The Moderating Effect of Age on the Association Between Circadian Syndrome and Instrumental Activities of Daily Living Disability in People With Diabetes: A Cross-Sectional Study.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI:10.3928/00989134-20250218-05

Qiuhong Li, Ruyue Li

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引用次数: 0

Abstract

Purpose: To examine the association between circadian syndrome (CircS) and instrumental activities of daily living (IADL) disability in middle-aged and older adults with diabetes, as well as the moderating effect of age on CircS and IADL disability.

Method: Participants included 939 individuals with diabetes. IADL disability was defined as having trouble finishing specific tasks. CircS was defined as having four or more specific symptoms. Binary logistic regression analysis was used to examine associations among CircS, age, and IADL disability.

Results: Of total participants, 29.3% had IADL disability. CircS and age were associated with IADL disability (CircS: odds ratio [OR] = 1.898, 95% confidence interval [CI] [1.370, 2.630]; age: OR = 1.045, 95% CI [1.027, 1.063]; both p < 0.001). The interaction effect of age on CircS and IADL disability was significant (OR = 1.047, 95% CI [1.004, 1.092], p = 0.032).

Conclusion: Individuals with diabetes and CircS had a higher risk of IADL disability than those without CircS, and the difference in predicted probabilities of IADL disability between the two groups increased with age. [Journal of Gerontological Nursing, 51(4), 37-45.].

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年龄对糖尿病患者昼夜节律综合征与日常生活功能障碍相关性的调节作用：一项横断面研究。

目的：探讨中老年糖尿病患者昼夜节律综合征（CircS）与日常生活工具活动（IADL）残疾的关系，以及年龄对CircS和IADL残疾的调节作用。方法：参与者包括939名糖尿病患者。IADL残疾被定义为难以完成特定任务。CircS被定义为具有四种或四种以上的特定症状。采用二元logistic回归分析检验CircS、年龄和IADL残疾之间的关系。结果：在所有参与者中，29.3%患有IADL残疾。CircS和年龄与IADL失能相关(CircS：优势比[OR] = 1.898, 95%可信区间[CI] [1.370, 2.630]；年龄：OR = 1.045, 95% CI [1.027, 1.063]；p均< 0.001)。年龄对CircS和IADL失能的交互作用显著（OR = 1.047, 95% CI [1.004, 1.092], p = 0.032）。结论：糖尿病合并CircS的个体发生IADL残疾的风险高于无CircS的个体，且两组间IADL残疾预测概率的差异随着年龄的增长而增大。老年护理杂志，xx(xx), xx-xx。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.