AI Article Synopsis
- The study examines how the social environment affects frailty in older adults with diabetes, with a focus on differences between urban and rural living conditions.
- Researchers analyzed data from 417 participants, finding that frailty was notably higher among those in rural areas (29.7% robust) compared to urban areas (43.9% robust), along with other negative health indicators.
- The findings suggest that older adults in rural areas face increased frailty risks due to lower performance in instrumental and social daily activities, highlighting the need for targeted intervention programs to improve social connections and care access.
Article Abstract
Background: Social environment may broadly impact multifaceted frailty; however, how environmental differences influence frailty in older adults with diabetes remains unclear. This study aimed to investigate regional differences in frailty in urban and rural areas among older adults with diabetes.
Methods: This cross-sectional study was conducted as part of the frailty prevention program for older adults with diabetes study. Older adults aged 60-80 years who could independently perform basic activities of daily living (ADLs) were enrolled sequentially. Trained nurses obtained patient background, complications, body weight, body composition, blood tests, grip strength, frailty assessment, and self-care score results. Regional differences in frailty were evaluated using logistic and multiple linear regression analyses.
Results: This study included 417 participants (269 urban and 148 rural). The prevalence of robustness was significantly lower in rural areas than in urban areas (29.7% vs. 43.9%, p = 0.018). Living in rural areas was associated with frailty (odds ratio [OR] 2.55, 95% confidence interval [CI] 1.38-4.71) and pre-frailty (OR 2.10, 95%CI 1.30-3.41). Lower instrumental ADL (B 0.28, standard error [SE] 0.073) and social ADL (B 0.265, SE 0.097) were characteristics of rural residents.
Conclusions: Regional differences in frailty were observed. Older adults with diabetes living in rural areas have a higher risk of frailty owing to a decline in instrumental and social ADLs. Social environment assessment and intervention programs that include communication strategies to enable care and social participation across environments are crucial to the effective and early prevention of frailty.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330035 | PMC |
| http://dx.doi.org/10.1186/s12877-024-05223-7 | DOI Listing |
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