Multidimensional associations of physical performance, balance, wellness and daily activities with frailty in older adults with coexisting frailty and diabetes

Author:

Corral‐Pérez Juan1ORCID,Mier Alba1ORCID,Vázquez‐Sánchez María Ángeles2ORCID,Naranjo‐Márquez María3,Ponce‐Gonzalez Jesus Gustavo1ORCID,Casals Cristina1ORCID

Affiliation:

1. ExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA) Universidad de Cádiz Cádiz Spain

2. Department of Nursing, Faculty of Health Sciences, PASOS Research Group, UMA REDIAS Network of Law and Artificial Intelligence Applied to Health and Biotechnology University of Malaga Málaga Spain

3. Salus Infirmorum Universidad de Cádiz Cádiz Spain

Abstract

AbstractBackgroundThe coexistence of frailty and type 2 diabetes mellitus in the older population heightens the risk of adverse events. However, research on functional and wellness factors associated with frailty in this population is limited.PurposeTo investigate the associations of physical performance, functional dependency, physical activity, nutritional status, sleep, self‐perceived health and depression with frailty in community‐dwelling older adults with coexisting frailty and type 2 diabetes mellitus.DesignCross‐sectional.MethodsThe study included 123 community‐dwelling older adults (73.7 ± 6.0 years) with pre‐frailty/frailty and type 2 diabetes mellitus. Physical performance (Short Physical Performance Battery), functional dependency (Barthel Index and Lawton & Brody), physical activity and inactivity (GeneActiv wrist‐worn accelerometer), malnutrition risk (Mini Nutritional Assessment), sleep (Pittsburgh Sleep Quality Index), self‐perceived health (EuroQoL 5‐Dimension 3‐Level) and depression (Yesavage 15‐item‐Geriatric‐Depression‐Scale) were evaluated through personal interviews. Principal component analysis (PCA) was performed to categorize the variables into components, and logistic regressions were used to propose the best‐fitted model for each component.ResultsThe PCA identified four components: (i) physical performance, with gait speed and leg mean velocity as the main variables associated with frailty; (ii) balance, showing significant associations with monopodal balance; (iii) daily activities, with moderate to vigorous physical activity and the Lawton and Brody score as the main variables associated with frailty within this component; and (iv) wellness factors, with nutritional status, self‐perceived health and depression score as the primary variables associated with frailty.ConclusionsThis research underscores the significance of physical function and daily activities as protective factors against frailty in community‐dwelling older adults with coexisting frailty and type 2 diabetes mellitus. The health dimension contributes both protective and risk factors, emphasizing the need for comprehensive assessments in managing frailty in this population.Reporting MethodThe study adhered to the STROBE checklist.Patient or Public ContributionNo patient or public contribution.

Funder

Junta de Andalucía

Publisher

Wiley

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3