Research Article

GDF-15 Is Associated with Poor Physical Function in Prefrail Older Adults with Diabetes

Table 1

Characteristics of subjects by GDF-15 tertiles.

All Tertile 1 (30.9)Tertile 2 (34.6)Tertile 3 (34.6) value

Ageaa0.004
Gender#0.240
 Male43 (39.8)10 (23.3)17 (39.5)16 (37.2)
 Female65 (60.2)25 (38.5)a19 (29.2)21 (32.2)
Ethnicity#0.682
 Chinese91 (84.0)30 (33.0)31 (34.0)30 (33.0)
 Malay4 (3.6)2 (50)0 (30.8)2 (50.0)
 Indian13 (12.4)3 (23.0)5 (38.5)5 (38.5)
BMI (kg/m2)0.657
Employment0.024
 Working30 (30.6))38 (37.1)10 (27.7)7 (18.9)
 Unemployed13 (13.3)5 (14.3)5 (13.9)3 (8.1)
 Retired50 (51.0)16 (45.7)20 (55.6)24 (64.9)
 Homemaker5 (5.1)1 (2.9)1 (2.8)3 (8.1)
Education (years)aba,b<0.001
Diabetes44 (40.7)8 (22.9)12 (33.3)24 (64.9)<0.001
Hyperlipidaemia80 (74.8)26 (74.3)26 (74.3)28 (75.7)0.988
Hypertension63 (58.9)18 (51.4)19 (54.3)26 (70.3)0.213
Nutrition (median [IQR])14.0 [2.0]14.0 [2.0]13.0 [1.0]14.0 [2.0]0.238
≥5% weight loss in past year7 (6.5)2 (5.7)1 (2.8)4 (10.8)0.373
≥1 ADL impairment20 (18.5)3 (8.6)6 (16.7)11 (29.7)0.065
≥1 IADL impairment56 (29.3)4 (11.4)6 (16.7)12 (32.4)0.069
Perceived health (EQ-VAS)0.637
Physically active19 (17.6)9 (25.7)7 (19.4)3 (8.1)0.137
Depression21 (19.4)6 (17.1)5 (13.9)10 (27.0)0.335
MoCA (median [IQR])27.7 [4.0]28.0 [3.0]27.0 [4.0]27.5 [5.0]0.275
Sarcopenia (AWGS 2019)19 (19.0))6 (17.6)6 (18.2)7 (21.2)0.923
Gait speed (m/s) (median [IQR])1.0 [0.5]1.1 [0.3]a1.0 [0.4]0.9 [0.4]a0.021
 Low gait speed50 (46.7)10 (28.6)19 (54.3)21 (56.8)0.031
5× chair-stand time (sec)aba,b<0.01
SPPB score (median [IQR])11.0 [3.0]11.0 [2]a11.0 [2]b9.0 [3]a,b0.012
34 (31.5)6 (17.1)8 (22.2)20 (54.1)0.001
HGS (kg) (median [IQR])20.3 [10.1]19.2 [9.6]20.6 [9.3]19.9 [13.5]0.779
 Low handgrip58 (54.2)16 (45.7)22 (61.1)20 (55.6)0.420
Poor physical function78 (72.2)20 (57.1)28 (77.8)30 (81.1)0.051

; ; SPPB: short physical performance battery; HGS: handgrip strength; MoCA: Montreal Cognitive Assessment; ADL: activity of daily living; IADL: instrumental activity of daily living.