Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia

Elly Morros-González; Estephania Chacón-Valenzuela; María Paula Vargas-Beltrán; Ana María Gómez; Diego Chavarro-Carvajal; Carlos Alberto Cano-Gutiérrez; Luis Carlos Venegas-Sanabria

doi:10.21203/rs.3.rs-3044311/v1

Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia

Título traducido de la contribución: Caídas, hospitalizaciones y mala salud autoevaluada en personas mayores con diabetes y fragilidad:: un análisis secundario de SABE-Colombia

Elly Morros-González, Estephania Chacón-Valenzuela, María Paula Vargas-Beltrán, Ana María Gómez, Diego Chavarro-Carvajal, Carlos Alberto Cano-Gutiérrez, Luis Carlos Venegas-Sanabria

Pontificia Universidad Javeriana

Producción: Contribución a una revista › Artículo › revisión exhaustiva

Resumen

La diabetes y la fragilidad, en conjunto, se han relacionado con eventos adversos como mayor riesgo de hipoglucemia, deterioro funcional, discapacidad, ingresos hospitalarios y empeoramiento de la calidad de vida. Estimamos la prevalencia de la diabetes y la fragilidad, así como su asociación con la hospitalización, la mala salud percibida por los pacientes, las caídas recurrentes y el miedo a caer.

Métodos
Los datos provienen de la Encuesta de Salud, Bienestar y Envejecimiento (SABE) de Colombia 2015, un estudio transversal con 23 694 adultos de 60 años o más residentes en la comunidad, residentes en zonas rurales o urbanas, una muestra representativa de la población total. Se utilizó una versión modificada del fenotipo de fragilidad propuesto por Fried para medir la fragilidad. La prevalencia de diabetes se evaluó mediante autoinforme. Se evaluó la asociación entre diabetes y/o fragilidad con la hospitalización, la mala salud autopercibida, las caídas recurrentes y el miedo a caer.

Resultados
Se analizaron tres mil ochocientas setenta y tres personas mayores, el 16,2% tenía diabetes, eran más propensas a ser mujeres, de menor edad (≤ 69 años), vivían en áreas urbanas y tenían menores ingresos económicos. Los síndromes geriátricos, las enfermedades crónicas, la hospitalización en el último año y la mala salud autoevaluada también se asociaron significativamente con la diabetes. La prevalencia de adultos mayores con diabetes y fragilidad fue del 22,4%. La diabetes y la fragilidad no se asociaron con variables dependientes, pero las personas con fragilidad sí encontraron una asociación significativa con la mala salud autoevaluada, las caídas recurrentes y el miedo a caer, asociaciones que fueron mayores que el análisis con adultos mayores con diabetes.

Conclusiones
Los hallazgos proporcionan evidencia adicional que respalda la asociación entre los ancianos con fragilidad y resultados desfavorables independientemente de las enfermedades crónicas.

Título traducido de la contribución	Caídas, hospitalizaciones y mala salud autoevaluada en personas mayores con diabetes y fragilidad:: un análisis secundario de SABE-Colombia
Idioma original	Inglés
Páginas (desde-hasta)	1-8
Número de páginas	8
Publicación	BMC Geriatrics
Volumen	25
N.º	699
DOI	https://doi.org/10.21203/rs.3.rs-3044311/v1 https://doi.org/10.1186/s12877-025-06077-3 https://doi.org/10.1186/s12877-025-06077-3
Estado	Publicada - 24 sep. 2025

Palabras clave

Diabetes mellitus
Viejo
Fragilidad
caídas accidentales
Hospitalización

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

Acceder al documento

10.21203/rs.3.rs-3044311/v1
10.1186/s12877-025-06077-3Licencia: Sin especificar
10.1186/s12877-025-06077-3

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Falls, hospitalizations, and poor self‑rated

