Prevalence and Control Status of Diabetes and Related Risk Factors Among 4196 Chinese Male Older Elderly Aged ≥80 Years

Abstract

Summary: Backgrounds: Diabetes had become one of the major public health problems. However there was little information about the situation among older elderly, those who were aged more than 80 years old and usually had a worse health conditions. The purpose of this study was to evaluate the prevalence and control status of diabetes among 4196 Chinese male older elderly. Methods: A cross-sectional study was conducted in all the cadre sanitariums in Beijing. 4196 men aged≥80 years old were included in this study. Results: The prevalence of diabetes was 38.1% among this male older elderly. Among participants with diabetes, the awareness rate, treatment rate and control rate were 84.4%, 60.6% and 36.6% respectively among those with diabetes. Age, marital status, physical activity, BMI, combined chronic diseases, and polypharmacy were related with diabetes management. Age was reversely associated with diabetes management. Participants, who were divorced/widowed, overweight/obesity, had more combined chronic diseases, and had polypharmacy, had worse diabetes management. The ORs of BMI≥24 kg/m2 for treatment and control rates were 0.53 (95%CI: 0.42–0.66) and 0.17 (95%CI: 0.13–0.26). The ORs of polypharmacy for awareness, treatment and control rates were 0.38(95%CI: 0.28–0.53), 0.17(95%CI: 0.13–0.26) and 0.70 (95%CI: 0.53–0.90). Conclusion: The prevalence of diabetes was up to 38.1%, among this male older elderly. The awareness rate was high; however the treatment and control rates were relatively low. Age, marital status, lifestyles, obesity, combined chronic diseases, and polypharmacy were related risk factors with diabetes management. Keywords: diabetes, glycemic control, older elderly, China