Diabetes mellitus, hypertension and frailty: A population‐based, cross‐sectional study of Mexican older adults

Aim Chronic diseases are frequent in older adults, particularly hypertension and diabetes. The relationship between frailty and these two conditions is still unclear. The aim of the present analyses was to explore the association between frailty with diabetes and hypertension in Mexican older adults...

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Published in:Geriatrics & gerontology international 2017-06, Vol.17 (6), p.925-930
Main Authors: Castrejón‐Pérez, Roberto Carlos, Gutiérrez‐Robledo, Luis Miguel, Cesari, Matteo, Pérez‐Zepeda, Mario Ulises
Format: Article
Language:English
Subjects:
Aged
Chronic Disease
Cross-Sectional Studies
Diabetes
Diabetes Complications - complications
Female
Frailty
Frailty - epidemiology
geriatric medicine
Health Surveys
Humans
Hypertension
Hypertension - complications
Linear Models
Male
Mexico
Older people
Population-based studies
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Summary:Aim Chronic diseases are frequent in older adults, particularly hypertension and diabetes. The relationship between frailty and these two conditions is still unclear. The aim of the present analyses was to explore the association between frailty with diabetes and hypertension in Mexican older adults. Methods Analyses of the Mexican Health and Nutrition Survey, a cross‐sectional survey, are presented. Data on diabetes and hypertension were acquired along with associated conditions (time since diagnosis, pharmacological treatment, among others). A 36‐item frailty index was constructed and rescaled to z‐values (individual scores minus population mean divided by one standard deviation). Multiple linear regression models were carried out, adjusted for age and sex. Results From 7164 older adults, 54.8% were women, and their mean age was 70.6 years with a mean frailty index score of 0.175. The prevalence of diabetes was of 22.2%, and 37.3% for hypertension. An independent association between diabetes, hypertension or both conditions (coefficients 0.28, 0.4 and 0.63, respectively, P 
ISSN:1444-1586
1447-0594
DOI:10.1111/ggi.12805