PMID- 31751663 OWN - NLM STAT- MEDLINE DCOM- 20210201 LR - 20210201 IS - 1873-6815 (Electronic) IS - 0531-5565 (Linking) VI - 129 DP - 2020 Jan TI - The "Metabolic biomarkers of frailty in older people with type 2 diabetes mellitus" (MetaboFrail) study: Rationale, design and methods. PG - 110782 LID - S0531-5565(19)30710-7 [pii] LID - 10.1016/j.exger.2019.110782 [doi] AB - Type 2 diabetes mellitus (T2DM) is a leading cause of disability globally. Frailty is a high-impact geriatric condition that increases the risk of negative health outcomes and imposes remarkable health and social burden. Both frailty and T2DM show multifaceted pathophysiology, phenotypic heterogeneity, and fluctuating manifestations that challenge their management, especially when the two conditions co-occur. Muscle wasting and its correlates (e.g., metabolic perturbations and functional decline) that underlie frailty may exacerbates clinical manifestations of T2DM in older people, resulting in worse prognosis. The intrinsic complexity of frailty and T2DM has hampered the identification of clinically meaningful biomarkers to track the clinical progression of the two conditions over time and to monitor the efficacy of pharmacological and lifestyle interventions. Here, we propose an innovative approach for biomarker identification that couples multi-platform analytical determinations with chemometric modeling strategies. This novel multi-marker discovery process is described in the context of the "Metabolic biomarkers of frailty in older people with type 2 diabetes mellitus" (MetaboFrail) study that aimed at identifying metabolic biomarkers of frailty in functionally limited older persons with T2DM. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Calvani, Riccardo AU - Calvani R AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. FAU - Rodriguez-Manas, Leocadio AU - Rodriguez-Manas L AD - Servicio de Geriatria, Hospital Universitario de Getafe, Madrid, Spain. FAU - Picca, Anna AU - Picca A AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. FAU - Marini, Federico AU - Marini F AD - Department of Chemistry, Sapienza Universita di Roma, Rome, Italy. FAU - Biancolillo, Alessandra AU - Biancolillo A AD - Department of Physical and Chemical Sciences, University of L'Aquila, Italy. FAU - Laosa, Olga AU - Laosa O AD - Foundation for Biomedical Research, Hospital Universitario de Getafe, Madrid, Spain. FAU - Pedraza, Laura AU - Pedraza L AD - Foundation for Biomedical Research, Hospital Universitario de Getafe, Madrid, Spain. FAU - Gervasoni, Jacopo AU - Gervasoni J AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. FAU - Primiano, Aniello AU - Primiano A AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. FAU - Miccheli, Alfredo AU - Miccheli A AD - Department of Chemistry, Sapienza Universita di Roma, Rome, Italy. FAU - Bourdel-Marchasson, Isabelle AU - Bourdel-Marchasson I AD - Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France. FAU - Regueme, Sophie C AU - Regueme SC AD - Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France. FAU - Bernabei, Roberto AU - Bernabei R AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. FAU - Marzetti, Emanuele AU - Marzetti E AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. Electronic address: emanuele.marzetti@policlinicogemelli.it. FAU - Sinclair, Alan J AU - Sinclair AJ AD - Foundation for Diabetes Research in Older People, Diabetes Frail Ltd., Luton, UK. FAU - Gambassi, Giovanni AU - Gambassi G AD - Universita Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy. CN - European MID-Frail Consortium LA - eng PT - Clinical Trial Protocol PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191118 PL - England TA - Exp Gerontol JT - Experimental gerontology JID - 0047061 RN - 0 (Biomarkers) SB - IM MH - Aged MH - Aged, 80 and over MH - Biomarkers/*metabolism MH - Diabetes Mellitus, Type 2/*metabolism MH - *Frail Elderly MH - Frailty/*metabolism MH - Humans MH - Sarcopenia/metabolism OTO - NOTNLM OT - Chemometrics OT - Metabolic profiling OT - Metabolomics OT - Multivariate analysis OT - Personalized medicine OT - Sarcopenia EDAT- 2019/11/22 06:00 MHDA- 2021/02/02 06:00 CRDT- 2019/11/22 06:00 PHST- 2019/10/15 00:00 [received] PHST- 2019/11/14 00:00 [accepted] PHST- 2019/11/22 06:00 [pubmed] PHST- 2021/02/02 06:00 [medline] PHST- 2019/11/22 06:00 [entrez] AID - S0531-5565(19)30710-7 [pii] AID - 10.1016/j.exger.2019.110782 [doi] PST - ppublish SO - Exp Gerontol. 2020 Jan;129:110782. doi: 10.1016/j.exger.2019.110782. Epub 2019 Nov 18.