Evidence map›Paper›PMID 29699475›Full record

ArticleGlobal health action2018

Diabetes in South African older adults: prevalence and impact on quality of life and functional disability - as assessed using SAGE Wave 1 data.

Mahmoud Werfalli, Reshma Kassanjee, Sebastiana Kalula, Paul Kowal, Nancy Phaswana-Mafuya, Naomi S Levitt

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Mahmoud Werfallia Chronic Disease Initiative in Africa, Division of Diabetic Medicine and Endocrinology Department of Medicine , University of Cape Town , Cape Town , South Africa.ORCID 0000-0002-5418-4138
Reshma Kassanjeeb Department of Statistical Sciences , University of Cape Town , Cape Town , South Africa.
Sebastiana Kalulac Albertina & Walter Sisulu Institute of Ageing in Africa, Division of Geriatric Medicine, Department of Medicine , University of Cape Town , Cape Town , South Africa.
Paul Kowald WHO Study on global AGEing and adult health (SAGE) , Geneva , Switzerland.ORCID 0000-0002-6314-8753
Nancy Phaswana-Mafuyaf Office of the Deputy Vice Chancellor , Research and Innovation, North West University , Potchefstroom , South Africa.
Naomi S Levitta Chronic Disease Initiative in Africa, Division of Diabetic Medicine and Endocrinology Department of Medicine , University of Cape Town , Cape Town , South Africa.
University of Cape Town · ZAHuman Sciences Research Council · ZAUniversity of Newcastle Australia · AU

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundDiabetes is a chronic disease with severe late complications. It is known to impact the quality of life and cause disability, which may affect an individual's capacity to manage and maintain longer-term health and well-being.

objectivesTo examine the prevalence of self-report diabetes, and association between diabetes and each of health-related quality of life and disability amongst South Africa's older adults. To study both the direct relationship between diabetes and these two measures, as well as moderation effects, i.e. whether associations between other factors and these measures of well-being differed between individuals with diabetes and those without.

methodsSecondary analyses of data on participants aged 50 years and older from the Study on global AGEing and adult health (SAGE) in South Africa Wave 1 (2007-2008) were conducted. Prevalence of self-reported diabetes was assessed. Multivariable regressions describe the relationships between each of quality of life (WHOQoL) and disability (WHODAS), and diabetes, while controlling for selected socio-demographic characteristics, health risk behaviours and co-morbid conditions. In the regression models, we also investigated whether diabetes moderates the relationships between these additional factors and WHOQoL/WHODAS.

resultsSelf-reported diabetes prevalence was 9.2% (95% CI: 7.8,10.9) and increased with age. Having diabetes was associated with poorer WHOQoL scores (additive effect: -4.2; 95% CI: -9.2,0.9; p-value <0.001) and greater disability (multiplicative effect: 2.1; 95% CI: 1.5,2.9; p-value <0.001). Lower quality of life and greater disability were both related to not being in a relationship, lower education, less wealth, lower physical activity and a larger number of chronic conditions.

conclusionsDiabetes is associated with lower quality of life and greater disability amongst older South Africans. Attention needs to be given to enhancing the capacity of health systems to meet the changing needs of ageing populations with diabetes in SA as well as facilitating social support networks in communities.

Indexed as

Social SupportAgedAged, 80 and overBlack PeopleChronic DiseaseDiabetes MellitusFemaleHumansMaleMiddle AgedPersons with DisabilitiesPrevalenceQuality of LifeRisk FactorsSelf ReportSouth AfricadiabetesdisabilityGlobal ageinghealth-related quality of lifeprevalence

Identifiers

PMID29699475
PMCPMC5933282
OpenAlexW2800289542

What OpenQuestion holds

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LicenceCC BY
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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.