Junaid Oladimeji Adedeji, Ojo Olubukola Ayoola, Adejumo Oluseyi Ademola, Junaid Folorunsho Mansally, Ajiboye Kehinde John, Ojo Olalekan Ezekiel, Akitikori Toluwani Olusola, Kolawole Ayodeji Babatope, Ikem Temidayo Rosemary
Department of Internal Medicine, University of Medical Sciences, Ondo State, Nigeria.
Department of Internal Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria.
Dialogues Health. 2022 Jul 21;1:100030. doi: 10.1016/j.dialog.2022.100030. eCollection 2022 Dec.
The global population of the elderly with type 2 diabetes mellitus (T2DM) is growing due to improvement in DM care and increased life expectancy. Malnutrition is a recognized complication of DM especially in the elderly. However, despite the impact of malnutrition on the overall outcome of the elderly with DM, it has not received adequate attention.
To determine the prevalence of malnutrition and associated factors in the elderly with T2DM.
This was a cross-sectional study that involved 96 elderly with T2DM and 96 age and sex matched elderly without T2DM as controls. Malnutrition was assessed using mini-nutritional assessment-short form (MNA-SF), hypoalbuminemia and body mass index (BMI). The factors associated with some malnutrition indices were determined.
The mean age of T2DM and non-T2DM groups were 66.73 ± 5.18 years and 66.78 ± 5.25 years respectively. The observed malnutrition indices among elderly with T2DM and controls were hypoalbuminemia (79.2% vs 25.0%; ≤0.001); overweight and obesity (58.3% vs 24.0%); and underweight (16.7% vs 4.2%). According to MNA-SF, malnutrition (7.3% vs 0%) and at risk of malnutrition (42.7% vs 16.7%) were significantly more prevalent among elderly with T2DM compared to controls ( ≤0.001). On logistic regression, the significant predictors of malnutrition were male gender (AOR:2.70; CI:1.11-6.55; = 0.028) and albuminuria (AOR:3.14; CI:1.18-8.35; = 0.022) and poor glycemic control (AOR:7.05; CI:2.01-24.71; = 0.002).
Malnutrition is highly prevalent in elderly with T2DM. Poor glycemic control, albuminuria and male gender were significant predictors of malnutrition in this study. Nutritional assessment should be included in the routine DM care especially among the elderly.
由于糖尿病护理的改善和预期寿命的延长，全球老年2型糖尿病（T2DM）患者数量正在增加。营养不良是糖尿病公认的并发症，尤其是在老年人中。然而，尽管营养不良对老年糖尿病患者的总体预后有影响，但尚未得到足够的关注。
确定老年T2DM患者中营养不良的患病率及相关因素。
这是一项横断面研究，纳入96例老年T2DM患者和96例年龄、性别匹配的无T2DM老年患者作为对照。使用微型营养评定简表（MNA-SF）、低蛋白血症和体重指数（BMI）评估营养不良情况。确定与某些营养不良指标相关的因素。
T2DM组和非T2DM组的平均年龄分别为66.73±5.18岁和66.78±5.25岁。在老年T2DM患者和对照组中观察到的营养不良指标有低蛋白血症（79.2%对25.0%；P≤0.001）；超重和肥胖（58.3%对24.0%）；以及体重过轻（16.7%对4.2%）。根据MNA-SF，与对照组相比，老年T2DM患者中营养不良（7.3%对0%）和有营养不良风险（42.7%对16.7%）的患病率显著更高（P≤0.001）。在逻辑回归分析中，营养不良的显著预测因素为男性（比值比：2.70；可信区间：1.11-6.55；P=0.028）、蛋白尿（比值比：3.14；可信区间：1.18-8.35；P=0.022）和血糖控制不佳（比值比：7.05；可信区间：2.01-24.71；P=0.002）。
老年TT2型糖尿病患者中营养不良非常普遍。在本研究中，血糖控制不佳、蛋白尿和男性是营养不良的显著预测因素。营养评估应纳入糖尿病常规护理中，尤其是在老年人中。
