Letter to the editor regarding the article ‘Frailty and skeletal muscle in older adults with cancer’

OBJECTIVE: Type 2 diabetes mellitus is associated with significant morbidity and mortality. The term "frailty in the elderly" has become increasingly important with the increase of the elderly population, especially in diabetic subjects. Frailty is established by various scoring scales, such as Edmonton, Frail, and Prisma-7 scores. We aimed to evaluate the association between frailty and clinical and laboratory parameters of the geriatric type 2 diabetic patients. METHODS: Diabetic patients over 65 years of age who presented to outpatient internal medicine clinics of our institution between June 2020 and January 2021 were enrolled to the study. Edmonton, Frail, and Prisma-7 scores were administered to the subjects. Study parameters were compared between well-controlled and poorly controlled diabetic groups according to diabetes control level and between frail and non-frail groups, according to each frailty scores. RESULTS: Frailty according to Edmonton score was associated with increased risks of hospitalization (p=0.005) and mortality (p=0.02). Frailty according to frail score was associated with increased risk of hospitalization (p=0.009). Frailty according to Prisma-7 score was associated with increased risk of mortality (p<0.001). CONCLUSION: We suggest that Edmonton frail score is superior to Frail and Prisma-7 scores in determining frailty in geriatric patients with type 2 diabetes mellitus, since it is associated with both increased risk of hospitalization and mortality within 6 months.

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“…Frailty is associated not only with T2DM, as presented in our work, but also with other chronic conditions, such as cancer 21 , 22 .…”

Section: Discussionsupporting

confidence: 74%

Relationship between frailty, according to three frail scores, and clinical and laboratory parameters of the geriatric patients with type 2 Diabetes Mellitus

Akan

Aktas

2022

Rev. Assoc. Med. Bras.

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“…Contrarily, poor glycemic control and related vascular complications may cause or accelerate the progression of frailty (21). In a recent study, a 'U-shaped' relation between frailty and plasma glucose as evaluated by frailty scale, glucose levels <8.8 mmol/L and >10 mmol/L, was associated with an increased risk of frailty (22,23). The significance of frailty is identified in diabetes guidelines (18).…”

Section: Discussionmentioning

confidence: 99%

Clinical Significance and Prevalence of Frailty Syndrome in Type 2 Diabetes Patients

Alaca¹,

Koçak²,

Gürler³

2021

Osmangazi̇ Journal of Medicine

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In this study, we aimed to evaluate the prevalence of frailty in type 2 diabetes mellitus (T2DM) and to investigate the relations between frailty and T2DM. One hundred twenty-five patients with T2DM diagnosis were included in the study. According to the Fried's frailty scale, the patients were grouped as frail, pre-frail and non-frail, and their prevalence was determined. Demographic data, anthropometric measurements and laboratory data were compared between the groups. The harmonic mean of the group sizes is used as the group size was not equal. The frail patients' number was 11 (8%), the pre-frail patients' number was 83 (66%), and the non-frail patients' number was 31 (26%) in the study. The median age of the frail group was 65 (51-88) years, the pre-frail group was 61 (50-78) years, and the non-frail group was 61 (50-80) years (p = 0.15). There was no statistically significant difference between in body mass index, diabetes duration, systolic and diastolic blood pressure, and co-morbidity between the groups (p> 0.05 for all). Fasting plasma glucose, HbA1c, triglyceride, hand grip strength and gait speed were statistically significantly different between groups (p< 0.05 for all). Impaired glucose regulation, low gait speed and hand grip strength test were detected in patients with pre-frail T2DM. Patients with T2DM are candidates for frailty at an earlier age.

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“…Aging causes changes in many organs and bodily systems, and it can affect the functioning of those systems 1 . The management of diseases such as diabetes 2,3 , hypertension 4 , and cancer 5,6 is more difficult in elderly patients. Urinary incontinence (UI) is a difficult condition to accept, often hidden by those who experience it, and is referred to as a "silent epidemic" 7 .…”

Section: Introductionmentioning

confidence: 99%

The effect of perceived social support levels on coping methods for urinary incontinence in elderly men

Koçak

Bayır

Göksoy

et al. 2023

Rev. Assoc. Med. Bras.

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OBJECTIVE: This study aimed to determine the effect of the perceived social support level on coping methods for urinary incontinence among men aged 65 years and over with urinary incontinence. METHODS: A total of 92 male patients over the age of 65 years with urinary incontinence and adequate cognitive levels were included in the study. The coping methods, the environmental support, and the Multidimensional Scale of Perceived Social Support were used to collect data. RESULTS: The most common method of coping was changing clothes (64 [69.6%]). The Multidimensional Scale of Perceived Social Support total mean score was 55.83±14.8, which was considered above the medium-level support. The perception level of social support caused significant differences in coping methods in individuals with urinary incontinence. CONCLUSION: The view that urinary incontinence is a problem related to aging is regarded as an obstacle to seeking healthcare. Society should be made aware that urinary incontinence is not a normal condition related to aging and that it is not an insoluble problem that the elderly must endure.

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Letter to the editor regarding the article ‘Frailty and skeletal muscle in older adults with cancer’

Cited by 5 publications

References 7 publications

Relationship between frailty, according to three frail scores, and clinical and laboratory parameters of the geriatric patients with type 2 Diabetes Mellitus

Relationship between frailty, according to three frail scores, and clinical and laboratory parameters of the geriatric patients with type 2 Diabetes Mellitus

Clinical Significance and Prevalence of Frailty Syndrome in Type 2 Diabetes Patients

The effect of perceived social support levels on coping methods for urinary incontinence in elderly men

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