RT journal article
T1 Multidimensional associations of physical performance, balance, wellness and daily activities with frailty in older adults with coexisting frailty and diabetes
A1 Corral Pérez, Juan
A1 Mier, Alba
A1 Vázquez-Sánchez, María Ángeles
A1 Naranjo-Márquez, María
A1 Ponce González, Jesús Gustavo
A1 Casals Vázquez, Cristina
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 community-dwelling
K1 depression
K1 elderly
K1 functional dependency
K1 nutritional status
K1 physical activity
K1 quality of life
K1 type 2 diabetes mellitus
AB Background: The 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. Purpose: To 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. Design: Cross-sectional. Methods: The 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. Results: The 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. Conclusions: This 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 Method: The study adhered to the STROBE checklist. Patient or Public Contribution: No patient or public contribution.
PB WILEY
SN 1365-2702
YR 2024
FD 2024
LK http://hdl.handle.net/10498/34030
UL http://hdl.handle.net/10498/34030
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 11-nov-2026