency appears to be effective.

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