Abstract
BackgroundThis study estimates life expectancy with and without type 2 diabetes for individuals in Lower Saxony, Germany in order to detect a trend in population health.MethodsMorbidity and mortality data derived from German administrative claims data (statutory health insurance, AOK Niedersachsen, N = 2,900,065) were used covering 10 years from 2005 to 2014. Life table analysis was applied for calculating life expectancy, life expectancy free of type 2 diabetes, life expectancy with type 2 diabetes, and the proportion of life expectancy free of diabetes to total life expectancy using the Sullivan method.ResultsThe total life expectancy increase is stronger in men than in women: At the age of 20, total life expectancy was 55.0 years in 2005 and 56.3 years in 2014 for men, whereas it was 61.7 years in 2005 and 62.5 years in 2014 for women. Decreases in life expectancy without type 2 diabetes were more pronounced in women than in men. Accordingly, life expectancy with type 2 diabetes increased in both women and in men. The proportion of life expectancy without diabetes to total life expectancy decreased, indicating a similar development in both. For example, at the age of 60, the proportion of life expectancy without diabetes to total life expectancy decreased from 0.75 in 2005 to 0.66 in 2014 for men, while it decreased from 0.77 in 2005 to 0.70 in 2014 for women.ConclusionsAgainst the background of increasing total life expectancy, the time spent in morbidity increased for the case of type 2 diabetes in Lower Saxony, Germany.
Highlights
This study estimates life expectancy with and without type 2 diabetes for individuals in Lower Saxony, Germany in order to detect a trend in population health
Life expectancy with type 2 diabetes increased in both, and the proportion of life expectancy free of diabetes to total life expectancy decreased in men and women, indicating that the relative amount of type 2 diabetes free life years decreased over the observation period
Our hypothesis that life expectancy with type 2 diabetes increases was confirmed for both sexes, and it can be concluded that an expansion of morbidity has occurred
Summary
This study estimates life expectancy with and without type 2 diabetes for individuals in Lower Saxony, Germany in order to detect a trend in population health. Population aging leads to an increase in chronic diseases, with type 2 diabetes being one of the most relevant issues [1]. Tamayo and colleagues [3] estimated the number of Europeans with diabetes between 20 and 79 years to be 56 million in 2013. This estimate corresponds to a raw overall prevalence of 8.5% and an agestandardized prevalence of 6.8%. An increase of nearly 10 million people with diabetes is predicted for 2035. As life expectancy is increasing [4], whether the additional life year gains are spent in good or in poor
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
