| Objective:To investigate the gender difference in the incidence of cognitive frailty in elderly patients with type 2 diabetes mellitus,and to explore the influencing factors.Methods:From March to October 2021,a total of 235 elderly aged over 60 with T2DM hospitalized in the department of endocrinology ward of a third-class hospital in Nanning were selected in the present cross-sectional study.Cognitive frailty was assessed using Survey of Health、Aging and Retirement in Europe Frailty Instrument(SHARE-FI),Montreal Cognitive Assessment(Mo CA),Short-Form Mini Nutritional Assessment(MNA-SF),Instrumental Activities Daily Living Scale(IADLs),Social Support Rating Scale(SSR)and Geriatric Depression Score(GDS-5).Epi Data3.1 was used to establish the database and SPSS25.0 statistical software was used to conduct descriptive analysis,univariate analysis and regression analysis of the data.Results:1.The incidence of cognitive frailty in elderly type 2 diabetic inpatients was 33.8%,23.4% in males and 43.2% in females.The difference was statistically significant(p<0.05).2.The average score of nutritional status of elderly inpatients with type 2 diabetes was(12.52 ± 1.96),among which malnourished were3.1%,who has risk of malnutrition were 16.9%,and normal nourished were 80%.The total score of IADL was(12.69± 5.84),among which IADL declined were 70.2%.The descending order of IADL items’ scores was outdoor activities,household maintenance,financial handling,food cooking,washing clothes,using telephone,and taking medicine.The total score of SSRS was 36.97±7.42,in which the average score of subjective support was 20.52 ± 4.27,the average score of objective support was11.03±2.47,and the utilization score of support was 5.41±2.21.1% of the patients with low level of SSRS and 82.2% of the patients with general level of SSRS.High level of SSRS accounted for 17.3%.The depression score was 0(0,2),38.2% with depression and 61.8% without depression.3.Single factor analysis results:(1)the influence factors of cognitive frailty of elderly patients with type 2 diabetes mellitus include gender,age,body mass index,marital status,education Level,number of offspring,personal monthly income,movement,sleep duration,memory decline,diabetic cerebrovascular disease,diabetic lower extremity vascular disease,other cardiovascular diseases,respiratory diseases,Nutritional status,instrumental daily living status,social support status,depression;(2)The influencing factors of cognitive frailty in elderly women with type 2 diabetes mellitus included age,marital status,diabetic,physical activity,sleep duration,memory loss,quantity of medication,type of comorbidities,other cardiovascular diseases,respiratory diseases,nutritional status,instrumental ability of daily living,depression;(3)The influencing factors of cognitive frailty in elderly male patients with type 2diabetes mellitus included age,physical activity,body mass index,duration of diabetes,nutritional status,instrumental daily living ability,depression.4.binary logistic regression analysis results :(1)the main influencing factors of cognitive frailty in elderly patients with type 2 diabetes include gender,age,education level,physical activity,memory decline,nutritional status,duration of diabetes.(2)The same factors affecting cognitive frailty in patients with type 2 diabetes of different genders include age,duration of diabetes,and different factors include sleep duration,nutrition status,exercise status and depression.Conclusions:1.The prevalence of cognitive frailty in elderly patients with type 2diabetes is at a high level and has gender differences.Therefore,early identification and intervention are of great importance to prevent or delay the occurrence of cognitive frailty in elderly patients with type 2 diabetes.2.The main influencing factors of cognitive frailty in elderly patients with type 2 diabetes mellitus were gender,age,education level,,exercise status,memory decline,nutritional status,duration of diabetes;The risk factors of cognitive frailty in the elderly type 2 diabetes patients have a gender difference.For men,Regular exercise is a protective factor and Depression is a risk factor.For women,Both of Prolonged sleep and malnutrition were risk factor. |
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