Diabetes Research and Clinical Practice

Blood sugar and cholesterol index linked to later frailty

Higher starting values were linked to greater frailty risk in two cohorts, with hazard ratios—measures of relative risk—of 1.32 and 1.56.

Paper by Xicheng Zhang, Jiajie Guo, Feng Luo, Tianbao Chen, Danhua Zheng
Figure 1 from Diabetes Research and Clinical Practice
Open the figure at full size
Figure 1. Zhang et al., CC BY-NC-ND

Our read

Biomarkers
Studied:
Cohort study of 6,173 people
In the record:
One of 9 papers on Cholesterol-HDL-glucose index on record: 6 with results in people.

Editor of record: Boris Djordjevic · AgingResearch.News

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Middle-aged and older adults—6,173 in one cohort and 2,736 in another—were included in a longitudinal cohort study of metabolic health and later frailty. Researchers examined an index combining blood sugar and cholesterol measures. They identified new cases of frailty using a comparable set of 32 health items in both cohorts.

Higher starting index values were associated with greater frailty risk in both cohorts. Longitudinal analyses included 3,686 and 1,327 participants with repeated measurements, respectively. Higher cumulative index values were also associated with greater risk. Researchers also grouped participants by how their readings changed over time. People in the high change-pattern group had greater frailty risk than those in the low group.

Why it matters

The authors suggest that assessing these metabolic measures over time may provide an accessible signal to inform frailty assessment and preventive management as people age.

Caveats

People with higher index readings may also have had other health differences that contributed to their later frailty. The study covered middle-aged and older adults.

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