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© 1998 Oxford University Press

other

Prevalence of diabetes mellitus in elderly people in Canada: report from the Canadian Study of Health and Aging

KENNETH ROCKWOOD1,2, MENG-HEE TAN3, STEPHEN PHILLIPS4 and IAN MCDOWELL5

1Department of Community Health and Epidemiology Halifax, 5955 Jubilee Road, Halifax, NS B3H 2EI, Canada
2Divisions of Geriatric Medicine Halifax, 5955 Jubilee Road, Halifax, NS B3H 2EI, Canada
3Department of Endocrinology and Metabolism Halifax, 5955 Jubilee Road, Halifax, NS B3H 2EI, Canada
4Neurology, Department of Medicine, Dalhousie University Halifax, 5955 Jubilee Road, Halifax, NS B3H 2EI, Canada
5Department of Epidemiology and Community Medicine, University of Ottawa Canada

K. Rockwood. Fax: (+I) 902 423 0663. E-mail: rockwood{at}is.dal.ca

Aims: to estimate the age-specific prevalence of diabetes mellitus in elderly people in Canada, and to examine the effect of method of ascertainment on the estimation of prevalence.

Method: three measures of diabetes were used in a secondary analysis of the Canadian Study of Health and Aging—a 1991 nation-wide cross-sectional study of the prevalence of dementia in a sample of 10 263 elderly subjects (aged 65–106 years).

Results: of community-dwelling subjects, 10.3% reported diabetes. Supplementing this information with clinical reports and random plasma glucose measurements increased the prevalence to 12.0% in the community, 17.5% in institutions and 12.4% overall.

Conclusion: diabetes is common in elderly people, although the prevalence falls in the very elderly. The method of ascertainment influences estimation of prevalence.

Keywords: Canada, diabetes mellitus, prevalence

Received August 21, 1997; accepted in revised form October 31, 1997.


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