Abstract
BackgroundThis study aimed to examine the associations of age with the presence of complications and glycemic control in the Northwest of Iran.MethodsA total of 649 people with diabetes who were >25 years old and had a caring record in diabetes clinics in two Northwestern provinces of Iran during 2014–15, were recruited in this cross-sectional study. General information including demographic, socioeconomic status and lifestyle factors were collected by trained interviewers. Clinical information was retrieved from clinic's record. Univariate and multivariate logistic regression were performed to assess the predictors of diabetes outcome of interest as well as to clarify the role of age in relation to these outcomes.ResultsCompared to the age group of ≤49, the middle age group (50–59) and the older age group (60 years of age and older) were less likely to report poor glycemic control (OR fully adjusted = 0.49 95% CI: 0.28–0.86 and (OR = 0.44 95% CI: 0.24–0.80), respectively. Additionally, poor glycemic control was associated with income level, disease duration, hypercholesterolemia, high level of LDL and hypertension. In contrast, age was associated with the highest percentage of complications. People with duration of >7 years of disease record were 6 times more likely to have complications (ORadj = 5.98 95% CI: 2.35–15.22).ConclusionAlthough the prevalence of complications was higher among the older diabetic patients, they had a better glycemic control. The influential factors were variably associated with the two diabetes-related outcomes; therefore, a more comprehensive risk profiles assessment is needed for glycemic control.
Highlights
This study aimed to examine the associations of age with the presence of complications and glycemic control in the Northwest of Iran
The mean age of the participants was 55.71 (8.99), about 70% of them were female, 89% married, 47% illiterate, 20% of them were engaged in paid work, and the monthly income of 63.3% were reported to be less than 1000,000 Tomans,1 less than 2% of the participants were smokers, and the majority of them (80%) was overweight/ obese
Duration of disease among 58.6% of the patients was more than 7 years; about 50% had, at least, one complication. 37.5% of participants in the old age group (≥60) were male whilst it was 26.8% in younger age group (P < 0.001)
Summary
This study aimed to examine the associations of age with the presence of complications and glycemic control in the Northwest of Iran. Diabetes is a global concern driven by both population growth and ageing [1]. There were 387 million people with diabetes in 2013 and that is predicted to reach 592 million by 2035. The majority of these people fall between the ages of 40 and 59, and 80% of them live in low- and middle-income countries [2]. The relationship between age and glycemic control has been reported to be Shamshirgaran et al BMC Endocrine Disorders (2017) 17:25
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