Fragilidad en El Adulto Mayor Con Diabetes Mellitus Tipo 2 Y Su Relación Con El Control Glucémico, Perfil Lipídico, Tensión Arterial, Equilibrio, Grado De Discapacidad Y Estado Nutricional

Abstract

the prevalence of frailty syndrome in patients with diabetes was higher compared with those in general population over 65 years of age. Frailty was related to lower systolic blood pressure, higher triglycerides concentrations, poorer nutritional status, and lower independency to perform instrumental activities of daily living and poorer balance.

Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study

“…In our study, the prevalence of frailty was about twice as high in participants with DM as in those without DM. The result is consistent with that of similar cross-sectional and longitudinal studies [8,9]. This association between DM and frailty may be due to hyperglycemia (HbA1c ≥ 8.0%), hypoglycemia, low HbA1c levels, abdominal obesity, macrovascular complications, physical inactivity, or malnutrition [10][11][12][13][14].…”

“…Increased insulin resistance and reduced insulin secretion lead to reduced glucose tolerance, rendering older adults more susceptible to DM [6,7]. Studies have reported that DM is associated with frailty [8,9]. Although hyperglycemia [10,11], hypoglycemia [12], low hemoglobin A1c (HbA1c) [13], hyperlipidemia [11], abdominal obesity [11], macrovascular complications [14], and low levels of physical activity [11] are associated with frailty, few studies have been conducted on the role of nutrition in the increased risk of frailty in older individuals with DM.…”

Changes in Cognitive Function and in the Levels of Glycosylated Haemoglobin (HbA1c) in Older Women with Type 2 Diabetes Mellitus Subjected to a Cardiorespiratory Exercise Programme

“…Type 2 diabetes mellitus (DM2) represents an important disease burden in terms of morbidity, mortality and disability [1,2], which is associated with states of fragility [3]. More evident states of prefragility-fragility are shown in patients with DM2 than in non-diabetic people of the same age and sex [4], with both states increasing the risk of mortality and cardiovascular events [5].…”

Gestión de Datos de Investigación y el ROL de los data stewards

“…A nivel global la preexistencia de fragilidad en el adulto mayor fluctúa entre el 3 a 6% en las personas de 65 a los 70 años de edad, en personas mayores a los 80 años un 16%. La investigación de Blanco Fandiño (2021), en el cual procura examinar un perfil neuropsicológico orientado en la fragilidad discrepa que, existe un vínculo entre la fragilidad física en aquellos padecimientos de déficits cognitivos, el cual podría ser un factor relevante para la tipificación anticipada; en la misma línea, Casals et al (2018) converge que los pacientes diabéticos tienen una mayor incidencia a la fragilidad, conjuntamente desemboca en problemas arteriales, aumento del nivel de dependencia y perdida sustancial del equilibrio. Adicional a esto, la prevalencia de la hipertensión arterial en sujetos con pre-fragilidad es de aproximadamente 80,7%, mientras que, cuando ya poseen la fragilidad aumenta a 95,5% Villarreal Ríos et al, 2015).…”