Evidence mapPaperPMID 40097879Full record

Observational studyGeroScience2025

Frailty incidence by diabetes treatment regimens in older adults with diabetes mellitus in the ASPirin in Reducing Events in the Elderly Study.

Sara E Espinoza, Jonathan C Broder, Rory Wolfe, Michael E Ernst, Raj C Shah, Suzanne G Orchard, Robyn L Woods, Joanne Ryan, Anne Murray

Abstract readObservational Study
In one paragraph

Observational study in GeroScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sara E EspinozaCenter for Translational Geroscience, Diabetes and Aging Center, Department of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Suite B113, Los Angeles, CA, 90048, USA. sara.espinoza@cshs.org.ORCID 0000-0002-1116-302X
Jonathan C BroderSchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Rory WolfeSchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Michael E ErnstDepartment of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA.
Raj C ShahDepartment of Family and Preventive Medicine, Rush University, Chicago, IL, USA.
Suzanne G OrchardSchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Robyn L WoodsSchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Joanne RyanSchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Anne MurrayBerman Center for Outcomes & Clinical Research, Hennepin Healthcare Research Institute, Minneapolis, MN, USA.

Funding

Targeting Biology of Aging Mechanisms Underlying Alzheimer's Disease Risk with MetforminR01AG089711 · CEDARS-SINAI MEDICAL CENTER · 2025 to 2025
$797k
National Health and Medical Research Council of Australia 1127060National Health and Medical Research Council of Australia 1135727National Health and Medical Research Council of Australia 334047NIA NIH HHS R01 AG052697NIA NIH HHS R01AG052697NIA NIH HHS R01 AG069690NIA NIH HHS R01AG069690NIA NIH HHS R01 AG089711NIA NIH HHS R01AG089711NIA NIH HHS U01 AG029824NIA NIH HHS U01AG029824
6 · The paper itself

Abstract

Diabetes mellitus is a major risk factor for frailty in older adults, and studies suggest that frailty risk may differ by diabetes treatment regimen. To investigate the association between diabetes medication use and frailty, we conducted an observational cohort analysis of older adults with diabetes enrolled in the ASPirin in Reducing Events in the Elderly (ASPREE) study. Diabetes at baseline (N = 2045) was defined as self-reported diabetes, fasting blood glucose levels > 125 mg/dL, or use of diabetes medication. Diabetes medication exposure at baseline was categorized as use of metformin only (monotherapy) (N = 545), metformin combined with other diabetes medications (N = 420), other diabetes medications only (N = 200), or no diabetes medications (N = 880). Frailty was defined using a modified Fried frailty phenotype (presence of ≥ 3 of 5 criteria) and a deficit accumulation frailty index (FI, score > 0.21/1.00). Mixed effects ordinal logistic regression models revealed the odds of frailty at baseline were highest for the other diabetes medications only group, but this difference remained consistent over follow-up. After adjustment for covariates, including baseline pre-frailty, no differences in the rates of Fried or FI frailty were observed among the diabetes medication exposure groups. These findings suggest that diabetes medication exposure in older adults with diabetes does not directly impact frailty risk.

Indexed as

AspirinDiabetes MellitusDiabetes Mellitus, Type 2Frail ElderlyFrailtyHypoglycemic AgentsMetforminAgedAged, 80 and overFemaleHumansIncidenceMaleRisk FactorsAspirinHypoglycemic AgentsMetforminDiabetesFrailtyMetforminOlder adults

Identifiers

PMID40097879
PMCPMC12181461

What Socratic holds

Texttitle and abstract
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.