Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study
Introduction: 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 outcom...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Dialogues in Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772653322000302 |
| _version_ | 1811202143600771072 |
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| author | Oladimeji Adedeji Junaid Olubukola Ayoola Ojo Oluseyi Ademola Adejumo Folorunsho Mansally Junaid Kehinde John Ajiboye Olalekan Ezekiel Ojo Toluwani Olusola Akitikori Ayodeji Babatope Kolawole Temidayo Rosemary Ikem |
| author_facet | Oladimeji Adedeji Junaid Olubukola Ayoola Ojo Oluseyi Ademola Adejumo Folorunsho Mansally Junaid Kehinde John Ajiboye Olalekan Ezekiel Ojo Toluwani Olusola Akitikori Ayodeji Babatope Kolawole Temidayo Rosemary Ikem |
| author_sort | Oladimeji Adedeji Junaid |
| collection | DOAJ |
| description | Introduction: 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. Aim: To determine the prevalence of malnutrition and associated factors in the elderly with T2DM. Methods: 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. Results: 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%; P ≤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 (P ≤0.001). On logistic regression, the significant predictors of malnutrition were male gender (AOR:2.70; CI:1.11–6.55; P = 0.028) and albuminuria (AOR:3.14; CI:1.18–8.35; P = 0.022) and poor glycemic control (AOR:7.05; CI:2.01–24.71; P = 0.002). Conclusion: 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. |
| first_indexed | 2024-04-12T02:33:53Z |
| format | Article |
| id | doaj.art-0aa97665c5354de09c2736ac380a525d |
| institution | Directory Open Access Journal |
| issn | 2772-6533 |
| language | English |
| last_indexed | 2024-04-12T02:33:53Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Dialogues in Health |
| spelling | doaj.art-0aa97665c5354de09c2736ac380a525d2022-12-22T03:51:37ZengElsevierDialogues in Health2772-65332022-12-011100030Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional studyOladimeji Adedeji Junaid0Olubukola Ayoola Ojo1Oluseyi Ademola Adejumo2Folorunsho Mansally Junaid3Kehinde John Ajiboye4Olalekan Ezekiel Ojo5Toluwani Olusola Akitikori6Ayodeji Babatope Kolawole7Temidayo Rosemary Ikem8Department of Internal Medicine, University of Medical Sciences, Ondo State, NigeriaDepartment of Internal Medicine, Federal Medical Centre, Owo, Ondo State, NigeriaDepartment of Internal Medicine, University of Medical Sciences, Ondo State, Nigeria; Corresponding author.The Royal Wolverhampton NHS Trust, United KingdomThe Royal Wolverhampton NHS Trust, United KingdomDepartment of Internal Medicine, Federal Medical Centre, Owo, Ondo State, NigeriaDepartment of Internal Medicine, Federal Medical Centre, Asaba, Delta State, NigeriaDepartment of Internal Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, NigeriaDepartment of Internal Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, NigeriaIntroduction: 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. Aim: To determine the prevalence of malnutrition and associated factors in the elderly with T2DM. Methods: 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. Results: 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%; P ≤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 (P ≤0.001). On logistic regression, the significant predictors of malnutrition were male gender (AOR:2.70; CI:1.11–6.55; P = 0.028) and albuminuria (AOR:3.14; CI:1.18–8.35; P = 0.022) and poor glycemic control (AOR:7.05; CI:2.01–24.71; P = 0.002). Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2772653322000302MalnutritionElderlyDiabetes mellitusHypoalbuminemiaBody mass indexMini nutritional assessment-short form |
| spellingShingle | Oladimeji Adedeji Junaid Olubukola Ayoola Ojo Oluseyi Ademola Adejumo Folorunsho Mansally Junaid Kehinde John Ajiboye Olalekan Ezekiel Ojo Toluwani Olusola Akitikori Ayodeji Babatope Kolawole Temidayo Rosemary Ikem Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study Dialogues in Health Malnutrition Elderly Diabetes mellitus Hypoalbuminemia Body mass index Mini nutritional assessment-short form |
| title | Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study |
| title_full | Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study |
| title_fullStr | Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study |
| title_full_unstemmed | Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study |
| title_short | Malnutrition in elderly patients with type 2 diabetes mellitus in a Nigerian tertiary hospital: A cross-sectional study |
| title_sort | malnutrition in elderly patients with type 2 diabetes mellitus in a nigerian tertiary hospital a cross sectional study |
| topic | Malnutrition Elderly Diabetes mellitus Hypoalbuminemia Body mass index Mini nutritional assessment-short form |
| url | http://www.sciencedirect.com/science/article/pii/S2772653322000302 |
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