The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Geriatr Gerontol Int. 2017 Dec;17(12):2485-2492. doi: 10.1111/ggi.13110. Epub 2017 Jun 28.
To date, few studies have focused on the nutritional status of elderly hospitalized patients with diabetes. Our aims were to explore the prevalence of malnutrition among elderly diabetes patients admitted to the hospital, and to explore the relationships between malnutrition and geriatric syndromes, diabetic complications, and clinical outcomes.
A prospective, observational study including diabetes patients aged ≥65 years was carried out in a central hospital in Western China. Nutritional status was assessed using the Mini Nutritional Assessment incorporated into a comprehensive geriatric assessment. Follow up was carried out for ≤2.8 years.
Of 302 participants, the prevalence of malnutrition, risk of malnutrition, and normal nutrition was 18.5%, 33.1% and 48.3%, respectively. In multivariate analysis, incontinence (odds ratio [OR] 3.17, 95% confidence interval [CI] 1.08-9.36), diabetic microvascular complications (OR 2.22, 95% CI 1.06-4.61) and activities of daily living (ADL) dependence (OR 11.6, 95% CI 5.10-26.5) were independently associated with malnutrition. Malnourished patients had longer hospital stays (P = 0.003) and higher mortality rates (P < 0.001) than patients either at risk of malnutrition or with a normal nutritional status. Multivariate analysis also showed that malnutrition was independently associated with an increased risk of death (OR 2.86, 95% CI 1.30-6.28).
The present study showed a high prevalence of malnutrition among elderly diabetes patients hospitalized for geriatric care. Considering the negative impact of malnutrition on hospital stay and mortality, adequate nutritional care should be emphasized for each elderly patient with diabetes, regardless of body mass index. Geriatr Gerontol Int 2017; 17: 2485-2492.
迄今为止，很少有研究关注住院老年糖尿病患者的营养状况。我们旨在探讨住院老年糖尿病患者营养不良的发生率，并探讨营养不良与老年综合征、糖尿病并发症和临床结局的关系。
在中国西部一家中心医院进行了一项前瞻性、观察性研究，纳入了年龄≥65 岁的糖尿病患者。营养状况采用包含在全面老年评估中的微型营养评估进行评估。随访时间≤2.8 年。
在 302 名参与者中，营养不良、营养不良风险和营养正常的患病率分别为 18.5%、33.1%和 48.3%。在多变量分析中，尿失禁（优势比 [OR] 3.17，95%置信区间 [CI] 1.08-9.36）、糖尿病微血管并发症（OR 2.22，95%CI 1.06-4.61）和日常生活活动（ADL）依赖（OR 11.6，95%CI 5.10-26.5）与营养不良独立相关。营养不良患者的住院时间更长（P=0.003），死亡率更高（P<0.001），与营养不良风险或营养正常的患者相比。多变量分析还表明，营养不良与死亡风险增加独立相关（OR 2.86，95%CI 1.30-6.28）。
本研究显示，在因老年问题住院的老年糖尿病患者中，营养不良的患病率较高。考虑到营养不良对住院时间和死亡率的负面影响，无论体重指数如何，都应强调为每位老年糖尿病患者提供充足的营养护理。老年医学与老年病学国际 2017；17：2485-2492。
