Background And Objective: Patients with diabetes mellitus (DM) experience accelerated aging and, thus, a high prevalence of frailty. Our aim is to outline the type of frailty and prefrailty from a multidimensional perspective and the interaction of these dimensions in this scenery.
Material And Methods: Observational study of patients with DM over 60 years-old. Variables related to nutrition, cognitive and emotional status, physical and instrumental functional capacity and social resources were collected. They were divided into three groups (robust, prefrail and frail) according to the Fried scale. Each of the variables in the groups were compared and a correspondence analysis was carried out to see the influence of some dimensions with others in each stage of frailty.
Results: 188 patients (mean age 72.6 + 7.5) were analysed. Of them, 105 patients had prefrailty and 66 were frail. With the exception of social resources, the rest of the variables had an increasing prevalence depending on the stage of frailty. However, in the correspondence analysis (with 22.9% of variation explained by two dimensions) it was only patients with frailty who were associated with worse functional capacity, cognitive and emotional situation and mild to moderate social incapacity.
Conclusions: In our sample there was a high prevalence of prefrailty, and frailty associated with an increase in the prevalence of other different dimensions except social resources. However, the interaction between these dimensions was only evident in the case of patients with frailty.
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http://dx.doi.org/10.1016/j.rceng.2024.04.007 | DOI Listing |
Disabil Rehabil
January 2025
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, Republic of South Africa.
Purpose: The necessity to enhance physical rehabilitation services in Zambia has been recognised. To achieve this through expanding human resources for health in rehabilitation and increasing service coverage, it is essential to comprehensively understand the current issues and challenges in physical rehabilitation within the country. This paper aimed to conduct a situational assessment of physical rehabilitation services in Zambia.
View Article and Find Full Text PDFJACC Adv
December 2024
Division of Cardiology, University of California-San Francisco, San Francisco, California, USA.
Background: Within the United States, White individuals experience a higher risk of atrial fibrillation (AF) while exhibiting a lower AF-related stroke risk compared to other ethnic groups. It is possible that these observations stem from phenomena unique to the United States, such as differential health care access. The United Kingdom provides socialized medicine, which ostensibly promotes equitable health care access.
View Article and Find Full Text PDFF1000Res
January 2025
Faculty of Medicine and Health Sciences, Division of Epidemiology and Biostatistics, Stellenbosch University Centre for Evidence-Based Health Care, Cape Town, South Africa.
Background: Tuberculosis (TB) is a leading cause of death worldwide with over 90% of reported cases occurring in low- and middle-income countries (LMICs). Pre-treatment loss to follow-up (PTLFU) is a key contributor to TB mortality and infection transmission.
Objectives: We performed a scoping review to map available evidence on interventions to reduce PTLFU in adults with pulmonary TB, identify gaps in existing knowledge, and develop a conceptual framework to guide intervention implementation.
R Soc Open Sci
January 2025
School of Computing and Information Systems, The University of Melbourne, Parkville, Victoria, Australia.
During the COVID-19 pandemic, both government-mandated lockdowns and discretionary changes in behaviour combined to produce dramatic and abrupt changes to human mobility patterns. To understand the socioeconomic determinants of intervention compliance and discretionary behavioural responses to epidemic threats, we investigate whether changes in human mobility showed a systematic variation by socioeconomic status during two distinct periods of the COVID-19 pandemic in Australia. We analyse mobility data from two major urban centres and compare the trends during mandated stay-at-home policies and after the full relaxation of nonpharmaceutical interventions, which coincided with a large surge of COVID-19 cases.
View Article and Find Full Text PDFFront Child Adolesc Psychiatry
November 2024
Applied Research & Evaluation, Child and Parent Resource Institute, Ministry of Children, Community and Social Services, London, ON, Canada.
Introduction: Psychotropic medication can be effective at stabilizing emotional and behavioural disturbances associated with physiological processes in children and youth. When medication benefits, indication or adverse effects are queried, deprescribing should be considered. Current guidelines for deprescribing are mainly for adults/elderly and largely theoretical, not practical, especially for polypharmacy.
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