SEARCHCOHORTendocrinology, psychiatry

cohort·endocrinology, psychiatry, geriatrics, epidemiology, internal medicine·PMC10335292

Prior Diagnosis of Diabetes but Not Its Control is Associated with Higher Depression Score Among Older Individuals

Diabetes, Metabolic Syndrome and Obesity · 5 authors, 2 centres

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This study analyzed a subsample of the Polish HAPIEE cohort, involving 464 older adults aged 63 to 87 years.

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This study analyzed a subsample of the Polish HAPIEE cohort, involving 464 older adults aged 63 to 87 years. Participants were interviewed and a subset of 360 underwent physical and blood tests. After adjusting for age and gender, a prior diabetes diagnosis was associated with a higher depression score (β=2.02). The study's cross-sectional design limits the ability to infer causality. The sample may be healthier than the general population and not fully representative.

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cohort

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endocrinology

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ORIGINAL PAPER

PMC10335292

Prior Diagnosis of Diabetes but Not Its Control is Associated with Higher Depression Score Among Older Individuals

Diabetes, Metabolic Syndrome and Obesity

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ABSTRACT

Abstract Purpose The study assessed the relationship between prior diagnosis of diabetes and its control with depression score, differences in socioeconomic, lifestyle, health characteristics and diabetes control by adherence to treatment in population-based sample of older individuals. Patients and Methods The analysis of the sub-sample of Polish cohort of the HAPIEE (Health, Alcohol, and Psychosocial Factors in Eastern Europe) study was conducted; 464 participants were interviewed and random first 360 (78%) underwent physical examination and blood sample tests. Depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale. The robust regression method was applied to assess the association between depression score and diabetes diagnosis as well as diabetes control. Results There were 97 participants (21.0%) at mean age of 73.6 years (SD=6.31 years) with prior diagnosis of diabetes. Mean HbA1c concentration was 6.65% (SD=1.0) The majority of patients (55.7%) used oral medication with diet. Nearly 20% declared the use of oral treatment alone, and 10.3% used combined treatment of oral medications, insulin, and diet. In this study, 86.6% of the participants with diabetes confirmed self-monitoring of blood glucose levels and 58.8% were on high-quality diet. No differences in socioeconomic, lifestyle, health characteristics or control of diabetes by adherence to diabetes treatment were found. After adjustment for age and gender, diagnosis of diabetes was associated with greater depressive score by about 2 points (β=2.02, 95% CI=0.16;3.88). However, no significant association between depression score and any indicator of diabetes control was found. Conclusion In older individuals with diabetes, depression score was higher compared to those without diabetes, but it was not related to poorer diabetes control. No differences in socioeconomic, lifestyle, health characteristics and control of diabetes by adherence to diabetes treatment may suggest that in this age group some other, less known factors are substantial for achievement of treatment targets. Keywords: diabetes, depression, older adults, control

CITATION EXPORT

Magdalena Kozela, Agnieszka Matras, Karolina Koziara et al.. Prior Diagnosis of Diabetes but Not Its Control is Associated with Higher Depression Score Among Older Individuals. Diabetes, Metabolic Syndrome and Obesity. (2023). https://doi.org/10.2147/DMSO.S403521

AUTHORS

5 · 2 CENTRES

Magdalena Kozela, Agnieszka Matras, Karolina Koziara, Maciej T Małecki, Andrzej Pająk

1Department of Epidemiology and Population Studies, Institute of Public Health Jagiellonian University Medical College, Krakow, Poland
2Department of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland