Recent tendency of frailty and geriatric syndrome for elderly diabetic patients

Frailty, sarcopenia, geriatric syndrome and diabetes have been in focus. Several types of frailty are present from medical, psychological, and social points of view. The risk of developing diabetic frailty is 1.48 times for meta-analysis. By a systematic review of 15 studies, type 2 diabetes (T2D) patients showed higher sarcopenia risk with odd ratio (OR) 1.55. Concerning the relationship of senile frailty and body composition, male body fat mass correlated with frailty associated with cut off value of 27.6%. Protein intake amount per weight per day was divided into quartile groups. Hazard ratio of mortality for lowest/highest quartile was 2.26. In conclusion, geriatric syndrome may bring generalized various influence to each subject. For patient-centered practice of medicine, personalized medical practice would be required and recommended from now on.

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