The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh
Abstract Introduction Diabetes mellitus itself is a known predictor of physical disability and impairment in activities of daily living (ADL); however, there are existing controversies about the factors explaining the association between diabetes and disability. Therefore, we assessed the possible d...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-09-01
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| Series: | Endocrinology, Diabetes & Metabolism |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/edm2.365 |
| _version_ | 1797995016831893504 |
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| author | Sabrina Ahmed Mithila Faruque Mohammad Moniruzzaman Naym Uddin Roby Fatema Ashraf Yuichiro Yano Katsuyuki Miura M. S. A. Mansur Ahmed |
| author_facet | Sabrina Ahmed Mithila Faruque Mohammad Moniruzzaman Naym Uddin Roby Fatema Ashraf Yuichiro Yano Katsuyuki Miura M. S. A. Mansur Ahmed |
| author_sort | Sabrina Ahmed |
| collection | DOAJ |
| description | Abstract Introduction Diabetes mellitus itself is a known predictor of physical disability and impairment in activities of daily living (ADL); however, there are existing controversies about the factors explaining the association between diabetes and disability. Therefore, we assessed the possible determinants associated with ADL impairment among people with diabetes in Dhaka city, Bangladesh. Methods We conducted a cross‐sectional study among 480 people with diabetes aged between 50 and 70 years, and attended a tertiary level hospital in Dhaka city. For determining the ADL impairment, we used the Katz Index Scoring (6 = no impairment; <6 = impairment). Age, sex, educational attainment, household expenditure, body mass index, the status of diabetes (controlled or uncontrolled), hypertension and medication adherence to anti‐diabetic drugs were included in the statistical models, and we defined any ADL impairment (Katz score <6) as an event. Multivariable logistic regression was performed to assess the significance of relevant factors. Results The mean age of the participants was 59.0 (standard deviation [SD], 7.0) years. The majority of the participants (76.3%) had at least some sort of physical disability. In multivariable logistic regression analysis after adjusting for all covariates simultaneously, age (odds ratio [95% confidence interval]: 1.35 [1.20 to 1.75] per 1−SD increment), BMI (1.32 [1.08 to 1.21] per 1−SD increment), higher educational attainment (0.34 [0.09–0.90]), multi‐morbidity (2.79 [1.48–5.25]) and uncontrolled diabetes (1.35 [1.10–1.45]) were independently associated with ADL impairment. Conclusions Physical disability was common, and ADL impairment was associated with age, educational attainment, BMI, multi‐morbidities and uncontrolled diabetes among the people with diabetes in Bangladesh. |
| first_indexed | 2024-04-11T09:54:48Z |
| format | Article |
| id | doaj.art-3ffd72c0505543f5a7140e41f7979622 |
| institution | Directory Open Access Journal |
| issn | 2398-9238 |
| language | English |
| last_indexed | 2024-04-11T09:54:48Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism |
| spelling | doaj.art-3ffd72c0505543f5a7140e41f79796222022-12-22T04:30:39ZengWileyEndocrinology, Diabetes & Metabolism2398-92382022-09-0155n/an/a10.1002/edm2.365The pattern of physical disability and determinants of activities of daily living among people with diabetes in BangladeshSabrina Ahmed0Mithila Faruque1Mohammad Moniruzzaman2Naym Uddin Roby3Fatema Ashraf4Yuichiro Yano5Katsuyuki Miura6M. S. A. Mansur Ahmed7Department of Noncommunicable Diseases Bangladesh University of Health Sciences Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences Dhaka BangladeshDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences Dhaka BangladeshSchool of Rehabilitation Science McMaster University Hamilton Ontario CanadaDepartment of Gynaecology and Obstetrics Shaheed Suhrawardy Medical College Dhaka BangladeshNCD Epidemiology Research Center Shiga University of Medical Science Otsu JapanNCD Epidemiology Research Center Shiga University of Medical Science Otsu JapanDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences Dhaka BangladeshAbstract Introduction Diabetes mellitus itself is a known predictor of physical disability and impairment in activities of daily living (ADL); however, there are existing controversies about the factors explaining the association between diabetes and disability. Therefore, we assessed the possible determinants associated with ADL impairment among people with diabetes in Dhaka city, Bangladesh. Methods We conducted a cross‐sectional study among 480 people with diabetes aged between 50 and 70 years, and attended a tertiary level hospital in Dhaka city. For determining the ADL impairment, we used the Katz Index Scoring (6 = no impairment; <6 = impairment). Age, sex, educational attainment, household expenditure, body mass index, the status of diabetes (controlled or uncontrolled), hypertension and medication adherence to anti‐diabetic drugs were included in the statistical models, and we defined any ADL impairment (Katz score <6) as an event. Multivariable logistic regression was performed to assess the significance of relevant factors. Results The mean age of the participants was 59.0 (standard deviation [SD], 7.0) years. The majority of the participants (76.3%) had at least some sort of physical disability. In multivariable logistic regression analysis after adjusting for all covariates simultaneously, age (odds ratio [95% confidence interval]: 1.35 [1.20 to 1.75] per 1−SD increment), BMI (1.32 [1.08 to 1.21] per 1−SD increment), higher educational attainment (0.34 [0.09–0.90]), multi‐morbidity (2.79 [1.48–5.25]) and uncontrolled diabetes (1.35 [1.10–1.45]) were independently associated with ADL impairment. Conclusions Physical disability was common, and ADL impairment was associated with age, educational attainment, BMI, multi‐morbidities and uncontrolled diabetes among the people with diabetes in Bangladesh.https://doi.org/10.1002/edm2.365activities of daily livingdeterminantsdiabetesdisability |
| spellingShingle | Sabrina Ahmed Mithila Faruque Mohammad Moniruzzaman Naym Uddin Roby Fatema Ashraf Yuichiro Yano Katsuyuki Miura M. S. A. Mansur Ahmed The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh Endocrinology, Diabetes & Metabolism activities of daily living determinants diabetes disability |
| title | The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh |
| title_full | The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh |
| title_fullStr | The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh |
| title_full_unstemmed | The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh |
| title_short | The pattern of physical disability and determinants of activities of daily living among people with diabetes in Bangladesh |
| title_sort | pattern of physical disability and determinants of activities of daily living among people with diabetes in bangladesh |
| topic | activities of daily living determinants diabetes disability |
| url | https://doi.org/10.1002/edm2.365 |
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