Frailty, Body Composition, and Glycemic Control in Older Adults with Type 2 Diabetes.

Kenneth M Madden, Boris Feldman, Sarah Sy, Graydon S Meneilly
{"title":"Frailty, Body Composition, and Glycemic Control in Older Adults with Type 2 Diabetes.","authors":"Kenneth M Madden, Boris Feldman, Sarah Sy, Graydon S Meneilly","doi":"10.1017/S071498082400031X","DOIUrl":null,"url":null,"abstract":"<p><p>The relationship between frailty and glycemic control in older adults with diabetes remains uncertain, mainly due to the fact that previous studies have not accounted for measures of body composition. In older adults with diabetes, we examined the association between three types of frailty measures and glycemic control, while accounting for fat-free mass (FFM) and waist circumference (WC). Eighty older adults (age ≥65, 27 women and 53 men, mean age 80.5 ± 0.6 years) had gait speed, Cardiovascular Health Study Index (CHSI), Rockwood Clinical Frailty Scale (RCFS), and glycosylated hemoglobin (Hg<sub>A1C</sub>) measured. Hg<sub>A1C</sub> showed a negative association only with CHSI (standardized <b>β</b> = -0.255 ± 0.120, p = 0.038), but no association with gait speed or the RCFS. Even after accounting for FFM and WC, we demonstrated a negative association between glycated hemoglobin and increasing frailty in older adults with diabetes.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-6"},"PeriodicalIF":1.7000,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S071498082400031X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

The relationship between frailty and glycemic control in older adults with diabetes remains uncertain, mainly due to the fact that previous studies have not accounted for measures of body composition. In older adults with diabetes, we examined the association between three types of frailty measures and glycemic control, while accounting for fat-free mass (FFM) and waist circumference (WC). Eighty older adults (age ≥65, 27 women and 53 men, mean age 80.5 ± 0.6 years) had gait speed, Cardiovascular Health Study Index (CHSI), Rockwood Clinical Frailty Scale (RCFS), and glycosylated hemoglobin (HgA1C) measured. HgA1C showed a negative association only with CHSI (standardized β = -0.255 ± 0.120, p = 0.038), but no association with gait speed or the RCFS. Even after accounting for FFM and WC, we demonstrated a negative association between glycated hemoglobin and increasing frailty in older adults with diabetes.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
2 型糖尿病老年人的虚弱程度、身体成分和血糖控制。
老年糖尿病患者的虚弱程度与血糖控制之间的关系仍不确定,这主要是由于以往的研究没有考虑身体成分的测量。在患有糖尿病的老年人中,我们研究了三种虚弱测量指标与血糖控制之间的关系,同时考虑了去脂体重(FFM)和腰围(WC)。我们对 80 名老年人(年龄≥65 岁,女性 27 人,男性 53 人,平均年龄为 80.5 ± 0.6 岁)进行了步速、心血管健康研究指数(CHSI)、罗克伍德临床虚弱量表(RCFS)和糖化血红蛋白(HgA1C)的测量。HgA1C 仅与 CHSI 呈负相关(标准化 β = -0.255 ± 0.120,p = 0.038),但与步速或 RCFS 无关。即使考虑了FFM和WC,我们仍证明糖化血红蛋白与糖尿病老年人日益虚弱之间存在负相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
3.40
自引率
5.30%
发文量
109
期刊介绍: The Canadian Journal on Aging/La Revue canadienne du vieillissement (CJA/RCV) promotes excellence in research and disseminates the latest work of researchers in the social sciences, humanities, health and biological sciences who study the older population of Canada and other countries; informs policy debates relevant to aging through the publication of the highest quality research; seeks to improve the quality of life for Canada"s older population and for older populations in other parts of the world through the publication of research that focuses on the broad range of relevant issues from income security to family relationships to service delivery and best practices.
期刊最新文献
Frailty Screening in Primary Care-Based Memory Clinics: Feasibility, Acceptability, and Preliminary Findings. Nakoda Oyáde Ománi Agíktųža: Adapting the Canadian Indigenous Cognitive Assessment in a Nakoda First Nation Community. A Roadmap of Noninstitutional Living Options for People with Dementia: "Don't Fence Me In". Characteristics and Trajectory of Older Adults Supported by a Patient Navigator Program in a Hospital Setting: A Cohort Observational Study. Older Adults and Gentrification: The Positive Role of Social Policy.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1