Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes

Abstract Chronic obstructive pulmonary disease (COPD) often accompanies type 2 diabetes mellitus (T2DM). However, background factors affecting these diseases in the elderly remain unclear. Eligible patients with T2DM were divided into two age groups—non-elderly (<65 years) and elderly (≥65 years)...

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Autores principales: Masaki Ishii, Yasuhiro Yamaguchi, Hironobu Hamaya, Sumito Ogawa, Mitsuo Imura, Masahiro Akishita
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Publicado: Nature Portfolio 2019
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spelling oai:doaj.org-article:c643083d1a954f69886122733354a9242021-12-02T13:57:01ZCharacteristics of factors for decreased lung function in elderly patients with type 2 diabetes10.1038/s41598-019-56759-32045-2322https://doaj.org/article/c643083d1a954f69886122733354a9242019-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-56759-3https://doaj.org/toc/2045-2322Abstract Chronic obstructive pulmonary disease (COPD) often accompanies type 2 diabetes mellitus (T2DM). However, background factors affecting these diseases in the elderly remain unclear. Eligible patients with T2DM were divided into two age groups—non-elderly (<65 years) and elderly (≥65 years); COPD, ratio of forced expiratory volume in one second to forced expiratory volume (FEV1/FVC ratio), and percent predicted forced expiratory volume in one second (FEV1% predicted) were examined, and factors related to reduced respiratory function according to age group were evaluated. In total, 371 patients with T2DM were analysed. COPD was found in 9 patients (5.3%) in the non-elderly group and 45 (22.5%) in the elderly group. In the elderly, male sex, low body mass index (BMI), insulin therapy, and high C-peptide immunoreactivity levels were factors related to COPD. In the non-elderly, age, female sex, high BMI were factors related to decreased FEV1% predicted. Female sex was factor related to decreased FEV1% predicted in both age groups. Low BMI was a factor related to reduced respiratory function in elderly patients and high BMI was a factor related to reduced respiratory function in non-elderly patients. Thus, BMI needs to be managed according to the age and general condition of T2DM patients.Masaki IshiiYasuhiro YamaguchiHironobu HamayaSumito OgawaMitsuo ImuraMasahiro AkishitaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-8 (2019)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Masaki Ishii
Yasuhiro Yamaguchi
Hironobu Hamaya
Sumito Ogawa
Mitsuo Imura
Masahiro Akishita
Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
description Abstract Chronic obstructive pulmonary disease (COPD) often accompanies type 2 diabetes mellitus (T2DM). However, background factors affecting these diseases in the elderly remain unclear. Eligible patients with T2DM were divided into two age groups—non-elderly (<65 years) and elderly (≥65 years); COPD, ratio of forced expiratory volume in one second to forced expiratory volume (FEV1/FVC ratio), and percent predicted forced expiratory volume in one second (FEV1% predicted) were examined, and factors related to reduced respiratory function according to age group were evaluated. In total, 371 patients with T2DM were analysed. COPD was found in 9 patients (5.3%) in the non-elderly group and 45 (22.5%) in the elderly group. In the elderly, male sex, low body mass index (BMI), insulin therapy, and high C-peptide immunoreactivity levels were factors related to COPD. In the non-elderly, age, female sex, high BMI were factors related to decreased FEV1% predicted. Female sex was factor related to decreased FEV1% predicted in both age groups. Low BMI was a factor related to reduced respiratory function in elderly patients and high BMI was a factor related to reduced respiratory function in non-elderly patients. Thus, BMI needs to be managed according to the age and general condition of T2DM patients.
format article
author Masaki Ishii
Yasuhiro Yamaguchi
Hironobu Hamaya
Sumito Ogawa
Mitsuo Imura
Masahiro Akishita
author_facet Masaki Ishii
Yasuhiro Yamaguchi
Hironobu Hamaya
Sumito Ogawa
Mitsuo Imura
Masahiro Akishita
author_sort Masaki Ishii
title Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
title_short Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
title_full Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
title_fullStr Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
title_full_unstemmed Characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
title_sort characteristics of factors for decreased lung function in elderly patients with type 2 diabetes
publisher Nature Portfolio
publishDate 2019
url https://doaj.org/article/c643083d1a954f69886122733354a924
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