ArticleThe Gerontologist2011
Physical disability trajectories in older Americans with and without diabetes: the role of age, gender, race or ethnicity, and education.
Article in The Gerontologist, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 76 citations in OpenAlex.
- Association of Admission HbA1c Levels and Clinical Outcomes in Patients with Large Vessel Occlusion Following Endovascular Treatment: A Secondary Analysis of RESCUE BT Trial.Clinical interventions in aging · 2025Trial
- Impact of Combined Hypertension and Diabetes on the Prevalence of Disability in Brazilian Older People-Evidence from Population Studies in 2013 and 2019.International journal of environmental research and public health · 2025Article
- Article
- Trajectories of functional decline and predictors in long-term care settings: a retrospective cohort analysis of Canadian nursing home residents.Age and ageing · 2024Article
- Social Statuses, Quality of Social Relationships, and Self-Esteem Among Older Adults in Canada: Resource Multiplication or Substitution?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Vitamin B12-Induced Autophagy Alleviates High Glucose-Mediated Apoptosis of Islet β Cells.International journal of molecular sciences · 2023Article
- Association of HbA1c with functional outcome by ischemic stroke subtypes and age.Frontiers in neurology · 2023Article
- Racial/Ethnic and Educational Disparities in the Impact of Diabetes on Population Health Among the U.S.-Born Population.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- The association between healthy aging index and trajectories of disability: a population-based cohort study.Aging clinical and experimental research · 2022Article
- Disability Retirement After First Admission with Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Danish Nationwide Registry Cohort Study Using a Retrospective Follow-Up Design.International journal of chronic obstructive pulmonary disease · 2022Article
- Association Between Long-Term HbA1c Variability and Functional Limitation in Individuals Aged Over 50 Years: A Retrospective Cohort Study.Frontiers in endocrinology · 2022Article
- Disability trajectories prior to death for ten leading causes of death among middle-aged and older adults in Taiwan.BMC geriatrics · 2021Article
- Disease-related disability burden: a comparison of seven chronic conditions in middle-aged and older adults.BMC geriatrics · 2021Article
- Association of Cardiovascular Risk Burden With Risk and Progression of Disability: Mediating Role of Cardiovascular Disease and Cognitive Decline.Journal of the American Heart Association · 2020Article
- Multiple Dimensions of Self-Esteem and Their Relationship with Health in Adolescence.International journal of environmental research and public health · 2020Article
- Cognitive Frailty in Older People with Type 2 Diabetes Mellitus: the Central Role of Hypoglycaemia and the Need for Prevention.Current diabetes reports · 2019Review
- Factors Influencing Longitudinal Stair Climb Performance from Midlife to Early Late Life: The Study of Women's Health Across the Nation Chicago and Michigan Sites.The journal of nutrition, health & aging · 2019Article
- A Family Affair: Family Typologies of Problems and Midlife Well-Being.The Gerontologist · 2018Article
- Trajectories of limitations in activities of daily living among older adults in Mexico, 2001-2012.Disability and health journal · 2016Article
- Stability and Change in Activities of Daily Living Among Older Mexican Americans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2016Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
purposeThis research combined cross-sectional and longitudinal data to characterize age-related trajectories in physical disability for adults with and without diabetes in the United States and to investigate if those patterns differ by age, gender, race or ethnicity, and education. DESIGN AND
methodsData were examined on 20,433 adults aged 51 and older from the 1998 to 2006 Health and Retirement Study. Multilevel models and a cohort-sequential design were applied to quantitatively depict the age norm of physical disability after age 50.
resultsAdults with diabetes not only experience greater levels of physical disability but also faster rates of deterioration over time. This pattern is net of attrition, time-invariant sociodemographic factors, and time-varying chronic disease conditions. Differences in physical disability between adults with and without diabetes were more pronounced in women, non-White, and those of lower education. The moderating effects of gender and education remained robust even after controlling for selected covariates in the model. IMPLICATIONS: This study highlighted the consistently greater development of disability over time in adults with diabetes and particularly in those who are women, non-White, or adults of lower education. Future studies are recommended to examine the mechanisms underlying the differential effects of diabetes on physical disability by gender and education.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.