PMID- 31882983 OWN - NLM STAT- MEDLINE DCOM- 20201207 LR - 20210110 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 9 IP - 1 DP - 2019 Dec 27 TI - Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes. PG - 20206 LID - 10.1038/s41598-019-56759-3 [doi] LID - 20206 AB - Chronic obstructive pulmonary disease (COPD) often accompanies type 2 diabetes mellitus (T2DM). However, background factors affecting these diseases in the elderly remain unclear. Eligible patients with T2DM were divided into two age groups-non-elderly (<65 years) and elderly (>/=65 years); COPD, ratio of forced expiratory volume in one second to forced expiratory volume (FEV1/FVC ratio), and percent predicted forced expiratory volume in one second (FEV1% predicted) were examined, and factors related to reduced respiratory function according to age group were evaluated. In total, 371 patients with T2DM were analysed. COPD was found in 9 patients (5.3%) in the non-elderly group and 45 (22.5%) in the elderly group. In the elderly, male sex, low body mass index (BMI), insulin therapy, and high C-peptide immunoreactivity levels were factors related to COPD. In the non-elderly, age, female sex, high BMI were factors related to decreased FEV1% predicted. Female sex was factor related to decreased FEV1% predicted in both age groups. Low BMI was a factor related to reduced respiratory function in elderly patients and high BMI was a factor related to reduced respiratory function in non-elderly patients. Thus, BMI needs to be managed according to the age and general condition of T2DM patients. FAU - Ishii, Masaki AU - Ishii M AD - The Department of Geriatric Medicine, The University of Tokyo, Tokyo, Japan. ishii-tky@umin.ac.jp. FAU - Yamaguchi, Yasuhiro AU - Yamaguchi Y AD - The Department of Geriatric Medicine, The University of Tokyo, Tokyo, Japan. AD - Division of Department of Respiratory Medicine, Jichi Medical University Saitama Medical Center, Saitama, Japan. FAU - Hamaya, Hironobu AU - Hamaya H AD - The Department of Geriatric Medicine, The University of Tokyo, Tokyo, Japan. FAU - Ogawa, Sumito AU - Ogawa S AD - The Department of Geriatric Medicine, The University of Tokyo, Tokyo, Japan. FAU - Imura, Mitsuo AU - Imura M AD - Okamoto Internal Medicine Clinic, Shizuoka, Japan. FAU - Akishita, Masahiro AU - Akishita M AD - The Department of Geriatric Medicine, The University of Tokyo, Tokyo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191227 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM EIN - Sci Rep. 2020 Feb 13;10(1):2817. PMID: 32054987 MH - Aged MH - Body Mass Index MH - Diabetes Mellitus, Type 2/*physiopathology MH - Female MH - Humans MH - Pulmonary Disease, Chronic Obstructive/physiopathology MH - *Respiratory Function Tests PMC - PMC6934766 COIS- The authors declare no competing interests. EDAT- 2019/12/29 06:00 MHDA- 2020/12/15 06:00 PMCR- 2019/12/27 CRDT- 2019/12/29 06:00 PHST- 2019/09/18 00:00 [received] PHST- 2019/12/16 00:00 [accepted] PHST- 2019/12/29 06:00 [entrez] PHST- 2019/12/29 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2019/12/27 00:00 [pmc-release] AID - 10.1038/s41598-019-56759-3 [pii] AID - 56759 [pii] AID - 10.1038/s41598-019-56759-3 [doi] PST - epublish SO - Sci Rep. 2019 Dec 27;9(1):20206. doi: 10.1038/s41598-019-56759-3.