Nutritional status among the community-dwelling elderly with diabetes mellitus
Received:April 17, 2019  
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DOI:10.11915/j.issn.1671-5403.2019.08.123
Key words:aged; community-dwelling; diabetes mellitus; nutrition
Author NameAffiliationE-mail
WANG Qiu-Mei Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China  
LIU Xiao-Hong Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China xhliu41@medmail.com.cn 
SUN Xiao-Hong Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China  
ZHU Ming-Lei Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China  
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Abstract:
      Objective To explore the nutritional status among the community-dwelling elderly patients with diabetes mellitus (DM) and compare the differences with those without DM. Methods A cross-sectional survey was conducted in the 820 elderly residents in Xiangheyuan Community, Beijing, through face-to-face interviews by qualified research assistants during 2013 and 2014, and they were divided into DM group (n=170) and non-DM group (n=650). Cumulative illness rating scale for geriatrics (CIRS-G) and mini-nutritional assessment short form (MNA-SF) were used to evaluate their chronic disease and nutritional status. The DM group was further assigned into 5 subgroups based on the body mass index (BMI), and their nutritional statuses were compared with Chi-square test. SPSS statistics 20.0 was used to perform the statistical analysis. Results The 820 elderly subjects were at age of (75.4±6.7) years (ranging from 65 to 97 years), and had (4.7±3.3) types of comorbidities. There were 727(88.7%) subjects living on their own, and the others were partially dependent. The CIRS-G score was significantly higher in the DM group than the non-DM group [(6.38±3.67) vs (4.28±3.09), P<0.001]. There were no obvious differences in the incidence rates of malnutrition (5.9% vs 6.3%) and malnutrition risk (48.2% vs 45.8%) between the 2 groups (P>0.05). The DM group also had higher prevalence of overweight (38.2% vs 34.5%) and obesity (19.4% vs 13.8%) when compared with the non-DM group (P<0.05). No statistic difference was seen in the nutritional status among the DM patients with different BMI (Chi-square=10.394, P=0.238). Conclusion The prevalence of malnutrition is similar among the community-dwelling elderly with or without DM. Nearly half of the DM elderly residents are at the risk of malnutrition. There is no association of nutritional status and BMI level in the DM elderly.
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