PMID- 36249187 OWN - NLM STAT- MEDLINE DCOM- 20221018 LR - 20230120 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 10 DP - 2022 TI - Activities of daily living and its influencing factors for older people with type 2 diabetes mellitus in urban communities of Fuzhou, China. PG - 948533 LID - 10.3389/fpubh.2022.948533 [doi] LID - 948533 AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is an independent risk factor for functional limitations among the older population. The predicted increase in T2DM cases combined with the ongoing rapidly aging population may further burden the already overloaded healthcare system and aggravate the loss of economic self-sufficiency. This study aimed to investigate the activities of daily living (ADL) and its influencing factors on older people with T2DM, and to provide implications for the development and improvement of community nursing services in the context rapidly aging population in China. METHODS: From March 2019 to June 2020, we conducted a cross-sectional questionnaire survey among older T2DM patients in Fuzhou, using a multi-stage cluster sampling approach. Functional status was measured by the Lawton ADL scale. Stata "nptrend" test was used to examine the trend of ordinal variables on ADL. Non-conditional logistic regression was used to identify factors affecting ADL limitations. RESULTS: A total of 2016 questionnaires were received, with a response rate of 96%. 12.4% of participants suffered from varying degrees of functional impairment. ADL limitations increased with age. More comorbidities were associated with a greater risk of developing functional limitations in ADLs. the following sub-groups were more likely to suffer from ADL impairment: those aged 70 and over years (OR = 1.99, 95%CI 1.77-2.56), living in an aged care house or with spouse/children (OR = 2.31, 95%CI 1.25-4.26), low monthly income (OR = 1.49, 95%CI 1.28-1.64), without health insurance (OR = 1.82, 95%CI 1.40-2.40), tight family expenses (OR = 1.95, 95%CI 1.42-2.69), having stroke (OR = 6.70, 95%CI 2.22-20.23) or malignant tumor (OR = 4.45, 95%CI 1.27-15.53), irregular eating habit (OR = 2.55, 95%CI 2.23-2.92), smoking (OR = 1.40, 95%CI 1.22-1.60), sedentary lifestyle (OR = 2.04, 95%CI 1.46-2.85), lack of physical exercise (OR = 1.35, 95%CI 1.19-1.53), sleeping difficulty (OR = 1.25, 95%CI 1.10-1.42), and lack of family support (OR = 1.19, 95%CI 1.10-1.29). CONCLUSION: Older adults (>/=70 years) with T2DM had a high prevalence of functional limitations across a range of daily living tasks, which not only affect individual life of quality but also present a huge burden on the family, health services system, and the whole society. Identified factors associated with ADL limitations may provide useful information for targeted nursing practice and health promotion. CI - Copyright (c) 2022 Jie, Li, Jia, Chen, Yang, Zheng, Wu, Liu, Xu, Xiang and Zhuang. FAU - Jie, Jin-Hua AU - Jie JH AD - Department of Health Management, Fujian Health College, Fujian, China. FAU - Li, Dan AU - Li D AD - Department of Health Management, Fujian Health College, Fujian, China. FAU - Jia, Li-Na AU - Jia LN AD - Department of Health Management, Fujian Health College, Fujian, China. FAU - Chen, Yifeng AU - Chen Y AD - Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fujian, China. FAU - Yang, Yan AU - Yang Y AD - Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fujian, China. FAU - Zheng, Bailing AU - Zheng B AD - Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fujian, China. FAU - Wu, Chuancheng AU - Wu C AD - Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fujian, China. FAU - Liu, Baoying AU - Liu B AD - Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fujian, China. FAU - Xu, Rongxian AU - Xu R AD - Department of Nutrition and Food Safety, School of Public Health, Fujian Medical University, Fujian, China. FAU - Xiang, Jianjun AU - Xiang J AD - Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fujian, China. FAU - Zhuang, Hai-Lin AU - Zhuang HL AD - Department of Health Management, Fujian Health College, Fujian, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220926 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 SB - IM MH - *Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Child MH - China/epidemiology MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/epidemiology MH - Humans MH - Surveys and Questionnaires PMC - PMC9554878 OTO - NOTNLM OT - ADL OT - Fuzhou OT - comorbidities OT - elderly OT - functional limitation OT - type 2 diabetes COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/10/18 06:00 MHDA- 2022/10/19 06:00 PMCR- 2022/09/26 CRDT- 2022/10/17 05:19 PHST- 2022/07/06 00:00 [received] PHST- 2022/08/31 00:00 [accepted] PHST- 2022/10/17 05:19 [entrez] PHST- 2022/10/18 06:00 [pubmed] PHST- 2022/10/19 06:00 [medline] PHST- 2022/09/26 00:00 [pmc-release] AID - 10.3389/fpubh.2022.948533 [doi] PST - epublish SO - Front Public Health. 2022 Sep 26;10:948533. doi: 10.3389/fpubh.2022.948533. eCollection 2022.