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

5 Citations (Scopus)

Abstract

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
Volume30
Issue number8
DOIs
Publication statusPublished - 2018

Fingerprint

Nutrition Surveys
Peripheral Nervous System Diseases
Diabetes Complications
Health Surveys
Chronic Disease
Cross-Sectional Studies
Diabetic Coma
Amputation
Population
Lower Extremity
Diabetes Mellitus
Hospitalization
Multivariate Analysis
Logistic Models
Insulin
Physicians
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

Cite this

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

In: Aging clinical and experimental research, Vol. 30, No. 8, 2018, p. 935-941.

Research output: Contribution to journalArticle

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abstract = "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.",
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AU - Gutiérrez-Robledo, Luis M.

AU - Cesari, Matteo

AU - Pérez-Zepeda, Mario U.

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N2 - 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.

AB - 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.

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KW - Chronic disease epidemiology

KW - Geriatric endocrinology

KW - Geriatrics

KW - Late complications

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