Geriatric syndromes and quality of life in older adults with diabetes

Yi-Ching Yang, Ming Hsing Lin, Chong Shan Wang, Feng-Hwa Lu, Jin-Shang Wu, Hui Ping Cheng, Sang-I Lin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aim: To describe geriatric syndromes and their relationships with quality of life in older adults with diabetes. Methods: Community-dwelling older adults (aged >60 years) with diabetes (n = 316) participated in the present study. Eight geriatric syndromes, including polypharmacy (number of medications), pain (Brief Pain Inventory), urinary incontinence (International Consultation on Incontinence Questionnaire), sleep disturbance (hours of sleep), lower cognitive level (Mini-Mental State Examination), falls, depressive symptoms (Geriatric Depression Scale short form) and functional limitation (Barthel Index and Instrumental Activity of Daily Living), were assessed. The WHOQOL-BREF Taiwan version was used to measure physical, psychological, social and environmental domains of quality of life. Results: Polypharmacy was the most common geriatric syndrome (46.6%), followed by pain (41.5%). Participants with any of the geriatric syndromes, except for polypharmacy and sleep disturbance, had significantly poorer quality of life than those without. The Geriatric Depression Scale score was the only common and significant contributor to all four domains of quality of life, explaining 16~29% of the variance. Number of medications, pain level and cognitive level were also significant contributors, although they explained a small amount (<5%) of the variance. The number of geriatric syndromes (mode = 2) was significantly correlated with all four domains of quality of life (partial correlation r = −0.278~0.460, all P < 0.001). Conclusions: Geriatric syndromes, especially polypharmacy and pain, were common among older adults with diabetes. A greater number of geriatric syndromes or a higher Geriatric Depression Scale score were associated with poorer quality of life. Further studies focusing on combinations of different geriatric syndromes or comorbidities are required. Geriatr Gerontol Int 2019; 19: 518–524.

Original languageEnglish
Pages (from-to)518-524
Number of pages7
JournalGeriatrics and Gerontology International
Volume19
Issue number6
DOIs
Publication statusPublished - 2019 Jun 1

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geriatrics
Geriatrics
chronic illness
quality of life
Quality of Life
Polypharmacy
pain
Pain
sleep
Depression
Sleep
medication
Independent Living
Urinary Incontinence
comorbidity
Activities of Daily Living
Taiwan
Comorbidity
Referral and Consultation
Psychology

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

Cite this

@article{827b967c432442a4a5923be4d87f62f5,
title = "Geriatric syndromes and quality of life in older adults with diabetes",
abstract = "Aim: To describe geriatric syndromes and their relationships with quality of life in older adults with diabetes. Methods: Community-dwelling older adults (aged >60 years) with diabetes (n = 316) participated in the present study. Eight geriatric syndromes, including polypharmacy (number of medications), pain (Brief Pain Inventory), urinary incontinence (International Consultation on Incontinence Questionnaire), sleep disturbance (hours of sleep), lower cognitive level (Mini-Mental State Examination), falls, depressive symptoms (Geriatric Depression Scale short form) and functional limitation (Barthel Index and Instrumental Activity of Daily Living), were assessed. The WHOQOL-BREF Taiwan version was used to measure physical, psychological, social and environmental domains of quality of life. Results: Polypharmacy was the most common geriatric syndrome (46.6{\%}), followed by pain (41.5{\%}). Participants with any of the geriatric syndromes, except for polypharmacy and sleep disturbance, had significantly poorer quality of life than those without. The Geriatric Depression Scale score was the only common and significant contributor to all four domains of quality of life, explaining 16~29{\%} of the variance. Number of medications, pain level and cognitive level were also significant contributors, although they explained a small amount (<5{\%}) of the variance. The number of geriatric syndromes (mode = 2) was significantly correlated with all four domains of quality of life (partial correlation r = −0.278~0.460, all P < 0.001). Conclusions: Geriatric syndromes, especially polypharmacy and pain, were common among older adults with diabetes. A greater number of geriatric syndromes or a higher Geriatric Depression Scale score were associated with poorer quality of life. Further studies focusing on combinations of different geriatric syndromes or comorbidities are required. Geriatr Gerontol Int 2019; 19: 518–524.",
author = "Yi-Ching Yang and Lin, {Ming Hsing} and Wang, {Chong Shan} and Feng-Hwa Lu and Jin-Shang Wu and Cheng, {Hui Ping} and Sang-I Lin",
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Geriatric syndromes and quality of life in older adults with diabetes. / Yang, Yi-Ching; Lin, Ming Hsing; Wang, Chong Shan; Lu, Feng-Hwa; Wu, Jin-Shang; Cheng, Hui Ping; Lin, Sang-I.

