Abstract
Diabetes Mellitus is a chronic disease with a high prevalence among older people, and it is related to an increased risk of functional and cognitive decline, in addition to classic micro and macrovascular disease and a moderate increase in the risk of death. Technology aimed to improve elder care and quality of life needs to focus in the early detection of decline, monitoring the functional evolution of the individuals and providing ways to foster physical activity, to recommend adequate nutritional habits and to control polypharmacy. But apart from all these core features, some other elements or modules covering disease-specific needs should be added to complement care. In the case of diabetes these functionalities could include control mechanisms for blood glucose and cardiovascular risk factors, specific nutritional recommendations, suited physical activity programs, diabetes-specific educational contents, and self-care recommendations. This research work focuses on those core aspects of the technology, leaving out disease-specific modules. These central technological components have been developed within the scope of two research and innovation projects (FACET and POSITIVE, funded by the EIT-Health), that revolve around the provision of integrated, continuous and coordinated care to frail older population, who are at a high risk of functional decline. Obtained results indicate that a geriatric multimodal intervention is effective for preventing functional decline and for reducing the use of healthcare resources if administered to diabetic pre-frail and frail older persons. And if such intervention is supported by the CAPACITY technological ecosystem, it becomes more efficient.
Highlights
ContextThe World Health Organization (WHO) defines intrinsic capacity as the combination of the individual’s physical and mental capacities
Collection of variables to assess the evolution of the intrinsic capacity:
Obtained results indicate that the geriatric multimodal intervention administered with and without the support of the CAPACITY system is effective to improve the frailty status among the diabetic older population, what is directly related to a reduction in the risk for adverse events
Summary
The World Health Organization (WHO) defines intrinsic capacity as the combination of the individual’s physical and mental (including psychological) capacities. It is part of the functional ability together with the environment and the interactions with it. Frailty and intrinsic capacity are close and complementary concepts. Frailty might be perceived as a stage of the age-related. Technologies Diabetic Older Persons: CAPACITY decline of the physiological systems determining the reduction of the intrinsic capacity. A reduction that is caused by other chronic diseases and conditions. When the functional reserve is highly narrowed, an increased risk of negative health outcomes occurs
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