Risk factors for macro- and microvascular complications among older adults with diagnosed type 2 diabetes: findings from The Irish Longitudinal Study on Ageing
Tracey, Marsha L.
McHugh, Sheena M.
Fitzgerald, Anthony P.
Buckley, Claire M.
Canavan, Ronan J.
Kearney, Patricia M.
Hindawi Publishing Corporation
Objective. To explore risk factors for macro- and microvascular complications in a nationally representative sample of adults aged 50 years and over with type 2 diabetes in Ireland. Methods. Data from the first wave of The Irish Longitudinal Study on Ageing (TILDA) (2009–2011) was used in cross-sectional analysis. The presence of doctor diagnosis of diabetes, risk factors, and macro and microvascular complications were determined by self-report. Gender-specific differences in risk factor prevalence were assessed with the chi-squared test. Binomial regression analysis was conducted to explore independent associations between established risk factors and diabetes-related complications. Results. Among 8175 respondents, 655 were classified as having type 2 diabetes. Older age, being male, a history of smoking, a lower level of physical activity, and a diagnosis of high cholesterol were independent predictors of macrovascular complications. Diabetes diagnosis of 10 or more years, a history of smoking, and a diagnosis of hypertension were associated with an increased risk of microvascular complications. Older age, third-level education, and a high level of physical activity were protective factors (𝑝 < 0.05). Conclusions. Early intervention to target modifiable risk factors is urgently needed to reduce diabetes-related morbidity in the older population in Ireland.
Early intervention , Modifiable risk factors , Microvascular complications , Macrovascular complications
Tracey, M. L., McHugh, S. M., Fitzgerald, A. P., Buckley, C. M., Canavan, R. J. and Kearney, P. M. (2016) ‘Risk factors for macro- and microvascular complications among older adults with diagnosed type 2 diabetes: findings from The Irish Longitudinal Study on Ageing’, Journal of Diabetes Research, Article ID 5975903, pp. 1-9. doi:10.1155/2016/5975903