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

Mark O’Donovan, Duygu Sezgin, Rónán O’Caoimh and Aaron Liew
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Mark O’Donovan: HRB Clinical Research Facility Cork, Mercy University Hospital, T12 WE28 Cork, 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
Aaron Liew: College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, H91 TK33 Galway, Ireland

IJERPH, 2020, vol. 17, issue 24, 1-17

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.

Keywords: depression; diabetes; frailty; quality of life; mortality; self-rated health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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