Risk factors for macro- and microvascular complications among older adults with diagnosed type 2 diabetes: findings from The Irish Longitudinal Study on Ageing

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dc.contributor.authorTracey, Marsha L.
dc.contributor.authorMcHugh, Sheena M.
dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorBuckley, Claire M.
dc.contributor.authorCanavan, Ronan J.
dc.contributor.authorKearney, Patricia M.
dc.contributor.funderHealth Research Boarden
dc.contributor.funderCentre for Ageing and Development Research in Ireland
dc.date.accessioned2016-10-04T12:03:23Z
dc.date.available2016-10-04T12:03:23Z
dc.date.issued2016-04-26
dc.description.abstractObjective. 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.en
dc.description.sponsorshipHealth Research Board (Leadership Award in Diabetes RL/2013/7); Centre for Ageing and Development Research in Ireland (Leadership Fellowship)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid5975903
dc.identifier.citationTracey, 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:10.1155/2016/5975903en
dc.identifier.doi10.1155/2016/5975903
dc.identifier.endpage9en
dc.identifier.issn2314-6745
dc.identifier.journaltitleJournal of Diabetes Researchen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/3152
dc.identifier.volume2016en
dc.language.isoenen
dc.publisherHindawi Publishing Corporationen
dc.rights© 2016, Marsha L. Tracey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectEarly interventionen
dc.subjectModifiable risk factorsen
dc.subjectMicrovascular complicationsen
dc.subjectMacrovascular complicationsen
dc.titleRisk factors for macro- and microvascular complications among older adults with diagnosed type 2 diabetes: findings from The Irish Longitudinal Study on Ageingen
dc.typeArticle (peer-reviewed)en
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