Evidence map›Paper›PMID 25913058›Full record

ArticleDiabetes research and clinical practice2015

Diabetes, race, and functional limitations in older U.S. men and women.

Rita Rastogi Kalyani, Diana C Rodriguez, Hsin-Chieh Yeh, Sherita H Golden, Roland J Thorpe

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetes research and clinical practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Ethnic Differences in Functional Limitations by Age Across the Adult Life Course.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rita Rastogi KalyaniDivision of Endocrinology, Diabetes & Metabolism, Department of Medicine, The Johns Hopkins University, Baltimore, MD, USA; Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD, USA. Electronic address: rrastogi@jhmi.edu.
Diana C RodriguezDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Hsin-Chieh YehDepartment of Epidemiology and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Division of General Internal Medicine, Department of Medicine, The Johns Hopkins University, Baltimore, MD, USA.
Sherita H GoldenDivision of Endocrinology, Diabetes & Metabolism, Department of Medicine, The Johns Hopkins University, Baltimore, MD, USA; Department of Epidemiology and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Roland J ThorpeCenter on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

Residential Segregation and Health Care Disparities P60MD000214 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI GASKIN, DARRELL J. · 2002 to 2016
$16.8M
TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI AHIMA, REXFORD S. · 2013 to 2017
$9.7M
Glucose Insulin and Muscle LossK23DK093583 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI KALYANI, RITA R · 2012 to 2015
$635k
NHLBI NIH HHS P50 HL105187NHLBI NIH HHS P50HL105187NIDDK NIH HHS K23 DK093583NIDDK NIH HHS K23-DK093583NIDDK NIH HHS P30DK07963NIDDK NIH HHS P30 DK079637NIMHD NIH HHS P60 MD000214NIMHD NIH HHS P60MD000214
6 · The paper itself

Abstract

aimsThe presence of diabetes is associated with increased odds of difficulties in functional tasks but it remains unclear if the burden is similar by race.

methodsOur study included 122,004 non-Hispanic Black (NHB) and non-Hispanic White (NHW) adults ≥50 years from the U.S. National Health Interview Survey (2001-2012). Diabetes was defined as self-reported diagnosis or medication use. Functional limitations were defined as any self-reported difficulty in performing mobility tasks, general physical activities (GPA), or leisure and social activities (LSA). Logistic regression models were created to investigate the relationship of race with functional limitations accounting for key covariates, among men and women, by diabetes status.

resultsAmong older U.S. adults, NHB versus NHW women without diabetes had a higher odds of limitations in mobility (OR=1.39, 1.30-1.49) and LSA (OR=1.13, 1.05-1.23) without diabetes but a similar odds of these limitations with diabetes by race, after adjusting for age, income, education, obesity, arthritis, heart disease, stroke, COPD, and cancer. Interestingly, NHB versus NHW women had significantly lower odds of GPA, irrespective of diabetes status. However, NHB versus NHW men with diabetes had a persistently higher odds for mobility and LSA limitations with diabetes as follows: mobility (OR=1.30, 1.12-1.51) and LSA limitations (OR=1.07, 1.06-1.34). The interaction of race and diabetes was significant among women for mobility limitations (p<0.01), but not men.

conclusionsThe burden of functional limitations differs by race among both men and women with diabetes. Future studies should examine mechanisms underlying these differences to prevent progression to disability in older adults with diabetes.

Indexed as

Activities of Daily LivingDisability EvaluationEthnicityRacial GroupsAgedComorbidityCross-Sectional StudiesDiabetes MellitusFemaleHumansMaleMiddle AgedMotor ActivityMotor DisordersPrevalenceSurveys and QuestionnairesDiabetesEpidemiologyMen's healthMobilityPhysical functionRace

Identifiers

PMID25913058
PMCPMC4442713

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.