Nguyen Thu Thi Hoai, Vu Huyen Thi Thanh, Nguyen Tam Ngoc, Dao Huyen Thi, Nguyen Thanh Xuan, Nguyen Huong Thu Thi, Dang Anh Kim, Nguyen Anh Trung, Pham Thang, Vu Giang Thu, Tran Bach Xuan, Latkin Carl A, Ho Cyrus Sh, Ho Roger C
National Geriatric Hospital , Hanoi, Vietnam.
Dinh Tien Hoang Institute of Medicine , Hanoi, Vietnam.
J Multidiscip Healthc. 2019 Jul 30;12:601-606. doi: 10.2147/JMDH.S194155. eCollection 2019.
Nutritional status is an important element for the wellness among older diabetic outpatients. This study aimed to assess the nutritional status of the older diabetic outpatient by using the Mini-Nutrition Assessment Short Form (MNA-SF) tool, and describe the relationship among related factors in older diabetic outpatients in the National Geriatric Hospital, Hanoi, Vietnam. A cross-sectional study was conducted from June to September 2015 in the National Geriatric Hospital. A total of 158 diabetic patients aged ≥60 years at the Outpatient Department were included in this study. Patients were interviewed face-to-face to evaluate their nutritional status by using the MNA-SF. Socio-demographic, diabetic treatment information, frailty, exhaustion, cognitive function, hand grip strength and 4 m walk test were collected. Multivariate regression was used to determine factors associated with nutritional status. The mean age was 69.52 (SD=6.758) with 31% patients malnourished and at risk of malnutrition. A significant association was found between the nutritional status and exhaustion, cognitive impairment, and frailty. In multiple logistic regression, the study found that risk of malnutrition was associated with frailty (OR=8.45; 95%CI=1.91-37.39) and cognitive impairment (OR=2.21; 95%CI=1.01-4.84). The results suggest that frailty was significantly associated with risk of malnutrition in older diabetic outpatients. Thus, early screening by nutritional assessment, and other interventions might improve the nutritional status of older outpatients with diabetes to prevent this complication and its effects.
营养状况是老年糖尿病门诊患者健康的一个重要因素。本研究旨在使用微型营养评定简表（MNA-SF）工具评估老年糖尿病门诊患者的营养状况，并描述越南河内国立老年医院老年糖尿病门诊患者相关因素之间的关系。2015年6月至9月在国立老年医院进行了一项横断面研究。本研究纳入了门诊部158名年龄≥60岁的糖尿病患者。通过面对面访谈，使用MNA-SF评估患者的营养状况。收集了社会人口统计学、糖尿病治疗信息、虚弱、疲惫、认知功能、握力和4米步行测试等数据。采用多变量回归分析确定与营养状况相关的因素。平均年龄为69.52岁（标准差=6.758），31%的患者存在营养不良和营养不良风险。研究发现营养状况与疲惫、认知障碍和虚弱之间存在显著关联。在多因素逻辑回归分析中，研究发现营养不良风险与虚弱（比值比=8.45；95%置信区间=1.91-37.39）和认知障碍（比值比=2.21；95%置信区间=1.01-4.84）相关。结果表明，虚弱与老年糖尿病门诊患者的营养不良风险显著相关。因此，通过营养评估进行早期筛查和其他干预措施可能会改善老年糖尿病门诊患者的营养状况，以预防这种并发症及其影响。
