ArticlePloS one2025
Excess prevalence of chronic diseases in elderly people with diabetes and non-diabetics in Poland.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveDiabetes increases the risk of several chronic conditions. However, their excessive prevalence among older adults with diabetes in Poland is unknown.
methodsThe prevalence of chronic diseases was assessed in the nationally representative random sample of 5,987 Polish adults aged 60+ (Polsenior2 study, data collected between 2018 and 2020). Each participant's history of hospitalisation due to coronary heart disease (CHD), stroke, and cancer was assessed. Diagnosis of arterial hypertension (AH), cognitive impairment (CI), and chronic kidney disease (CKD) was established based on the questionnaire, blood pressure measurements, Mini-Mental State Examination, and laboratory tests. Diabetes was diagnosed if the participant reported being diagnosed with the disease or their measured HbA1c was ≥ 48 mmol/mol (≥6.5%). Age- and sex-adjusted prevalence ratios of chronic conditions for participants with diabetes versus those without diabetes were calculated using Poisson regression.
resultsIn the multivariate model, the prevalence ratio for CHD history was 1.98 (95%CI: 1.66-2.37), for CKD: 1.90 (95%CI: 1.66-2.18), for stroke: 1.47 (95%CI: 1.15-1.88), for AH: 1.22 (95%CI: 1.17-1.27). Cancer and cognitive impairment prevalence did not differ between people with and without diabetes. The mean number of chronic diseases was 52% higher in participants with diabetes vs nondiabetic subjects at age 60-69 (1.72 (95%CI: 1.60-1.84) vs. 1.13 (95%CI: 1.07-1.18), respectively). However, this value was only 10% higher in subjects aged 90+ (2.74 (95%CI: 2.45-3.04) vs. 2.49 (95%CI: 2.37-2.62), respectively).
conclusionsElderly Polish citizens with diabetes suffer more often from coronary heart disease, stroke, chronic kidney disease, and arterial hypertension. The study emphasises that the excess prevalence of chronic diseases among people with diabetes is high in the youngest-old population but diminishes in the oldest-old people.
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