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Condiciones sociodemográficas y de salud de los adultos mayores que viven en comunidad: análisis secundario de la encuesta Nacional de salud, bienestar y envejecimiento (Sabe- Colombia)
Chavarro Carvajal, D. A. (Investigador principal), Cano-Gutierrez, C. (Coinvestigador) & Heredia Ramirez, R. A. (Coinvestigador)
01/12/18 → 31/05/20
Proyecto: Investigación

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Morros-González, E., Chacón-Valenzuela, E., Vargas-Beltrán, M. P., Gómez, A. M., Chavarro-Carvajal, D., Cano-Gutiérrez, C. A., & Venegas-Sanabria, L. C. (2025). Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia. BMC Geriatrics, 25(699), 1-8. https://doi.org/10.21203/rs.3.rs-3044311/v1, https://doi.org/10.1186/s12877-025-06077-3, https://doi.org/10.1186/s12877-025-06077-3

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title = "Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia",

abstract = "BackgroundDiabetes and frailty, together, have been related to adverse events such as increased risk of hypoglycemia, functional decline, disability, hospital admissions, and worsening quality of life. We estimated the prevalence of diabetes and frailty and their association with hospitalization, poor self-rated health, recurrent falls, and fear of falling. MethodsData came from the “Salud, Bienestar y Envejecimiento” (SABE) Colombia Survey 2015, a cross-sectional study of 23694 community-dwelling adults aged 60 years or older living in rural or urban areas, a representative sample from the total population. A modified version created of the frailty phenotype proposed by Fried, was used to measure frailty. Diabetes prevalence was considered by self-report. We evaluated the association between diabetes and/or frailty with hospitalization, poor self-rated health, recurrent falls and fear of falling. ResultsThree thousand eight hundred seventy-three older people were analyzed, 16.2\% had diabetes, were more likely to be women, younger age (≤ 69 years), lived in urban areas and had lower economic income. Geriatric syndromes, chronic illnesses, hospitalization in the last year and poor self-rated health were also significantly associated with diabetes. The prevalence of older adults having diabetes and frailty was 22.4\%. Diabetes and frailty were not associated with dependent variables, but people with frailty did find a significant association with poor self-rated health, recurrent falls and fear of falling, associations that were higher than analysis with elderly with diabetes. ConclusionsFindings provide additional evidence supporting association between elderly with frailty and unfavorable outcomes independently of chronic diseases.",

keywords = "Accidental falls, Aged, Diabetes mellitus, Frailty, Hospitalization, Diabetes mellitus, Viejo, Fragilidad, ca{\'i}das accidentales, Hospitalizaci{\'o}n",

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doi = "10.21203/rs.3.rs-3044311/v1",

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Morros-González, E, Chacón-Valenzuela, E, Vargas-Beltrán, MP, Gómez, AM, Chavarro-Carvajal, D , Cano-Gutiérrez, CA & Venegas-Sanabria, LC 2025, 'Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia', BMC Geriatrics, vol. 25, n.º 699, pp. 1-8. https://doi.org/10.21203/rs.3.rs-3044311/v1, https://doi.org/10.1186/s12877-025-06077-3, https://doi.org/10.1186/s12877-025-06077-3

TY - JOUR

T1 - Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty

T2 - a secondary analysis of SABE-Colombia

AU - Morros-González, Elly

AU - Chacón-Valenzuela, Estephania

AU - Vargas-Beltrán, María Paula

AU - Gómez, Ana María

AU - Chavarro-Carvajal, Diego

AU - Cano-Gutiérrez, Carlos Alberto

AU - Venegas-Sanabria, Luis Carlos

N1 - Publisher Copyright: © The Author(s) 2025.

