Frailty, diabetes, and the convergence of chronic disease in an age-related condition: a population-based nationwide cross-sectional analysis of the Mexican nutrition and health survey

Roberto C. Castrejón-Pérez, Carlos A. Aguilar-Salinas, Luis M. Gutiérrez-Robledo, Matteo Cesari, Mario U. Pérez-Zepeda

Research output: Contribution to journalArticle


Aims: To describe the associations of frailty with diabetes mellitus and related conditions in older adults. Methods: We conducted a cross-sectional analysis of a representative sample of older adults (n = 5379). We generated a 35-item frailty index (FI) and obtained information on diabetes and related conditions (peripheral neuropathy, lower limb amputation, diabetic coma, number of physician visits due to diabetes-related conditions, all-cause hospitalizations in the past year, years since diabetes diagnosis, and type of treatment). Logistic and Poisson regression models were used to determine the associations between frailty and diabetes and its complications. Results: The mean age was 70.3 years (± 7.8); 54.7% were women. Those with an FI ≤ 0.082 composed the reference group. Multivariate analysis showed an OR of 2.32 (95% CI 1.93–2.73, p < 0.001) for the association between diabetes and frailty. People who were hospitalized for any cause during the previous year, those receiving both insulin and an oral compound to manage diabetes, and those with peripheral neuropathy showed ORs of 2.32 (95% CI 1.69–3.18, p < 0.001), 5.6 (95% CI 1.58–19.8, p = 0.008), and 2.02 (95% CI 1.42–2.86, p < 0.001), respectively, for being in the most frail group. Conclusions: People with diabetes have higher frailty scores. Furthermore, older adults with diabetes and higher burden of frailty have more diabetes-related complications.

Original languageEnglish
Pages (from-to)935-941
Number of pages7
JournalAging clinical and experimental research
Issue number8
Publication statusPublished - 2018



  • Aging
  • Chronic disease epidemiology
  • Geriatric endocrinology
  • Geriatrics
  • Late complications
  • Minorities

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

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