Burden of diabetes in Australia: life expectancy and disability-free life expectancy in adults with diabetes
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Aims/hypothesis The aim of this work was to estimate the life expectancy (LE) and disability-free life expectancy (DFLE) for adults with and without diabetes.Methods The Chiang method and the adapted Sullivan method were used to estimate LE and DFLE by age and sex. Mortality data in 2011 were available from the National Diabetes Services Scheme for diabetes and from standard national mortality datasets for the general population. Data on prevalence of disability and severe or profound core activity limitation were derived from the 2012 Australian Survey of Disability, Ageing and Carers (SDAC). The definitions of disability used in the SDAC followed the International Classification of Functioning, Disability and Health. Data on diabetes prevalence were derived from the Australian Diabetes, Obesity and Lifestyle study.Results The estimated LE and DFLE (with 95% uncertainty interval [UI]) at age 50 years were 30.2 (30.0, 30.4) and 12.7 (11.5, 13.7) years, respectively, for men with diabetes, and the estimates were 33.9 (33.6, 34.1) and 13.1 (12.3, 13.9) years, respectively, for women with diabetes. The estimated loss of LE associated with diabetes at age 50 years was 3.2 (3.0, 3.4) years for men and 3.1 (2.9, 3.4) years for women, as compared with their counterparts without diabetes. The corresponding estimated loss of DFLE was 8.2 (6.7, 9.7) years for men and 9.1 (7.9, 10.4) years for women. Women with diabetes spent a greater number of absolute years and a greater proportion of their life with disability as compared with men with diabetes and women without diabetes. The gains in LE and DFLE across the whole population at age 50 years after hypothetically eliminating diagnosed diabetes were 0.6 (0.5, 0.6) years and 1.8 (1.0, 2.8) years.Conclusions/interpretation In adults, diabetes results in a modest reduction in LE and a substantial reduction in DFLE. Efforts to identify the specific causes of disability and effective interventions are needed.
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Cardiovascular disease is still the leading cause of early illness and death in type 1 diabetes; data indicate a life expectancy 8-13 years shorter than healthy people.
“Cardiovascular disease remains the major cause of premature morbidity and mortality, with data119,120 suggesting an 8–13-year shorter life expectancy for people with type 1 diabetes than for healthy individuals.”
From Type 1 diabetes (2018) · cites this paper as [119]
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- Authors
- Huo, L., Shaw, J. E., Wong, E., Harding, J. L., Peeters, A., & Magliano, D. J.
- Affiliations
- Baker Heart and Diabetes Institute (AU)
- Corresponding author
- Huo, Lili
- Venue
- Diabetologia
- Published
- 2016-04-14
- Volume
- 59
- Issue
- 7
- Pages
- 1437-1445
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- OpenAlex
- W2336211372
- Cited by
- 62
- References
- 33
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 10 · 2021: 11 · 2020: 10 · 2019: 3 · 2018: 9 · 2017: 6 · 2016: 2
- FWCI
- 18.62
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- National Health and Medical Research Council (APP 1002663)
- Australian Research Council (Discovery Grant 120103277)
- Topics
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- diabetes mellitus, life expectancy, disability-free life expectancy, disability burden, activity limitation, sex differences, life expectancy loss, Australian adults
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Australia, Diabetes Mellitus, Female, Persons with Disabilities, Humans, Life Expectancy, Male, Middle Aged, Sex Factors, Prevalence
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