BACKGROUND: Despite all that is known about diabetes mellitus, little is known about the nutritional status of older adults with this condition. OBJECTIVE: To determine whether older people with diabetes mellitus are malnourished when compared with non-diabetic subjects, to evaluate the MNA in this group, and to assess the possible relationship between nutritional impairment and function. DESIGN: A case controlled study. Community-dwelling volunteers were selected randomly from 2 general practice registers. 35 people over the age of 65, with diabetes mellitus, were age and sex matched with 35 control subjects without diabetes. The major outcome measures were: the MNA questionnaire, anthropometric measurements, serum albumin, transferrin, Barthel Index, Nottingham Extended ADL score and handgrip. RESULTS: The diabetic group scored significantly lower on the MNA than the control group (p< 0.01), but this was mainly indicative of many of the diabetic subjects scoring within the at risk category of the tool. Those in the diabetic group also had significantly lower albumin scores (P<0.05) when compared with the control group. Within the diabetic group, and in the study group as a whole, the MNA scores were significantly correlated with Barthel Index (p<0.01), Nottingham Extended ADL score (p<0.01) and handgrip (p<0.01). CONCLUSION: Community dwelling elderly subjects with diabetes may be at risk of malnutrition when compared with non-diabetic citizens. There is probably a causal relationship between malnutrition and functional decline in this group. Further research is needed, where the prevalence of malnutrition is higher, to fully evaluate the MNA in people with diabetes.
BACKGROUND: Despite all that is known about diabetes mellitus, little is known about the nutritional status of older adults with this condition. OBJECTIVE: To determine whether older people with diabetes mellitus are malnourished when compared with non-diabetic subjects, to evaluate the MNA in this group, and to assess the possible relationship between nutritional impairment and function. DESIGN: A case controlled study. Community-dwelling volunteers were selected randomly from 2 general practice registers. 35 people over the age of 65, with diabetes mellitus, were age and sex matched with 35 control subjects without diabetes. The major outcome measures were: the MNA questionnaire, anthropometric measurements, serum albumin, transferrin, Barthel Index, Nottingham Extended ADL score and handgrip. RESULTS: The diabetic group scored significantly lower on the MNA than the control group (p< 0.01), but this was mainly indicative of many of the diabetic subjects scoring within the at risk category of the tool. Those in the diabetic group also had significantly lower albumin scores (P<0.05) when compared with the control group. Within the diabetic group, and in the study group as a whole, the MNA scores were significantly correlated with Barthel Index (p<0.01), Nottingham Extended ADL score (p<0.01) and handgrip (p<0.01). CONCLUSION: Community dwelling elderly subjects with diabetes may be at risk of malnutrition when compared with non-diabetic citizens. There is probably a causal relationship between malnutrition and functional decline in this group. Further research is needed, where the prevalence of malnutrition is higher, to fully evaluate the MNA in people with diabetes.
Authors: I Bourdel-Marchasson; G Catheline; S Regueme; M Danet-Lamasou; E Barse; F Ratsimbazafy; L Rodriguez-Manas; K Hood; A J Sinclair Journal: J Nutr Health Aging Date: 2019 Impact factor: 4.075
Authors: R M Alfonso-Rosa; B Del Pozo-Cruz; J Del Pozo-Cruz; J T Del Pozo-Cruz; B Sañudo Journal: J Nutr Health Aging Date: 2013-04 Impact factor: 4.075
Authors: A Martín; E Ruiz; A Sanz; J M García; C Gómez-Candela; R Burgos; P Matía; E Ramalle-Gomera Journal: J Nutr Health Aging Date: 2016-04 Impact factor: 4.075
Authors: Guillermo E Umpierrez; Dawn Smiley; Sol Jacobs; Limin Peng; Angel Temponi; Patrick Mulligan; Denise Umpierrez; Christopher Newton; Darin Olson; Monica Rizzo Journal: Diabetes Care Date: 2011-01-12 Impact factor: 19.112
Authors: Jeffrey I Mechanick; Albert E Marchetti; Caroline Apovian; Alexander Koglin Benchimol; Peter H Bisschop; Alexis Bolio-Galvis; Refaat A Hegazi; David Jenkins; Enrique Mendoza; Miguel Leon Sanz; Wayne Huey-Herng Sheu; Patrizio Tatti; Man-Wo Tsang; Osama Hamdy Journal: Curr Diab Rep Date: 2012-04 Impact factor: 4.810
Authors: A Pilotto; M Noale; S Maggi; F Addante; A Tiengo; P Cavallo Perin; G Rengo; G Crepaldi Journal: Biomed Res Int Date: 2014-02-13 Impact factor: 3.411