Frailty in elderly diabetics: frequency and associated factors

Maryam Cheikhrouhou; Kamilia Ounaissa; Nesrine Dhieb; Jemaa Hana Ben; Mariem Naifar; Emna Bornaz; Haifa Abdesslem; Chiraz Amrouche

doi:10.1530/endoabs.99.EP989

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Endocrine Abstracts (2024) 99 EP989 | DOI: 10.1530/endoabs.99.EP989

ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)

Frailty in elderly diabetics: frequency and associated factors

Maryam Cheikhrouhou , Kamilia Ounaissa , Nesrine Dhieb , Hana Ben Jemaa , Mariem Naifar , Emna Bornaz , Haifa Abdesslem & Chiraz Amrouche

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national nutrition institute, Department of Nutritional Diseases D, Tunisia

Introduction: The care of elderly people with diabetes depends on their clinical and functional state. The prognosis and therapeutic goals are impacted by the degree of fragility The aim of this study was to assess the level of frailty in a group of elderly diabetic subjects.

Methods: This was a cross-sectional study including twohundr edelderly type 2 diabetic patients. All of them were screened for the five Frieds’frailty criteria. A patient was considered frail if he presented three or more criteria out of five and pre-frail if he presented less than three criteria.

Results: The median age was 70 years (IIQ [72-76.75]). The mean diabetes duration of 16.5±9.26 years. The frequencies of each of fields’criteria in descending order are physical inactivity (86.5%), decreased walking speed (62%), decreased muscles’strength (40.5%), asthenia (40.5%) and decreased muscle mass (11.6%). Frailty was diagnosed in 54% of patients. While 43.5% of subjects were pre-frail and only 2.5% were not frail. Factors associated with frailty were advancedage (P=0.003), female gender (P=0.002), poorly controled diabetes (P=0.002) and depression (P<0.001).

Conclusion: Prevention, early detection and management of frailty in elderly diabetics are of crucial importance to optimize diabetes management and mitigate its impact on the quality of life of these patients.