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The Impact of and Interaction between Diabetes and Frailty on Psychosocial Wellbeing and Mortality in Ireland

Author

Listed:
  • Mark O’Donovan

    (HRB Clinical Research Facility Cork, Mercy University Hospital, T12 WE28 Cork, Ireland
    College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, H91 TK33 Galway, Ireland)

  • Duygu Sezgin

    (College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, H91 TK33 Galway, Ireland)

  • Rónán O’Caoimh

    (Department of Geriatric Medicine, Mercy University Hospital, T12 WE28 Cork, Ireland
    Co-Senior authors.)

  • Aaron Liew

    (College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, H91 TK33 Galway, Ireland
    Department of Endocrinology, Portiuncula University Hospital, H53 T971 Galway, Ireland
    Co-Senior authors.)

Abstract

Frailty in middle-aged and older adults is associated with diabetes-related complications. The impact of and interaction between diabetes and frailty on psychosocial wellbeing and mortality in Ireland for adults aged ≥50 years were assessed using data from the Survey of Health, Ageing and Retirement in Europe. Measures included diabetes status (self-reported), frailty phenotype (≥3/5 criteria), low self-rated health (“fair” or “poor”), depression screening (EURO-D index score ≥4), and low quality of life (QoL) (CASP-12 index score < 35). Among the 970 participants, those with diabetes ( n = 87) were more likely to be frail (23% vs. 8%; p < 0.001), have low self-rated health (46% vs. 19%; p < 0.001), depression (25% vs. 17%; p = 0.070), and low QoL (25% vs. 18%, p = 0.085). Adjusting for diabetes, age and sex, frailty independently predicted low self-rated health (OR: 9.79 (5.85–16.36)), depression (9.82 (5.93–16.25)), and low QoL (8.52 (5.19–13.97)). Adjusting for frailty, age and sex, diabetes independently predicted low self-rated health (2.70 (1.63–4.47)). The age-sex adjusted mortality hazard ratio was highest for frailty with diabetes (4.67 (1.08–20.15)), followed by frailty without diabetes (2.86 (1.17–6.99)) and being non-frail with diabetes (1.76 (0.59–5.22)). Frailty independently predicts lower self-reported wellbeing and is associated with reduced survival, underpinning its role as an integral part of holistic diabetes care.

Suggested Citation

  • Mark O’Donovan & Duygu Sezgin & Rónán O’Caoimh & Aaron Liew, 2020. "The Impact of and Interaction between Diabetes and Frailty on Psychosocial Wellbeing and Mortality in Ireland," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9535-:d:465062
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    References listed on IDEAS

    as
    1. Matthew Lohman & Levent Dumenci & Briana Mezuk, 2016. "Depression and Frailty in Late Life: Evidence for a Common Vulnerability," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 71(4), pages 630-640.
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