{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T08:17:51Z","timestamp":1783325871649,"version":"3.54.6"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Aging"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>Diabetes substantially increases the burden of multimorbidity in later life, posing a major challenge for healthy aging in India. Using nationally representative data, this study examined the prevalence, likelihood, and population-attributable risk (PAR) of cardiovascular disease (CVD), lung disease, musculoskeletal disorders, and eye problems among older adults and elderly persons. The prevalence of CVD was considerably higher among adults aged 60\u2009years and above with diabetes than among non-diabetics. Diabetes contributed substantially to the CVD burden across socioeconomic and demographic groups, with the highest PAR estimates observed among overweight women aged 45 to 59\u2009years and urban women. Eye problems also showed consistently elevated attributable risks, particularly among women aged 45 to 59\u2009years, residents of Central India, and socially disadvantaged groups. In contrast, diabetes-attributable risks for lung disease and musculoskeletal disorders were comparatively modest and significant mainly among specific age-sex groups. Overall, the findings indicate that diabetes is an important contributor to chronic disease burden in later life, especially for CVD and eye disorders, with considerable variations across sex, socioeconomic status, region, and body mass index. These findings highlight the need for targeted diabetes management and prevention strategies to reduce chronic morbidity and improve healthy aging outcomes nationally.<\/jats:p>","DOI":"10.1177\/30495334261458939","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T17:04:40Z","timestamp":1783098280000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes-Associated Risk and Population Burden of Comorbid Conditions Among Older Adults and Elderly Persons in India"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4662-2318","authenticated-orcid":false,"given":"Junaid","family":"Khan","sequence":"first","affiliation":[{"name":"Vivekananda College Thakurpukur, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kww125"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-78665-0_32"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.03.018"},{"key":"e_1_3_3_5_1","first-page":"172","article-title":"Clinical management of diabetes in the elderly","volume":"19","author":"Chau D.","year":"2001","unstructured":"Chau D., Edelman S. 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V., Miller P. D., Josse R. G. (2020). Abaloparatide in postmenopausal women with osteoporosis and type 2 diabetes: A post hoc analysis of the ACTIVE study. Journal of Bone and Mineral Research Plus, 4, e10346.","journal-title":"Journal of Bone and Mineral Research Plus"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2020.107560"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0880"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmet.2024.02.014"},{"key":"e_1_3_3_16_1","volume-title":"Caring for our elders institutional responses India ageing report 2023","author":"United Nations Population Fund (UNFPA) India","year":"2023","unstructured":"United Nations Population Fund (UNFPA) India. (2023). Caring for our elders institutional responses India ageing report 2023. UNFPA India."},{"key":"e_1_3_3_17_1","unstructured":"International Institute for Population Sciences (IIPS) NPHCE MoHFW Harvard T. H. Chan School of Public Health (HSPH) and the University of Southern California (USC). (2020). Longitudinal ageing study in India (LASI) wave 1 2017\u20132018 India report."},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.02.020303"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-022-06425-8"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cegh.2021.100929"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0283385"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dialog.2025.100232"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001077"},{"key":"e_1_3_3_24_1","unstructured":"Ong K. L. Stafford L. K. McLaughlin S. A. (2023). Global regional and national burden of diabetes from 1990 to 2021 with projections of prevalence to 2050: A systematic analysis for the global burden of disease study 2021. 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