A BEHAVIORAL LIFESTYLE INTERVENTION TO IMPROVE FRAILTY IN OVERWEIGHT OR OBESE OLDER ADULTS WITH TYPE 2 DIABETES: A FEASIBILITY STUDY
R. Jiwani, J. Wang, C. Li, B. Dennis, D. Patel, J. Gelfond, Q. Liu, N. Siddiqui, C. Bess, S. Monk, M. Serra, S. Espinoza
J Frailty Aging 2022;11(1)74-82
Background: Older adults with Type 2 diabetes (T2D) are more likely to be frail, which increases the risk for disability and mortality.
Objectives: To determine the feasibility of a behavioral lifestyle intervention, enhanced with mobile health technology for self-monitoring of diet and activity, to improve frailty in overweight/obese older adults (≥65 years) diagnosed with T2D.
Design, Setting, and Participants: Single arm, 6-month study of a behavioral lifestyle intervention in 20 overweight/obese (BMI>25) older adults (≥ 65 years) with self-reported T2D diagnosis who owned a smartphone. A Fitbit tracker was provided to all participants for self-monitoring of diet and physical activity. Our primary outcome of feasibility was measured by session attendance, adherence to Fitbit usage to self-monitor diet and physical activity, and study retention. Secondary outcomes included the preliminary efficacy of the intervention on frailty, physical function, quality of life, and T2D-related outcomes.
Results: Eighteen participants completed the study. The mean age was 71.5 (SD ± 5.3) years, 56% were female, and half were Hispanic. At baseline, 13 (72%) were pre-frail, 4 (22%) were frail, and 1 (6%) were non-frail. At follow-up, frailty scores improved significantly from 1.61 ± 1.15 to 0.94 ± 0.94 (p=0.01) and bodyweight improved from 205.66 ± 45.52 lbs. to 198.33 ± 43.6 lbs. (p=<0.001).
Conclusion: This study provides evidence for the feasibility of a behavioral lifestyle intervention in overweight/obese older adults with T2D and preliminary results support its potential efficacy in improving frailty score.
R. Jiwani ; J. Wang ; C. Li ; B. Dennis ; D. Patel ; J. Gelfond ; Q. Liu ; N. Siddiqui ; C. Bess ; S. Monk ; M. Serra ; S. Espinoza ; (2021): A Behavioral Lifestyle Intervention to Improve Frailty in Overweight or Obese Older Adults with Type 2 Diabetes: A Feasibility Study. The Journal of Frailty and Aging (JFA). http://dx.doi.org/10.14283/jfa.2021.17