Malnutrition prevalence in hospitalized elderly diabetic patients
Background & aims: Malnutrition prevalence is unknown among elderly patients with diabetes mellitus. Our objectives were to determine malnutrition prevalence in elderly in patients with diabetes, and to describe their impact on prognosis. Methods: An observational multicenter study was conducted...
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Arán Ediciones, S. L.
2013-06-01
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doaj-f81d9e2625cd4e0d97160bae219382892020-11-25T01:38:59ZengArán Ediciones, S. L.Nutrición Hospitalaria0212-16112013-06-0128359259910.3305/nh.2013.28.3.6472S0212-16112013000300006Malnutrition prevalence in hospitalized elderly diabetic patientsAlejandro Sanz París0José M. García1Carmen Gómez-Candela2Rosa Burgos3Ángela Martín4Pilar Matía5University Hospital Miguel ServetUniversity Hospital Virgen de la VictoriaUniversity Hospital La PazUniversity Hospital Vall dHebronHospital San PedroUniversity Hospital Clínico San CarlosBackground & aims: Malnutrition prevalence is unknown among elderly patients with diabetes mellitus. Our objectives were to determine malnutrition prevalence in elderly in patients with diabetes, and to describe their impact on prognosis. Methods: An observational multicenter study was conducted in 35 Spanish hospitals. Malnutrition was assessed with the Mini Nutritional Assessment (MNA) tool. Patients were followed until discharge. Results: 1,090 subjects were included (78 ± 7.1 years; 50% males). 39.1% had risk of malnutrition, and 21.2% malnutrition. A 15.5% of the malnourished subjects and 31.9 % of those at risk had a BMI ≥ 30 kg/m². In multivariate analysis, female gender (OR = 1.38; 95% CI: 1.19-1.11), age (OR = 1.04; 95% CI: 1.02-1.06) and presence of diabetic complications (OR = 1.97; 95% CI: 1.52-2.56) were associated with malnutrition. Length of stay (LOS) was longer in at-risk and malnourished patients than in well-nourished (12.7 ± 9.9 and 15.7 ± 12.8 days vs 10.7 ± 9.9 days; p < 0.0001). After adjustment by age and gender, MNA score (OR = 0.895; 95% CI 0.814-0.985) and albumin (OR = 0.441; 95% CI 0.212-0.915) were associated with mortality. MNA score was associated with the probability of home discharge (OR = 1.150; 95% CI 1.084-1.219). Conclusion: A high prevalence of malnutrition among elderly in patients with diabetes was observed, regardless of BMI. Malnutrition, albumin, and MNA score were related to LOS, mortality and home discharge.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112013000300006&lng=en&tlng=enDesnutriciónDiabetes mellitusAncianosPrevalenciaMortalidad |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alejandro Sanz París José M. García Carmen Gómez-Candela Rosa Burgos Ángela Martín Pilar Matía |
spellingShingle |
Alejandro Sanz París José M. García Carmen Gómez-Candela Rosa Burgos Ángela Martín Pilar Matía Malnutrition prevalence in hospitalized elderly diabetic patients Nutrición Hospitalaria Desnutrición Diabetes mellitus Ancianos Prevalencia Mortalidad |
author_facet |
Alejandro Sanz París José M. García Carmen Gómez-Candela Rosa Burgos Ángela Martín Pilar Matía |
author_sort |
Alejandro Sanz París |
title |
Malnutrition prevalence in hospitalized elderly diabetic patients |
title_short |
Malnutrition prevalence in hospitalized elderly diabetic patients |
title_full |
Malnutrition prevalence in hospitalized elderly diabetic patients |
title_fullStr |
Malnutrition prevalence in hospitalized elderly diabetic patients |
title_full_unstemmed |
Malnutrition prevalence in hospitalized elderly diabetic patients |
title_sort |
malnutrition prevalence in hospitalized elderly diabetic patients |
publisher |
Arán Ediciones, S. L. |
series |
Nutrición Hospitalaria |
issn |
0212-1611 |
publishDate |
2013-06-01 |
description |
Background & aims: Malnutrition prevalence is unknown among elderly patients with diabetes mellitus. Our objectives were to determine malnutrition prevalence in elderly in patients with diabetes, and to describe their impact on prognosis. Methods: An observational multicenter study was conducted in 35 Spanish hospitals. Malnutrition was assessed with the Mini Nutritional Assessment (MNA) tool. Patients were followed until discharge. Results: 1,090 subjects were included (78 ± 7.1 years; 50% males). 39.1% had risk of malnutrition, and 21.2% malnutrition. A 15.5% of the malnourished subjects and 31.9 % of those at risk had a BMI ≥ 30 kg/m². In multivariate analysis, female gender (OR = 1.38; 95% CI: 1.19-1.11), age (OR = 1.04; 95% CI: 1.02-1.06) and presence of diabetic complications (OR = 1.97; 95% CI: 1.52-2.56) were associated with malnutrition. Length of stay (LOS) was longer in at-risk and malnourished patients than in well-nourished (12.7 ± 9.9 and 15.7 ± 12.8 days vs 10.7 ± 9.9 days; p < 0.0001). After adjustment by age and gender, MNA score (OR = 0.895; 95% CI 0.814-0.985) and albumin (OR = 0.441; 95% CI 0.212-0.915) were associated with mortality. MNA score was associated with the probability of home discharge (OR = 1.150; 95% CI 1.084-1.219). Conclusion: A high prevalence of malnutrition among elderly in patients with diabetes was observed, regardless of BMI. Malnutrition, albumin, and MNA score were related to LOS, mortality and home discharge. |
topic |
Desnutrición Diabetes mellitus Ancianos Prevalencia Mortalidad |
url |
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112013000300006&lng=en&tlng=en |
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