Prevalance of malnutrion and risk of malnutrition and related factors in uncontrolled type 2 diabetic older patients
Nội dung chính của bài viết
Tóm tắt
The aim of this cross-sectional study was to identify the association between nutritional status and related factors among uncontrolled type 2 diabetic older patients. Variables including demographic information, body mass index, frailty, depression, physical activity daily living, comorbidity, polypharmacy and diabetic characteristics. Nutritional status was defined by Mini Nutritional Assessment Short Form. Data was entried by Redcap and analised by Spss 22.0 verson. A total 148 participants with mean of age was 76 ± 7.47 years old, and 62.2% were female. The mean of BMI total score was 22.35 ± 2.42. There were 12.8% patients with malnutrition status and 41.9% with risk of malnutrition. There was a statistically significant association between the nutritional status and factors such as BMI (p < 0.05), physical activity daily living (OR: 3.2; p < 0.05), diabetes knowledge (OR: 3.7; p < 0.05), diabetes complications (OR: 1.12; p < 0.05). The prevalence of malnutrition and risk of malnutrition were respectively high. Uncontrolled type 2 diabetes in older people with decreased physical activity daily living, poor diabetes knowledge and diabetes complication should be screened for nutritional status.
Chi tiết bài viết
Từ khóa
Nutritional status, uncontrolled type 2 diabetes mellitus, older patients
Tài liệu tham khảo
2. Vietnam U, GSO. Population Ageing and Older Persons in Viet Nam.
3. Dhawan D, Sharma SJTJosb, biology m. Abdominal obesity, adipokines and non-communicable diseases. J Steroid Biochem Mol Biol. 2020;203:105737.
4. Magliano DJ, Boyko EJ, Atlas ID. Global picture. In: IDF DIABETES ATLAS [Internet]. 10th edition. International Diabetes Federation; 2021.
5. Nguyen CT, Pham NM, Lee AH, et al. Prevalence of and risk factors for type 2 diabetes mellitus in Vietnam: a systematic review. Asia Pac J Public Health. 2015;27(6):588-600.
6. Ministry of Health. National survey on the risk factors of non-communicable diseases (steps) Vietnam, 2015. 2016:1.
7. Nguyen AT, Pham HQ, Nguyen TX, et al. Knowledge, attitude and practice of elderly outpatients with type 2 diabetes mellitus in National Geriatric Hospital, Vietnam. Diabetes Metab Syndr Obes. 2020:3909-3917.
8. Nguyen TTH, Vu HTT, Nguyen TN, et al. Assessment of nutritional status in older diabetic outpatients and related factors in Hanoi, Vietnam. Journal of Multiple discipinary. 2019:601-606.
9. Pham VS, Duong TT, Lai T H. Nutritional status among patients with type 2 diabetes at Nam Dinh General Hospital in 2022. Journal Nursing Science. 2024;7(1):98-104.
10. Committee ADAPP. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2021;45(Supplement_1):S17-S38.
11. Ministry of Health Vietnam. Diagnosis and treatment guidelines for type 2 diabetes. 2020;5481.
12. de Lima Saintrain MV, Bezerra CB, Lima AOP, et al. Nutritional assessment of older adults with diabetes mellitus. Diabetes Res Clin Pract. 2019;155:107819.
13. Soysal P, Veronese N, Arik F,et al. Mini Nutritional Assessment Scale-Short Form can be useful for frailty screening in older adults. Clinical interventions in aging. 2019;14:693-699.
14. Lim JU, Lee JH, Kim JS, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. International journal of chronic obstructive pulmonary disease. 2017;12:2465-2475.
15. Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine. 2001;16(9):606-613.
16. Subramaniam A, Ueno R, Tiruvoipati R, et al. Comparison of the predictive ability of clinical frailty scale and hospital frailty risk score to determine long-term survival in critically ill patients: a multicentre retrospective cohort study. Critical care (London, England). 2022;26(1):121.
17. Mendiratta P, Schoo C, Latif R. Clinical frailty scale. In: StatPearls [Internet]. 2020.
18. Juma S, Taabazuing MM, Montero-Odasso M. Clinical Frailty Scale in an Acute Medicine Unit: a Simple Tool That Predicts Length of Stay. Canadian geriatrics journal : CGJ. 2016;19(2):34-39.
19. Buch A, Ben-Yehuda A, Rouach V, et al. Validation of a multi-frequency bioelectrical impedance analysis device for the assessment of body composition in older adults with type 2 diabetes. Nutrition & Diabetes. 2022;12(1):45.
20. Rashedi V, Asadi-Lari M, Delbari A, et al. Prevalence of diabetes type 2 in older adults: Findings from a large population-based survey in Tehran, Iran (Urban HEART-2). Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S347-S350.
21. Rooney MR, Tang O, Pankow JS, et al. Glycaemic markers and all-cause mortality in older adults with and without diabetes: the Atherosclerosis Risk in Communities (ARIC) study. Diabetologia. 2021;64(2):339-348.
22. Tanaka S, Tanaka S, Iimuro S, et al. Body Mass Index and Mortality Among Japanese Patients With Type 2 Diabetes: Pooled Analysis of the Japan Diabetes Complications Study and the Japanese Elderly Diabetes Intervention Trial. The Journal of Clinical Endocrinology & Metabolism. 2014;99(12):E2692-E2696.
23. Gray N, Picone G, Sloan F, et al. Relation between BMI and diabetes mellitus and its complications among US older adults. Southern medical journal. 2015;108(1):29-36.
24. Cortez DN, Reis IA, Souza DAS, et al. Complications and the time of diagnosis of diabetes mellitus in primary care. Acta Paul Enferm. 2015;28:250-255.
25. Pradeepa R, Mohan V. Prevalence of type 2 diabetes and its complications in India and economic costs to the nation. European Journal of Clinical Nutrition. 2017;71(7):816-824.
26. Damayanthi HDWT, Moy FM, Abdullah KL, et al. Prevalence of malnutrition and associated factors among community-dwelling older persons in Sri Lanka: a cross-sectional study. BMC geriatrics. 2018;18(1):199.
27. Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status. The Journal of Nutrition, Health & Aging. 2009;13:782-788.
28. Smoliner C, Norman K, Wagner K-H, et al. Malnutrition and depression in the institutionalised elderly. British Journal of Nutrition. 2009;102(11):1663-1667.
29. Nguyen Trung Anh, Nguyen Ngoc Tam, Vu Thi Thanh Huyen. Some related factors with activitiesdaily living in older diabetic patients. Vietnam Medical Journal. 2021;501(1):76-79.