Abstract

The purpose of this study was to analyze the influencing factors of frailty in elderly patients with type II diabetes. 332 elderly patients with type II diabetes admitted to our hospital from May 2018 to December 2019 were selected as the study subjects. The degree of frailty was evaluated by the Fried fragility phenotype scale, and the general information and the clinical data of patients were collected by inquiry and questionnaire survey. After that, all the data were analyzed by SPSS 20.0. Univariate analysis showed that there were significant differences in age, medication types, dietary habits, exercise tolerance, exercise capacity, body balance, coordination ability, urinary incontinence, anxiety, etc., in elderly patients with type II diabetes who suffered from different degrees of frailty (P < 0.01). In addition, there were significant differences in the presence of coronary heart disease, heart failure, atrial fibrillation, pulmonary diseases, osteoarticular diseases, anemia, and other blood diseases of elderly patients with type II diabetes who suffered from different degrees of frailty (P < 0.01). Multiple Logistic regression analyses indicated that weakened exercise tolerance, reduced exercise capacity, atrial fibrillation, anemia, and other blood diseases were the influencing factors of the frailty in elderly patients with type II diabetes. The degree of frailty in elderly patients with diabetes is affected by many factors, such as exercise tolerance, exercise capacity, atrial fibrillation, anemia, and other blood diseases; thus, reasonable intervention should be implemented for elderly patients with type II diabetes according to the influencing factors so as to effectively relieve frailty.

Highlights

  • China is one of the countries with a severely aging population and the fastest population growth across the world, which has led to a significant increase in the incidence of many chronic diseases, including diabetes, hypertension, and coronary heart diseases [1,2]

  • Univariate analysis of relevant factors such as living habits of elderly patients with type II diabetes was conducted, as shown in Table 2. ere were significant differences in the age, types of medication taking, dietary habits, and the exercise of elderly patients with type II diabetes who suffered from different degrees of frailty (P < 0.01)

  • Univariate analysis of the factors related to cardiovascular diseases including coronary heart diseases, heart failure, and atrial fibrillation of elderly patients with type II diabetes was carried out, as shown in Table 4. ere were significant differences in the presence of coronary heart disease, heart failure, atrial fibrillation, and other diseases of elderly patients with type II diabetes who suffered from different degrees of frailty (P < 0.01)

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Summary

Introduction

China is one of the countries with a severely aging population and the fastest population growth across the world, which has led to a significant increase in the incidence of many chronic diseases, including diabetes, hypertension, and coronary heart diseases [1,2]. Diabetes, mostly affecting middle-aged and elderly patients, is a metabolism-related disease, whose nosogenesis is complex and related to many factors, such as obesity, hypertension, hyperlipidemia, imbalanced diet, and lack of exercise, posing a great threat to peoples’ physical health [3, 4]. Nesti et al [5] have pointed out that the patients with type II diabetes have significantly decreased exercise tolerance, which may relate to the reduced vascular capacitance. Several studies have pointed out that the frailty in elderly patients is associated with several factors, including age, exercise capacity, living habits, types of medication

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