Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death

TitleAdherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death
Publication TypeJournal Article
Year of Publication2015
AuthorsChen, Y, Sloan, FA, Yashkin, A
JournalJournal of Diabetes and its Complications
Volume29
Issue8
Pagination1228
KeywordsHealth Conditions and Status, Healthcare, Other
Abstract

Analyze relationships between adherence to guidelines for diabetes care - regular screening; physical activity; and medication - and diabetes complications and mortality. Outcomes were onset of congestive heart failure (CHF), stroke, renal failure, moderate complications of lower extremities, lower-limb amputation, proliferative diabetic retinopathy (PDR), and mortality during follow-up. Participants were persons aged 65 in the Health and Retirement Study (HRS) 2003 Diabetes Study and had Medicare claims in follow-up period (2004-8). Adherence to screening recommendations decreased risks of developing CHF (odds ratio (OR)=0.83; 95 confidence interval (CI): 0.72-0.96), stroke (OR=0.80; 95 CI: 0.68-0.94); renal failure (OR=0. 82; 95 CI: 0.71-0.95); and death (OR=0.86; 95 CI: 0.74-0.99). Adherence to physical activity recommendation reduced risks of stroke (OR=0.64; 95 CI: 0.45-0.90), renal failure (OR=0.71; 95 CI: 0.52-0.97), moderate lower-extremity complications (OR=0.71; 95 CI: 0.51-0.99), having a lower limb amputation (OR=0.31, 95 CI: 0.11-0.85), and death (OR=0.56, 95 CI: 0.41-0.77). Medication adherence was associated with lower risks of PDR (OR=0.35, 95 CI: 0.13-0.93). Adherence to screening, physical activity and medication guidelines was associated with lower risks of diabetes complications and death. Relative importance of adherence differed among outcome measures.

DOI10.1016/j.jdiacomp.2015.07.005
Endnote Keywords

Diabetes complications/Mortality/health status/adherence interventions/adherence interventions/Physical activity/Guidelines

Endnote ID

999999

Citation Key8268
PubMed ID26316423
PubMed Central IDPMC4656150