The Prevalence of Frailty and Glycemic Level Association in Elderly With Diabetes Mellitus Type 2 in Primary Care
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Abstract
Background: The proportion of elderly people in Thailand is rapidly increasing, with diabetes linked to higher frailty rates. A prior study found a U-shaped relationship between glycated hemoglobin levels and frailty risk in type 2 diabetes patients, but no similar studies have been conducted in Thailand. This study aimed to examine frailty prevalence and the association between glycemic control and frailty in the elderly with type 2 diabetes
Method: A cross-sectional study among older adults with diabetes was performed from five Primary Care Units at Hatyai Hospital. Physical frailty was assessed using the FRAIL scale. Data were analyzed using frequency distribution, Chi-square, and logistic regression.
Results: In a study of 350 subjects, physical frailty prevalence was 40.9%. The median blood sugar level in the frail group was significantly higher than in the non-frail group. Increased blood sugar levels were associated with frailty (AOR 1.0062, 95% CI 1.0007-1.0119).
Conclusions This study found high physical frailty in the elderly with type 2 diabetes, with higher sugar levels linked to frailty. In an aging society with limited resources, managing frailty in diabetic patients is crucial due to its commonality and strong association.
Keywords: physical frailty, elderly, diabetes mellitus type 2
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References
WHO Clinical Consortium on Healthy Ageing. Report of consortium meeting 1-2 December 2016 in Geneva, Switzerland. Geneva: World Health Organization; 2017 (WHO/FWC/ALC/17.2). Licence: CC BY-NC-SA 3.0 IGO.
วิขัย เอกพลากร. รายงานการสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกายครั้งที่ 6 พ.ศ. 2562-2563.
Zaslavsky O, Walker RL, Crane PK, Gray SL, Larson EB. Glucose Levels and Risk of Frailty. GERONA. 2016;71:1223-9.
Committee for the Development of Screening and Assessment Tools for Older Adults’ Health, Ministry of Thai Public Health. Handbook on Screening and Assessment of Older Adults’ Health 2021 [Internet]. 2021 [cited 2024 Feb 24]. Available from: http://www.tako.moph.go.th/takmoph2016/file_download/file_20210129131952.pdf [In Thai]
T Sriwong W, Mahavisessin W, Srinonprasert V, Siriussawakul A, Aekplakorn W, Limpawattana P, et al. Validity and reliability of the Thai version of the simple frailty questionnaire (T-FRAIL) with modifications to improve its diagnostic properties in the preoperative setting. BMC Geriatr. 2022;22(1):161. PubMed PMID: 35227210
Perkisas S, Vandewoude M. Where frailty meets diabetes. Diabetes Metabolism Res. 2016;32:261-7.
King P, Peacock I, Donnelly R. The UK Prospective Diabetes Study (UKPDS): clinical and therapeutic implications for type 2 diabetes. Brit J Clinical Pharma. 1999;48:643-8.
Ginsberg HN. The ACCORD (Action to Control Cardiovascular Risk in Diabetes) Lipid Trial. Diabetes Care. 2011;34:S107-8.
Committee AM. Study Rationale and Design of ADVANCE: Action in Diabetes and Vascular disease - preterax and diamicron MR controlled evaluation. Diabetologia. 2001;44:1118-20.
Chen CY, Wu SC, Chen LJ, Lue BH. The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch Gerontol Geriatr. 2010;50(Suppl 1):S43-7.
Ratanasiri T, Lerttrakarnnon P. Frailty and associated factors of elderly Buddhist monks in Chiang Mai Province, Thailand. Chiang Mai Medical Journal. 2019;58:211-21.
Blaum CS, Xue QL, Tian J, Semba RD, Fried LP, Walston J. Is hyperglycemia associated with frailty status in older women? J Am Geriatr Soc. 2009;57: 840-7.
Haneda M, Ito H. Japan Diabtes Society (JDS)/Japan Geriatrics Society (JGS) Joint Commitee on Improving Care for Elderly Patients with Diabetes: glycemic targets for elderly patients with diabetes. Diabetol Int 2016;7:331-3.
Hamada S, Gulliford MC. Mortality in Individuals Aged 80 and Older with Type 2 Diabetes Mellitus in Relation to Glycosylated Hemoglobin, Blood Pressure, and Total Cholesterol. J Am Geriatr Soc 2016; 64:1425-31.
