The relationship between frailty and diabetes: An investigation of self-rated health, depression symptoms and quality of life in the Study of Health Aging and Retirement in Europe.

O'Donovan, Mark; Sezgin, Duygu; O'Caoimh, Rónán; Liew, Aaron

Access to this article is restricted until 12 months after publication by request of the publisher.. Restriction lift date: 2022-05-29

The relationship between frailty and diabetes: An investigation of self-rated health, depression symptoms and quality of life in the Study of Health Aging and Retirement in Europe.

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dc.check.date	2022-05-29
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher.	en
dc.contributor.author	O'Donovan, Mark
dc.contributor.author	Sezgin, Duygu
dc.contributor.author	O'Caoimh, Rónán
dc.contributor.author	Liew, Aaron
dc.date.accessioned	2021-06-25T09:50:17Z
dc.date.available	2021-06-25T09:50:17Z
dc.date.issued	2021-05-29
dc.date.updated	2021-06-25T09:31:06Z
dc.description.abstract	Aims: To assess the impact of diabetes and frailty on self-rated health, depressive symptoms and quality of life (QoL). Methods: Data were pooled for participants aged ≥50 years from five waves of the Survey of Health, Ageing and Retirement in Europe. Measures included diabetes (self-reported), physical frailty (≥3/5 criteria), low self-rated health (SRH; “poor” or “fair”), depression (screened using the EURO-D ≥4) and low QoL (CASP-12 <35). Logistic regression was used to adjust for confounding. Results: Participants with diabetes (n=11,661/97,691) were more likely to be older (68 vs. 64 years, p<0.001), male (50% vs. 45%, p<0.001) and frail (21% vs. 8%, p<0.001). Age, sex, diabetes and frailty were all independently associated with low SRH, depression and low QoL. Frailty had the highest adjusted odds ratios for low SRH (9.43; 95% CI:8.89–10.02), depression (6.39; 95% CI:6.07–6.71) and low QoL (9.65; 95% CI:9.17–10.16). For diabetes, the adjusted odds ratios were 2.82 (2.70–2.95), 1.49 (1.42–1.56) and 1.67 (1.60–1.74), respectively. Participants with both diabetes and frailty reported the worst self-rated health, the most depression symptoms and the lowest QoL. Conclusions: Frailty was prevalent in older people with diabetes and independently associated with low self-rated health, depressive symptoms and low QoL. Prompt identification and management of frailty should be a key consideration in diabetes care.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	104448	en
dc.identifier.citation	O'Donovan, M., Sezgin, D., O'Caoimh, R. and Liew, A. (2021) 'The relationship between frailty and diabetes: An investigation of self-rated health, depression symptoms and quality of life in the Study of Health Aging and Retirement in Europe', Archives of Gerontology and Geriatrics, 96, 104448 (7pp). doi: 10.1016/j.archger.2021.104448	en
dc.identifier.doi	10.1016/j.archger.2021.104448	en
dc.identifier.endpage	7	en
dc.identifier.issn	1872-6976
dc.identifier.issn	0167-4943
dc.identifier.journaltitle	Archives of Gerontology and Geriatrics	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/11489
dc.identifier.volume	96	en
dc.language.iso	en	en
dc.publisher	Elsevier B.V.	en
dc.rights	© 2021, Elsevier B.V. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.	en
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/	en
dc.subject	Frailty	en
dc.subject	Diabetes	en
dc.subject	Quality of life	en
dc.subject	Depression	en
dc.title	The relationship between frailty and diabetes: An investigation of self-rated health, depression symptoms and quality of life in the Study of Health Aging and Retirement in Europe.	en
dc.type	Article (peer-reviewed)	en