Gómez-Candela Carmen, Pérez Fernández Laura, Sanz Paris Alejandro, Burgos Peláez Rosa, Matía Martín Pilar, García Almeida José M, Martín Palmero Ángela
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Nutr Hosp. 2016 Feb 16;33(1):31-36. doi: 10.20960/nh.v33i1.12.
Introduction: Malnutrition is a problem of high significance in hospitalized patients and it has an impact in patient stay and risk of infections. Diabetic patients represent an important percentage of hospitalized population. VIDA study aims to determine the prevalence of malnutrition in elderly diabetic patients admitted to Spanish hospitals. Aim: The aim of this study is to describe the population of VIDA study including biochemical and anthropometric parameters on admission. Methods: Cross sectional, multicentre study of 1098 diabetic patients above 65 years of age. 35 medical centers were included. Results: Mean age was 78 SD 7.1 years. The most common diagnosis at admission was respiratory tract infection. The duration of diabetes disease was above ten years in 51.2% and 33.09% was under insulin treatment. At admission, 21.22% was malnourished and 39.07% was at risk of malnutrition. The prevalence of malnutrition was higher in women (p < 0.0002). Discussion: VIDA study is the first Spanish multicentre study describing nutritional status of a large sample of elderly inpatients with diabetes mellitus. 21.22% of the 1,098 patients were malnourished. This result depends on age and sex, and can increase mortality rate.
营养不良在住院患者中是一个具有高度重要性的问题,它会对患者的住院时间和感染风险产生影响。糖尿病患者在住院人群中占相当大的比例。VIDA研究旨在确定入住西班牙医院的老年糖尿病患者中营养不良的患病率。目的:本研究的目的是描述VIDA研究的人群,包括入院时的生化和人体测量参数。方法:对1098名65岁以上的糖尿病患者进行横断面多中心研究。纳入了35个医疗中心。结果:平均年龄为78岁,标准差为7.1岁。入院时最常见的诊断是呼吸道感染。糖尿病病程超过十年的占51.2%,33.09%接受胰岛素治疗。入院时,21.22%的患者营养不良,39.07%的患者有营养不良风险。女性营养不良的患病率更高(p < 0.0002)。讨论:VIDA研究是西班牙第一项描述大量老年糖尿病住院患者营养状况的多中心研究。1098名患者中有21.22%营养不良。这一结果取决于年龄和性别,并且会增加死亡率。