Factors Influencing Glycemic Control in Older Adults With Diabetes in South Korea: Analysis Using the 2022 KNHANES Data.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Kyeongmin Jang
{"title":"Factors Influencing Glycemic Control in Older Adults With Diabetes in South Korea: Analysis Using the 2022 KNHANES Data.","authors":"Kyeongmin Jang","doi":"10.3928/00989134-20250812-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Maintaining optimal glycemic control, as measured by hemoglobin A1c (HbA1c), is critical for preventing diabetes-related complications in older adults. The current study investigated determinants of glycemic control in older adults with diabetes in South Korea, aligning with the latest clinical guidelines from the American Diabetes Association and World Health Organization.</p><p><strong>Method: </strong>This cross-sectional study analyzed data from the 2022 Korea National Health and Nutrition Examination Survey. A total of 372 adults aged ≥65 years with physician-diagnosed diabetes were included. Participants were categorized into well-controlled (HbA1c <7%) and poorly controlled (HbA1c ≥7%) groups. Factors influencing glycemic control, including psychological distress, physical activity, and socioeconomic variables, were assessed using binary logistic regression.</p><p><strong>Results: </strong>Depression (Patient Health Questionnaire-9 ≥4; odds ratio [OR] = 1.986, <i>p</i> = 0.019), anxiety (General Anxiety Disorder-7 ≥2; OR = 1.800, <i>p</i> = 0.041), and insufficient strength training (<2 times/week; OR = 0.496, <i>p</i> = 0.025) were significant predictors of poor glycemic control. Current smoking was also associated with elevated HbA1c (OR = 2.228, <i>p</i> = 0.030). No significant associations were observed for demographic or socioeconomic factors.</p><p><strong>Conclusion: </strong>Psychological distress, insufficient strength training, and smoking are key modifiable predictors of poor glycemic control in older adults with diabetes. These findings highlight the need for integrated interventions that address mental health support, lifestyle modifications, and smoking cessation in diabetes management for older adults. Further longitudinal studies are recommended to confirm causality.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20250812-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Maintaining optimal glycemic control, as measured by hemoglobin A1c (HbA1c), is critical for preventing diabetes-related complications in older adults. The current study investigated determinants of glycemic control in older adults with diabetes in South Korea, aligning with the latest clinical guidelines from the American Diabetes Association and World Health Organization.

Method: This cross-sectional study analyzed data from the 2022 Korea National Health and Nutrition Examination Survey. A total of 372 adults aged ≥65 years with physician-diagnosed diabetes were included. Participants were categorized into well-controlled (HbA1c <7%) and poorly controlled (HbA1c ≥7%) groups. Factors influencing glycemic control, including psychological distress, physical activity, and socioeconomic variables, were assessed using binary logistic regression.

Results: Depression (Patient Health Questionnaire-9 ≥4; odds ratio [OR] = 1.986, p = 0.019), anxiety (General Anxiety Disorder-7 ≥2; OR = 1.800, p = 0.041), and insufficient strength training (<2 times/week; OR = 0.496, p = 0.025) were significant predictors of poor glycemic control. Current smoking was also associated with elevated HbA1c (OR = 2.228, p = 0.030). No significant associations were observed for demographic or socioeconomic factors.

Conclusion: Psychological distress, insufficient strength training, and smoking are key modifiable predictors of poor glycemic control in older adults with diabetes. These findings highlight the need for integrated interventions that address mental health support, lifestyle modifications, and smoking cessation in diabetes management for older adults. Further longitudinal studies are recommended to confirm causality.

影响韩国老年糖尿病患者血糖控制的因素:使用2022年KNHANES数据进行分析
目的:通过血红蛋白A1c (HbA1c)测量,维持最佳血糖控制对于预防老年人糖尿病相关并发症至关重要。目前的研究调查了韩国老年糖尿病患者血糖控制的决定因素,与美国糖尿病协会和世界卫生组织的最新临床指南保持一致。方法:本横断面研究分析了2022年韩国国民健康与营养检查调查的数据。共纳入372名年龄≥65岁的糖尿病患者。参与者被分类为控制良好(HbA1c结果:抑郁(患者健康问卷-9≥4;比值比[OR] = 1.986, p = 0.019)、焦虑(一般焦虑障碍-7≥2;OR = 1.800, p = 0.041)和力量训练不足(p = 0.025)是血糖控制不良的重要预测因子。当前吸烟也与HbA1c升高相关(OR = 2.228, p = 0.030)。未观察到人口统计学或社会经济因素的显著相关性。结论:心理困扰、力量训练不足和吸烟是老年糖尿病患者血糖控制不良的关键可改变预测因素。这些发现强调了在老年人糖尿病管理中需要采取综合干预措施,解决心理健康支持、生活方式改变和戒烟问题。建议进一步的纵向研究来确认因果关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信