Disability and quality of life in elderly people with diabetesHandicap et qualité de vie du diabétique âgé

https://doi.org/10.1016/S1262-3636(07)80058-9Get rights and content

Abstract

To implement preventive policies of disability in older diabetic people, the role of diabetes in the disablement process should be investigated. Diabetes mellitus is consistently associated with a higher prevalence of disability at all states, as well as with a progression in disability states and may be considered as a brake on recovery. This association is partially explained by existing complications, associated conditions (obesity, depression, arterial hypertension) treatment burden, and other social characteristics (lower income, lower educational level). Finally, in the disablement process, the role of altered muscle metabolism due to diabetes, aging, nutrition and sedentary lifestyle may represent a major target for interventions to improve functions and potentially activities in elderly people.

Résumé

Afin de mettre en place des stratégies de prévention du handicap chez les personnes âgées ayant un diabète, le rôle du diabète dans la progression des atteintes fonctionnelles doit être étudié. Le diabète sucré est constamment associé à une plus forte prévalence du handicap quel qu'en soit le stade, mais également à la progression du handicap et doit être considéré comme un frein à la récupération. Cette association peut s'expliquer, au moins partiellement, par l'existence de complications, par le poids des traitements des co-morbidités associées (obésité, dépression, hypertension artérielle), et par des caractéristiques sociales (revenus faibles, faible niveau d'éducation). Enfin, dans la progression du handicap, le rôle de l'altération du métabolisme musculaire lié au diabète, le vieillissement, l'état nutritionnel et la sédentarité pourraient représenter des cibles majeures pour des interventions visant à améliorer la fonctionnalité et potentiellement, les activités des personnes âgées.

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