Physical Function Limitations Among Middle-Aged and Older Adults With Prediabetes One exercise prescription may not fit all

TitlePhysical Function Limitations Among Middle-Aged and Older Adults With Prediabetes One exercise prescription may not fit all
Publication TypeJournal Article
Year of Publication2013
AuthorsLee, PG, Cigolle, CT, Ha, J, Min, LC, Murphy, SL, Blaum, CS, Herman, WH
JournalDiabetes Care
Volume36
Issue10
Pagination3076-3083
KeywordsDemographics, Disabilities, Event History/Life Cycle, Health Conditions and Status, Other, Risk Taking
Abstract

OBJECTIVETo describe the prevalence of physical function limitations among a nationally representative sample of adults with prediabetes.RESEARCH DESIGN AND METHODSWe performed a cross-sectional analysis of 5,991 respondents 53 years of age from the 2006 wave of the Health and Retirement Study. All respondents self-reported physical function limitations and comorbidities (chronic diseases and geriatric conditions). Respondents with prediabetes reported no diabetes and had a measured glycosylated hemoglobin (HbA(1c)) of 5.7-6.4 . Descriptive analyses and logistic regressions were used to compare respondents with prediabetes versus diabetes (diabetes history or HbA(1c) 6.5 ) or normoglycemia (no diabetes history and HbA(1c) 5.7 ).RESULTSTwenty-eight percent of respondents 53 years of age had prediabetes; 32 had mobility limitations (walking several blocks and/or climbing a flight of stairs); 56 had lower-extremity limitations (getting up from a chair and/or stooping, kneeling, or crouching); and 33 had upper-extremity limitations (pushing or pulling heavy objects and/or lifting 10 lb). Respondents with diabetes had the highest prevalence of comorbidities and physical function limitations, followed by those with prediabetes, and then normoglycemia (P 0.05). Compared with respondents with normoglycemia, respondents with prediabetes had a higher odds of having functional limitations that affected mobility (odds ratio OR 1.48), the lower extremities (OR 1.35), and the upper extremities (OR 1.37) (all P 0.01). The higher odds of having lower-extremity limitations remained after adjusting for age, sex, and body mass index (OR 1.21, P 0.05).CONCLUSIONSComorbidities and physical function limitations are prevalent among middle-aged and older adults with prediabetes. Effective lifestyle interventions to prevent diabetes must accommodate physical function limitations.

Notes

Times Cited: 1

DOI10.2337/dc13-0412
Endnote Keywords

Impaired Glucose Tolerance/Geriatric Conditions/United-States/Life Style/Disability/Disability/Health/Prevalence/Reduction/Risk Factor

Endnote ID

999999

Citation Key7950