PY - 2025/9/24

Y1 - 2025/9/24

N2 - BackgroundDiabetes and frailty, together, have been related to adverse events such as increased risk of hypoglycemia, functional decline, disability, hospital admissions, and worsening quality of life. We estimated the prevalence of diabetes and frailty and their association with hospitalization, poor self-rated health, recurrent falls, and fear of falling. MethodsData came from the “Salud, Bienestar y Envejecimiento” (SABE) Colombia Survey 2015, a cross-sectional study of 23694 community-dwelling adults aged 60 years or older living in rural or urban areas, a representative sample from the total population. A modified version created of the frailty phenotype proposed by Fried, was used to measure frailty. Diabetes prevalence was considered by self-report. We evaluated the association between diabetes and/or frailty with hospitalization, poor self-rated health, recurrent falls and fear of falling. ResultsThree thousand eight hundred seventy-three older people were analyzed, 16.2% had diabetes, were more likely to be women, younger age (≤ 69 years), lived in urban areas and had lower economic income. Geriatric syndromes, chronic illnesses, hospitalization in the last year and poor self-rated health were also significantly associated with diabetes. The prevalence of older adults having diabetes and frailty was 22.4%. Diabetes and frailty were not associated with dependent variables, but people with frailty did find a significant association with poor self-rated health, recurrent falls and fear of falling, associations that were higher than analysis with elderly with diabetes. ConclusionsFindings provide additional evidence supporting association between elderly with frailty and unfavorable outcomes independently of chronic diseases.

AB - BackgroundDiabetes and frailty, together, have been related to adverse events such as increased risk of hypoglycemia, functional decline, disability, hospital admissions, and worsening quality of life. We estimated the prevalence of diabetes and frailty and their association with hospitalization, poor self-rated health, recurrent falls, and fear of falling. MethodsData came from the “Salud, Bienestar y Envejecimiento” (SABE) Colombia Survey 2015, a cross-sectional study of 23694 community-dwelling adults aged 60 years or older living in rural or urban areas, a representative sample from the total population. A modified version created of the frailty phenotype proposed by Fried, was used to measure frailty. Diabetes prevalence was considered by self-report. We evaluated the association between diabetes and/or frailty with hospitalization, poor self-rated health, recurrent falls and fear of falling. ResultsThree thousand eight hundred seventy-three older people were analyzed, 16.2% had diabetes, were more likely to be women, younger age (≤ 69 years), lived in urban areas and had lower economic income. Geriatric syndromes, chronic illnesses, hospitalization in the last year and poor self-rated health were also significantly associated with diabetes. The prevalence of older adults having diabetes and frailty was 22.4%. Diabetes and frailty were not associated with dependent variables, but people with frailty did find a significant association with poor self-rated health, recurrent falls and fear of falling, associations that were higher than analysis with elderly with diabetes. ConclusionsFindings provide additional evidence supporting association between elderly with frailty and unfavorable outcomes independently of chronic diseases.

KW - Accidental falls

KW - Aged

KW - Diabetes mellitus

KW - Frailty

KW - Hospitalization

KW - Diabetes mellitus

KW - Viejo

KW - Fragilidad

KW - caídas accidentales

KW - Hospitalización

UR - https://www.scopus.com/pages/publications/105016908661

U2 - 10.21203/rs.3.rs-3044311/v1

DO - 10.21203/rs.3.rs-3044311/v1

M3 - Article

C2 - 40993551

SN - 1471-2318

VL - 25

SP - 1

EP - 8

JO - BMC Geriatrics

JF - BMC Geriatrics

IS - 699

ER -

Morros-González E, Chacón-Valenzuela E, Vargas-Beltrán MP, Gómez AM, Chavarro-Carvajal D , Cano-Gutiérrez CA et al. Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia. BMC Geriatrics. 2025 sept. 24;25(699):1-8. doi: 10.21203/rs.3.rs-3044311/v1, 10.1186/s12877-025-06077-3, 10.1186/s12877-025-06077-3

Falls, hospitalizations, and poor self-rated health in older people with diabetes and frailty: a secondary analysis of SABE-Colombia

Resumen

Palabras clave

ODS de las Naciones Unidas

Acceder al documento

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Huella

Proyectos

Condiciones sociodemográficas y de salud de los adultos mayores que viven en comunidad: análisis secundario de la encuesta Nacional de salud, bienestar y envejecimiento (Sabe- Colombia)

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