Evidence map›Paper›PMID 39154001›Full record

ArticleBMC geriatrics2024

Regional differences in frailty among older adults with type 2 diabetes: a multicenter cross-sectional study in Japan.

Akiko Nishimura, Chie Masuda, Chiyo Murauchi, Miho Ishii, Yuko Murata, Terumi Kawasaki, Mayumi Azuma, Hidenori Arai, Shin-Ichi Harashima

Abstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Akiko NishimuraDepartment of Chronic Care Nursing, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan. nishimura.akiko@kagawa-u.ac.jp.
Chie MasudaDepartment of Nursing, Asahikawa City Hospital, 1-1-65 Kinsei-cho, Asahikawa City, Hokkaido, 070-8610, Japan.
Chiyo MurauchiFaculty of Nursing and Graduate School of Nursing, Kansai Medical University, 2-3-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan.
Miho IshiiJonan branch, Town Home-visit Medical Care Clinic, Gardenia Kamiikedai 101, 1-40-6 Kamiikedai, Ota-ku, Tokyo, 145-0064, Japan.
Yuko MurataDepartment of Nursing, Takashima Municipal Hospital, 1667 Katsuno, Takashima City, Shiga, 520-1121, Japan.
Terumi KawasakiDepartment of Nursing, Sapporo City General Hospital, 1-1 Kita, 11-jo Nishi, 13-chome, Chuo- ku, Sapporo City, Hokkaido, 064-0064, Japan.
Mayumi AzumaDepartment of Chronic Care Nursing, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.
Hidenori AraiNational Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, Japan.
Shin-Ichi HarashimaDepartment of Chronic Care Nursing, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan. harashima.shinichi.38m@st.kyoto-u.ac.jp.

Funding

Japan Society for the Promotion of Science JP 20H03983
6 · The paper itself

Abstract

backgroundSocial 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.

methodsThis 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.

resultsThis 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.

conclusionsRegional 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.

Indexed as

Activities of Daily LivingDiabetes Mellitus, Type 2Frail ElderlyFrailtyAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHumansJapanMaleMiddle AgedRural PopulationUrban PopulationAging issuesFrailtyGeriatric health careRegional differencesType 2 diabetes

Identifiers

PMID39154001
PMCPMC11330035

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.