Psychological Resilience Associated With Better Physical Function, QOL in Patients With Type 2 Diabetes

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Studies have found that greater emotional resilience improves physical function and quality of life (QOL) in older adults with type 2 diabetes.

Research published in Journal of the American Geriatrics Society found that psychological resilience is associated with improved physical function and quality of life (QOL) in type 2 older adults Diabetes (T2D).

Psychological resilience has been previously associated with well-being, healthy lifestyles, and reduced risk of death in older adults. With growing interest in identifying the reasons for healthy aging, researchers have been interested in assessing the psychological resilience of people with type 2 diabetes.

This study included older adults in the observational phase of the Look AHEAD trial. This study was designed to assess the effects of an intensive lifestyle intervention (ILI) compared with diabetes support and education (DSE) on cardiovascular morbidity or mortality risk in people with type 2 diabetes. I was. Data for this study were collected at a mean (SD) of 14.4 (0.9) years from randomization during the observational phase of the Look AHEAD trial. Participants aged 45 to her 76 years and had a body mass index (BMI) greater than 25 kg/m22and a confirmed diagnosis of T2D were included.

All participants self-reported demographic information including age, gender and race/ethnicity. We measured her weight using a digital scale and used the collected data to calculate her BMI.Diabetic status was determined by hemoglobin A1c measures. Hospitalization was self-reported.

The Brief Resilience Scale (BRS), Medical Outcomes Survey, Patient Health Questionnaire-9 (PHQ-9), and Pepper Assessment Tool for Disability were used to assess resilience, quality of life, depressive symptoms, and disability, respectively. Gait speed and grip strength were used to assess physical function, whereas vulnerability was assessed with a modified Fried phenotype.

The current study had 3199 participants and provided complete BRS data. BRS was not associated with treatment (DSE, 3.8 [0.8]; ILI, 3.8 [0.7]) or age. However, BRS scores differed by gender (men, 3.9 [0.7]female, 3.7 [0.8]) and race/ethnicity (white, 3.8 [0.8]; Black, 3.9 [0.7]; Hispanic, 3.7 [0.8]; Other/Mixed, 3.6 [0.7]).

Patients with more frequent hospitalizations in the past year had lower physical and mental quality of life, greater depressive symptoms, greater disability, slower walking speed, lower grip strength (kg), and more likely frailty. was related to The association between hospitalization and disability and grip strength in kilograms (1.16; 95% CI, 0.809-1.506) was the only factor adjusted by BRS.

Psychological resilience was positively correlated with physical resilience (odds ratio [OR], 3.44; 95% CI, 2.99-3.90) and mental (OR, 7.41; 7.02-7.80) QOL and depressive symptoms (PHQ-9 total score, –2.02; 95% CI, –2.16 to –1.87). Also likely to meet criteria for frail versus non-frail when weight is included (OR, 0.38; 95% CI, 0.33-0.45) and excluded (OR, 0.39; 95% CI, 0.33-0.46) was also associated with low

This study had several limitations. Due to the cross-sectional nature of the study, no clear causal conclusions could be drawn. Multiple analyses, which increases the likelihood of Type 1 errors. A one-time assessment assumes that resilience is a permanent personality trait due to the nature of the BRS assessment. Not all sociocultural factors were included in the study.

The researchers concluded that the link between psychological resilience and aging-related function found in this study “is consistent with a more holistic view of aging-related health.” Finding ways to distinguish between psychological and physical resilience can help measure these functions.

reference

Olson KL, Howard M, McCaffery JM, et al. Psychological resilience in older adults with type 2 diabetes from the Look AHEAD trial. J Am Geriatr SocPublished online October 5, 2022. doi:10.1111/jgs.17986

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