What is it about?
Researchers analyzed 888 older Japanese adults with diabetes (from the J-EDIT trial) to see what predicts adverse events (heart disease, stroke, kidney death, diabetic foot, or heart failure). They compared frailty with higher-level functional incapacity (problems in instrumental daily activities, cognition, or social function).
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Why is it important?
Functional incapacity (loss of higher-level ADLs like managing money, shopping, or social participation) may be more useful than frailty in identifying patients at high risk. Frailty is still important for guiding exercise, nutrition, and social interventions. Both measures may complement each other, but their relative value in predicting poor outcomes needs further research.
Perspectives
Clinicians should assess higher-level daily functions, not just basic ADLs, when setting diabetes goals. Future long-term, multicenter studies should directly compare frailty and functional decline to find the simplest, most reliable predictor.
Prof Takuya Omura
National Center for Geriatrics and Gerontology
Read the Original
This page is a summary of: Which is a better predictor for adverse events in older adults with diabetes, frailty or higher‐level functional incapacity?, Geriatrics and Gerontology International, April 2021, Wiley,
DOI: 10.1111/ggi.14166.
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