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2型糖尿病患者中营养不良的发生率

The Frequency of Malnutrition in Patients with Type 2 Diabetes.

作者信息

Vural Keskinler Mirac, Feyİzoglu Güneş, Yildiz Kubra, Oguz Aytekin

机构信息

Istanbul Medeniyet University, Department of Internal Medicine, Istanbul, Turkey.

Istanbul Medeniyet University, Department of Nutrition and Dietetics Istanbul, Turkey.

出版信息

Medeni Med J. 2021;36(2):117-122. doi: 10.5222/MMJ.2021.44270. Epub 2021 Jun 18.

Abstract

OBJECTIVE

Obesity is one of the most common comorbidities of diabetes mellitus (DM) whose frequency is rapidly increasing nowadays. Although obesity caused by excessive and unbalanced nutrition often accompanies diabetes; malnutrition is another complication of diabetes. This study was conducted to investigate the frequency of malnutrition in individuals with diabetes.

METHOD

This study is a cross-sectional study. The patients with type 2 diabetes followed up in the diabetes outpatient clinic of a university hospital between February and March 2018 were included in the study. Anthropometric measurements of the patients and "Nutritional Risk Screening-2002" (NRS-2002) scores were recorded.

RESULTS

A total of 222 (F:132 59.4%) patients were included in the study. When two groups with higher NRS (≥3) and lower NRS (<3) scores less than 3 were compared, any significant difference was not detected between two groups in terms of age, waist circumference and HbA1c values. Only BMI was found to be lower in the group with malnutrition risk (p:0.030). When the patients were evaluated in terms of diabetes treatments and risk of malnutrition, any significant intergroup difference was not found (p:0.847).

CONCLUSION

It was found that there is a risk of malnutrition in one of every seven diabetics with a high body mass index who were being followed up in the diabetes outpatient clinic.

摘要

目的

肥胖是糖尿病(DM)最常见的合并症之一,目前其发病率正在迅速上升。尽管营养过剩和不均衡导致的肥胖常与糖尿病相伴;但营养不良也是糖尿病的另一种并发症。本研究旨在调查糖尿病患者中营养不良的发生率。

方法

本研究为横断面研究。纳入2018年2月至3月在某大学医院糖尿病门诊随访的2型糖尿病患者。记录患者的人体测量数据和“营养风险筛查-2002”(NRS-2002)评分。

结果

共纳入222例患者(女性132例,占59.4%)。比较NRS评分较高(≥3)和较低(<3)的两组患者,两组在年龄、腰围和糖化血红蛋白值方面未发现任何显著差异。仅发现营养不良风险组的体重指数较低(p:0.030)。根据糖尿病治疗和营养不良风险对患者进行评估时,未发现组间有任何显著差异(p:0.847)。

结论

发现在糖尿病门诊随访的体重指数较高的糖尿病患者中,每七人中有一人存在营养不良风险。

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The Frequency of Malnutrition in Patients with Type 2 Diabetes.2型糖尿病患者中营养不良的发生率
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