In: Geriatrics and Gerontology International, Vol. 19, No. 6, 01.06.2019, p. 518-524.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Geriatric syndromes and quality of life in older adults with diabetes

AU - Yang, Yi-Ching

AU - Lin, Ming Hsing

AU - Wang, Chong Shan

AU - Lu, Feng-Hwa

AU - Wu, Jin-Shang

AU - Cheng, Hui Ping

AU - Lin, Sang-I

PY - 2019/6/1

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N2 - Aim: To describe geriatric syndromes and their relationships with quality of life in older adults with diabetes. Methods: Community-dwelling older adults (aged >60 years) with diabetes (n = 316) participated in the present study. Eight geriatric syndromes, including polypharmacy (number of medications), pain (Brief Pain Inventory), urinary incontinence (International Consultation on Incontinence Questionnaire), sleep disturbance (hours of sleep), lower cognitive level (Mini-Mental State Examination), falls, depressive symptoms (Geriatric Depression Scale short form) and functional limitation (Barthel Index and Instrumental Activity of Daily Living), were assessed. The WHOQOL-BREF Taiwan version was used to measure physical, psychological, social and environmental domains of quality of life. Results: Polypharmacy was the most common geriatric syndrome (46.6%), followed by pain (41.5%). Participants with any of the geriatric syndromes, except for polypharmacy and sleep disturbance, had significantly poorer quality of life than those without. The Geriatric Depression Scale score was the only common and significant contributor to all four domains of quality of life, explaining 16~29% of the variance. Number of medications, pain level and cognitive level were also significant contributors, although they explained a small amount (<5%) of the variance. The number of geriatric syndromes (mode = 2) was significantly correlated with all four domains of quality of life (partial correlation r = −0.278~0.460, all P < 0.001). Conclusions: Geriatric syndromes, especially polypharmacy and pain, were common among older adults with diabetes. A greater number of geriatric syndromes or a higher Geriatric Depression Scale score were associated with poorer quality of life. Further studies focusing on combinations of different geriatric syndromes or comorbidities are required. Geriatr Gerontol Int 2019; 19: 518–524.

AB - Aim: To describe geriatric syndromes and their relationships with quality of life in older adults with diabetes. Methods: Community-dwelling older adults (aged >60 years) with diabetes (n = 316) participated in the present study. Eight geriatric syndromes, including polypharmacy (number of medications), pain (Brief Pain Inventory), urinary incontinence (International Consultation on Incontinence Questionnaire), sleep disturbance (hours of sleep), lower cognitive level (Mini-Mental State Examination), falls, depressive symptoms (Geriatric Depression Scale short form) and functional limitation (Barthel Index and Instrumental Activity of Daily Living), were assessed. The WHOQOL-BREF Taiwan version was used to measure physical, psychological, social and environmental domains of quality of life. Results: Polypharmacy was the most common geriatric syndrome (46.6%), followed by pain (41.5%). Participants with any of the geriatric syndromes, except for polypharmacy and sleep disturbance, had significantly poorer quality of life than those without. The Geriatric Depression Scale score was the only common and significant contributor to all four domains of quality of life, explaining 16~29% of the variance. Number of medications, pain level and cognitive level were also significant contributors, although they explained a small amount (<5%) of the variance. The number of geriatric syndromes (mode = 2) was significantly correlated with all four domains of quality of life (partial correlation r = −0.278~0.460, all P < 0.001). Conclusions: Geriatric syndromes, especially polypharmacy and pain, were common among older adults with diabetes. A greater number of geriatric syndromes or a higher Geriatric Depression Scale score were associated with poorer quality of life. Further studies focusing on combinations of different geriatric syndromes or comorbidities are required. Geriatr Gerontol Int 2019; 19: 518–524.

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