Frailty is associated with the progression of prediabetes to diabetes and elevated risks of cardiovascular disease and all-cause mortality in individuals with prediabetes and diabetes: Evidence from two prospective cohorts.
Diabetes Res Clin Pract
; 194: 110145, 2022 Dec.
Article
en En
| MEDLINE
| ID: mdl-36356844
ABSTRACT
AIMS:
To investigate the impacts of frailty on the progression of prediabetes to diabetes, cardiovascular disease (CVD) and all-cause mortality in individuals with prediabetes and diabetes.METHODS:
7,933 subjects with prediabetes and diabetes were included from the China Health and Retirement Longitudinal Study (CHARLS) and English Longitudinal Study of Ageing (ELSA). Frailty status was assessed by frailty index and classified as robust, pre-frail, and frail. Logistic regression was used to calculate risks of progression to diabetes. Cox regression was used to calculate risks of CVD and all-cause mortality.RESULTS:
In prediabetes, frail subjects had significantly increased risks of progression to diabetes (CHARLS, OR = 1.55, 95 %CI 1.09-2.20; ELSA, OR = 1.86, 95 %CI 1.02-3.37) compared with robust subjects. Frail subjects with prediabetes also presented significantly increased risks of CVD (CHARLS HR = 1.90, 95 %CI 1.45-2.48; ELSA HR = 1.94, 95 %CI 1.31-2.88) and all-cause mortality (CHARLS HR = 2.45, 95 %CI 1.79-3.36; ELSA HR = 2.13, 95 %CI 1.46-3.10) than robust subjects with prediabetes. In diabetes, frailty still increased risks of CVD (CHARLS, HR = 2.72, 95 %CI 1.97-3.77; ELSA, HR = 2.41, 95 %CI 1.43-4.06) and all-cause mortality (CHARLS, HR = 2.28, 95 %CI 1.56-3.33; ELSA, HR = 2.28, 95 %CI 1.47-3.53).CONCLUSIONS:
Frailty is associated with the progression of prediabetes to diabetes and elevated risks of CVD and all-cause mortality in individuals with prediabetes and diabetes.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estado Prediabético
/
Enfermedades Cardiovasculares
/
Diabetes Mellitus
/
Fragilidad
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Humans
Idioma:
En
Revista:
Diabetes Res Clin Pract
Asunto de la revista:
ENDOCRINOLOGIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
China