Sociodemographic characteristics associated with self-care and quality of life among community-dwelling older adults with type 2 diabetes

Abstract Background The type 2 diabetes (T2D) specific dementia-risk score (DSDRS) was developed to evaluate dementia risk in older adults with T2D. T2D-related factors have been shown increase the risk of age-related conditions, which might also increase dementia risk. Here, we investigate the associations of DSDRS with frailty, disability, quality of life (QoL) and cognition in community-dwelling older adults with T2D. Methods We included 257 community-dwelling older adults with T2D to evaluate the association between DSDRS and Mini-mental state examination (MMSE), Isaac’s set-test (IST), clock drawing test (CDT), quality of life (SF-36), risk of malnutrition (Mini-Nutritional Assessment or MNA), as well as frailty, Katz’ and Lawton-Brody scores. We also assessed the phenotype and correlates of high-estimated dementia risk by assessing individuals with DSDRS >75th age-specific percentiles. Results Mean age of participants was 78.0 ± 6.2 years. DSDRS showed a significant correlation with MMSE test, IST, CDT, SF-36, MNA, Lawton-Brody and Katz scores, and an increasing number of frailty components. DSDRS was higher among frail, pre-frail, and subjects with limited ADL and IADL (p < 0.001). Participants with DSDRS >75th age-specific percentiles had lower education, MMSE, IST, SF-36, MNA, Katz, Lawton-Brody, and higher frailty scores. High-estimated 10-year dementia risk was associated with ADL and IADL disability, frailty and risk of malnutrition. When assessing individual components of DSDRS, T2D-related microvascular complications were associated to all outcome measures. Conclusion The DSDRS is associated with frailty, disability, malnutrition and lower cognitive performance. These findings support that T2D-related factors have significant burden on functional status, QoL, disability and dementia risk.

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Efficacy of community-based self-care interventions to improve biophysical, psychosocial or behavioural outcomes among community-dwelling older adults with type 2 diabetes: A systematic review and meta-analysis

Diabetes Research and Clinical Practice ◽

10.1016/j.diabres.2020.108411 ◽

2020 ◽

Vol 169 ◽

pp. 108411

Author(s):

Siang Joo Seah ◽

Huili Zheng ◽

Raymond Boon Tar Lim

Keyword(s):

Systematic Review ◽

Type 2 Diabetes ◽

Older Adults ◽

Meta Analysis ◽

Self Care ◽

Community Dwelling ◽

Community Based ◽

Community Dwelling Older Adults

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Effects of a nurse-led telehealth self-care promotion programmes on the quality of life of community-dwelling older adults: A systematic review and meta-analysis. (Preprint)

10.2196/preprints.31912 ◽

2021 ◽

Author(s):

Arkers Kwan Ching Wong ◽

Jonathan Bayuo ◽

Frances Kam Yuet Wong ◽

Wing Shan Yuen ◽

Athena Yin Lam Lee ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Self Efficacy ◽

Hospital Admissions ◽

Meta Analysis ◽

Self Care ◽

Community Dwelling ◽

Face To Face ◽

Community Dwelling Older Adults

BACKGROUND In recent years, telehealth has become a common channel for healthcare professionals to use to promote health and provide distance care. Coronavirus disease (COVID-19) has further fostered the widespread use of this new technology, which can improve access to care while protecting the community from exposure to infection by direct personal contact, and reduce the time and cost of travelling for both healthcare users and providers. This is especially true for community-dwelling older adults who have multiple chronic diseases and require frequent hospital visits. Nurses are globally recognized as healthcare professionals who provide effective community-based care to older adults, facilitating their desire to age in place. However, to date, it is unclear whether the use of telehealth can facilitate their work of promoting self-care to community-dwelling older adults. Objective: We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. OBJECTIVE We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. METHODS A search of six major databases was undertaken of relevant studies published from May 2011 to April 2021. Standardized mean differences (SMDs) and their 95% confidence intervals were calculated from post-intervention outcomes for continuous data, while the odds ratio (ORs) was obtained for dichotomous data using the Mantel-Haenszel test. RESULTS From 1173 possible publications, 13 trials involving a total of 4097 participants were included in this meta-analysis. Compared to the control groups, the intervention groups of community-dwelling older adults significantly improved in overall quality of life (SMD=0.12; 95% CI: 0.03 to 0.20; p=.006; I2=21%), self-efficacy (SMD=0.19; 95% CI: 0.08 to 0.30; p=.0005; I2=0%), and depression level (SMD=-0.22; 95% CI: -0.36 to -0.08; p=.003; I2=89%). CONCLUSIONS This meta-analysis suggests that employing telehealth in nurse-led self-care promotion programmes may have a positive impact on older adults, although more studies are needed to strengthen the evidence base, particularly regarding organization and delivery. CLINICALTRIAL International Prospective Register of Systematic Reviews (PROSPERO) CRD42021257299; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=257299.

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Relationship between Abuse Experience and Quality of Life of Community Dwelling Older Adults

Egyptian Journal of Health Care ◽

10.21608/ejhc.2017.17968 ◽

2017 ◽

Vol 8 (1) ◽

pp. 208-223

Author(s):

Rasha Ahmed Fouad ◽

Abeer Abd El – Rahman Mohamed

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Community Dwelling ◽

Community Dwelling Older Adults

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Predictors of frailty among Chinese community-dwelling older adults with type 2 diabetes: a cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2020-041578 ◽

2021 ◽

Vol 11 (3) ◽

pp. e041578

Author(s):

Linglin Kong ◽

Huimin Zhao ◽

Junyao Fan ◽

Quan Wang ◽

Jie Li ◽

...

Keyword(s):

Type 2 Diabetes ◽

Older Adults ◽

Depressive Symptoms ◽

Community Health ◽

Community Dwelling ◽

Central China ◽

Chinese Community ◽

Cross Sectional ◽

Community Dwelling Older Adults

ObjectivesTo assess the prevalence of frailty and identify predictors of frailty among Chinese community-dwelling older adults with type 2 diabetes.DesignA cross-sectional design.SettingTwo community health centres in central China.Participants291 community-dwelling older adults aged ≥65 years with type 2 diabetes.Main outcome measuresData were collected via face-to-face interviews, anthropometric measurements, laboratory tests and community health files. The main outcome measure was frailty, as assessed by the frailty phenotype criteria. The multivariate logistic regression model was used to identify the predictors of frailty.ResultsThe prevalence of prefrailty and frailty were 51.5% and 19.2%, respectively. The significant predictors of frailty included alcohol drinking (ex-drinker) (OR 4.461, 95% CI 1.079 to 18.438), glycated haemoglobin (OR 1.434, 95% CI 1.045 to 1.968), nutritional status (malnutrition risk/malnutrition) (OR 8.062, 95% CI 2.470 to 26.317), depressive symptoms (OR 1.438, 95% CI 1.166 to 1.773) and exercise behaviour (OR 0.796, 95% CI 0.716 to 0.884).ConclusionsA high prevalence of frailty was found among older adults with type 2 diabetes in the Chinese community. Frailty identification and multifaceted interventions should be developed for this population, taking into consideration proper glycaemic control, nutritional instruction, depressive symptoms improvement and enhancement of self-care behaviours.

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