Evidence map›Paper›PMID 39480799›Full record

SynthesisPloS one2024

Prevalence and risk factors of frailty in older adults with diabetes: A systematic review and meta-analysis.

Yaqing Liu, Longhan Zhang, Xiaoyun Li, An Luo, Sixuan Guo, Xun Liu, Xingyu Wei, Yuanhong Sun, Manyi Wang, Li Liao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Frailty Matters-Why Isn't It Guiding Clinical Decisions?Journal of the American Geriatrics Society · 2025
    Article
  10. Observational
  11. Article
  12. Article
  13. Frailty Prediction Model for Elderly Diabetic Peripheral Neuropathy Patients.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  14. Review
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

10 authors.

Yaqing LiuSchool of Nursing, University of South China, Hengyang, Hunan, China.
Longhan ZhangSchool of Nursing, University of South China, Hengyang, Hunan, China.ORCID 0009-0007-4791-2516
Xiaoyun LiSchool of Computer, University of South China, Hengyang, Hunan, China.
An LuoSchool of Nursing, University of South China, Hengyang, Hunan, China.
Sixuan GuoSchool of Nursing, University of South China, Hengyang, Hunan, China.
Xun LiuSchool of Nursing, University of South China, Hengyang, Hunan, China.
Xingyu WeiClinical Medical college of Acupuncture Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yuanhong SunHengyang Medical School, University of South China, Hengyang, Hunan, China.ORCID 0009-0001-4174-8897
Manyi WangSchool of Nursing, University of South China, Hengyang, Hunan, China.
Li LiaoSchool of Nursing, University of South China, Hengyang, Hunan, China.ORCID 0009-0008-6143-5143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis aimed to evaluate the prevalence of frailty and pre-frailty in older adults with diabetes; and to identify the risk factors associated with frailty in this population.

designSystematic review and meta-analysis.

participants24,332 people aged 60 years and older with diabetes.

methodsSix databases were searched (PubMed, Embase, the Cochrane Library, Web of Science, China Knowledge Resource Integrated Database, and Chinese Biomedical Database) up to 15 January 2024. Random effects models were used in instances of significant heterogeneity. Subgroup analysis and meta-regression were conducted to identify the potential source of heterogeneity. The Agency for Healthcare Research and Quality (AHRQ) and the Newcastle-Ottawa Scale (NOS) were applied to assess the quality of included studies.

results3,195 abstracts were screened, and 39 full-text studies were included. In 39 studies with 24,332 older people with diabetes, the pooled prevalence of frailty among older adults with diabetes was 30.0% (95% CI: 23.6%-36.7%). Among the twenty-one studies involving 7,922 older people with diabetes, the pooled prevalence of pre-frailty was 45.1% (95% CI: 38.5%-51.8%). The following risk factors were associated with frailty among older adults with diabetes: older age (OR = 1.08, 95% CI: 1.04-1.13, p<0.05), high HbA1c (OR = 2.14, 95% CI: 1.30-3.50, p<0.001), and less exercise (OR = 3.11, 95% CI: 1.36-7.12, p<0.001).

conclusionsThis suggests that clinical care providers should be vigilant in identifying frailty and risk factors of frailty while screening for and intervening in older adults with diabetes. However, there are not enough studies to identify comprehensive risk factors of frailty in older adults with diabetes.

trial registrationPROSPERO registration number: CRD42023470933.

Indexed as

Diabetes MellitusFrailtyAgedAged, 80 and overFemaleFrail ElderlyHumansMaleMiddle AgedPrevalenceRisk Factors

Identifiers

PMID39480799
PMCPMC11527323

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.