Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration?
Background: The concept of metabolic syndrome (MetS) was initially designed for long-term outcome prediction in middle aged or younger individuals, but it is unclear whether MetS can be applied in older people. We explored the clinical utility of MetS for prediction of various outcomes in older peop...
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2011-09-01
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| Series: | International Journal of Gerontology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959811001074 |
| _version_ | 1811272840978104320 |
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| author | Yang-Wen Huang Ching-Yu Chen Li-Jen Weng Yin-Chang Wu |
| author_facet | Yang-Wen Huang Ching-Yu Chen Li-Jen Weng Yin-Chang Wu |
| author_sort | Yang-Wen Huang |
| collection | DOAJ |
| description | Background: The concept of metabolic syndrome (MetS) was initially designed for long-term outcome prediction in middle aged or younger individuals, but it is unclear whether MetS can be applied in older people. We explored the clinical utility of MetS for prediction of various outcomes in older people. First, we investigated whether MetS is associated with CVD and DM in the short term. Second, we took multiple chronic illnesses into consideration to examine whether MetS is associated with increased physical limitations.
Methods: Participants were selected from the “Social Environment and Biomarkers of Aging Study, 2000” and the “2003 Survey of Health and Living Status of the Middle-Aged and Elderly in Taiwan” aged ≥65 years for whom complete data were available. A total of 543 older Taiwanese were included.
Results: For older people who had MetS compared to those without the syndrome in 2000, the risk of CVD was 1.94 times higher in 2003 (p<0.01) and that of DM was 3.02 times higher in 2003 (p<0.01) after controlling for age, sex, and chronic illnesses. Hierarchical regression models of physical functions showed that MetS did not increase the explained variance in physical functional limitations.
Conclusions: MetS has short-term (3 years) effects on CVD and DM. After taking chronic illnesses into consideration, no association between MetS and physical functioning was obvious. More studies are needed to clarify the relationship among MetS, chronic illnesses, and physical functioning. |
| first_indexed | 2024-04-12T22:47:28Z |
| format | Article |
| id | doaj.art-dd3f336f30f341cb97c396874c8c702b |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-04-12T22:47:28Z |
| publishDate | 2011-09-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-dd3f336f30f341cb97c396874c8c702b2022-12-22T03:13:29ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982011-09-015314614910.1016/j.ijge.2011.09.036Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration?Yang-Wen Huang0Ching-Yu Chen1Li-Jen Weng2Yin-Chang Wu3Department of Psychology, National Taiwan University, Taipei, TaiwanDepartment of Psychology, National Taiwan University, Taipei, TaiwanDepartment of Psychology, National Taiwan University, Taipei, TaiwanDepartment of Psychology, National Taiwan University, Taipei, TaiwanBackground: The concept of metabolic syndrome (MetS) was initially designed for long-term outcome prediction in middle aged or younger individuals, but it is unclear whether MetS can be applied in older people. We explored the clinical utility of MetS for prediction of various outcomes in older people. First, we investigated whether MetS is associated with CVD and DM in the short term. Second, we took multiple chronic illnesses into consideration to examine whether MetS is associated with increased physical limitations. Methods: Participants were selected from the “Social Environment and Biomarkers of Aging Study, 2000” and the “2003 Survey of Health and Living Status of the Middle-Aged and Elderly in Taiwan” aged ≥65 years for whom complete data were available. A total of 543 older Taiwanese were included. Results: For older people who had MetS compared to those without the syndrome in 2000, the risk of CVD was 1.94 times higher in 2003 (p<0.01) and that of DM was 3.02 times higher in 2003 (p<0.01) after controlling for age, sex, and chronic illnesses. Hierarchical regression models of physical functions showed that MetS did not increase the explained variance in physical functional limitations. Conclusions: MetS has short-term (3 years) effects on CVD and DM. After taking chronic illnesses into consideration, no association between MetS and physical functioning was obvious. More studies are needed to clarify the relationship among MetS, chronic illnesses, and physical functioning.http://www.sciencedirect.com/science/article/pii/S1873959811001074activities of daily livingchronic illnesseselderlymetabolic syndromeTaiwan |
| spellingShingle | Yang-Wen Huang Ching-Yu Chen Li-Jen Weng Yin-Chang Wu Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration? International Journal of Gerontology activities of daily living chronic illnesses elderly metabolic syndrome Taiwan |
| title | Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration? |
| title_full | Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration? |
| title_fullStr | Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration? |
| title_full_unstemmed | Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration? |
| title_short | Is the Metabolic Syndrome Associated with Cardiovascular Disease, Diabetes Mellitus, and Increased Physical Limitations in an Elderly Population if Multiple Chronic Illnesses are Taken into Consideration? |
| title_sort | is the metabolic syndrome associated with cardiovascular disease diabetes mellitus and increased physical limitations in an elderly population if multiple chronic illnesses are taken into consideration |
| topic | activities of daily living chronic illnesses elderly metabolic syndrome Taiwan |
| url | http://www.sciencedirect.com/science/article/pii/S1873959811001074 |
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