Diabetes and Cardiovascular Disease Prevention in Older Adults
Abstract
Cardiovascular disease is the major cause of death as well as a leading cause of disability and impaired quality of life in older adults with diabetes. Therefore, preventing cardiovascular events in this population is an important goal of care. Available evidence supports the use of lipid-lowering agents and treatment of hypertension as effective measures to reduce cardiovascular risk in older adults with diabetes. Glucose control, smoking cessation, weight control, regular physical activity, and a prudent diet are also recommended, although data supporting the efficacy of these interventions are limited. While reducing cardiovascular morbidity and mortality remains a primary objective of preventive cardiology in older adults with diabetes, the impact of these interventions on functional well-being, cognition, and other geriatric syndromes requires further study.
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Type 2 diabetes is a strong risk factor for cardiovascular disease, and both CVD mortality and the effect of diabetes on CVD risk increase with older age and frailty.
“Type 2 diabetes is a strong risk factor for CVD, and both CVD mortality and the effect of diabetes on the risk of CVD increase sharply with older age and frailty status”
From Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty (2018) · cites this paper as [174]
Statin trials for secondary prevention of cardiovascular disease in adults with diabetes have demonstrated comparable relative reductions in recurrent cardiovascular events and mortality by age.
“Statin trials for secondary prevention of cardiovascular disease in adults with diabetes have also demonstrated comparable relative reductions in recurrent cardiovascular events and mortality by age42.”
From Diabetes in Older Adults: A Consensus Report (2012) · cites this paper as [42]
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- Authors
- Cigolle, C. T., Blaum, C. S., & Halter, J. B.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Cigolle, Christine T.
- ORCID
- Blaum, Caroline S.
- Venue
- Clinics in Geriatric Medicine
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 25
- Issue
- 4
- Pages
- 607-641
- ISSN
- 0749-0690 (ISSN-L)
- OpenAlex
- W2033218817
- Cited by
- 50
- References
- 132
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 1 · 2018: 6 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 3 · 2012: 6
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinics in Geriatric Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- diabetes mellitus, cardiovascular disease prevention, older adults, lipid-lowering drugs, antihypertensive therapy, glycemic control, smoking cessation, weight management, physical activity, diet, geriatric syndromes, cardiovascular risk reduction
- MeSH terms
- Aged, Aged, 80 and over, Anticholesteremic Agents, Antihypertensive Agents, Blood Glucose, Cardiovascular Diseases, Cause of Death, Diabetes Mellitus, Type 2, Diet, Diabetic, Humans, Life Style, Quality of Life, Risk Factors, Smoking Cessation, Evidence-Based Medicine
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