PMID- 38239007
OWN - NLM
STAT- MEDLINE
DCOM- 20240424
LR  - 20240427
IS  - 1475-2662 (Electronic)
IS  - 0007-1145 (Print)
IS  - 0007-1145 (Linking)
VI  - 131
IP  - 9
DP  - 2024 May 14
TI  - Association between glycaemic control and malnutrition in older adults with type 
      2 diabetes mellitus: a cross-sectional study.
PG  - 1497-1505
LID - 10.1017/S0007114524000175 [doi]
AB  - Malnutrition is a major problem among older adults with type 2 diabetes mellitus 
      (T2DM). Some studies suggest that well glycaemic control increases the risk of 
      frailty due to reduced intake. Therefore, it could be hypothesised that adequate 
      glycaemic controlled patients may be at risk of malnutrition. This study aimed to 
      examine, in older adults with T2DM, the association between adequate glycaemic 
      control and malnutrition as well as identify the risk factors for malnutrition. 
      Data including general characteristics, health status, depression, functional 
      abilities, cognition and nutrition status were analysed. Poor nutritional status 
      is defined as participants assessed with the Mini Nutritional Assessment as being 
      at risk of malnutrition or malnourished. Adequate glycaemic control refers to an 
      HbA1c level that meets the target base in the American Diabetes Association 2022 
      guidelines with individualised criteria. There were 287 participants with a 
      median (interquartile range) age of 64 (61-70) years, a prevalence of poor 
      nutrition, 15 %, and adequate glycaemic control, 83.6 %. This study found no 
      association between adequate glycaemic control and poor nutrition (P = 0.67). The 
      factors associated with poor nutritional status were low monthly income (adjusted 
      OR (AOR) 4.66, 95 % CI 1.28, 16.98 for income <  pound118 and AOR 7.80, 95 % CI 1.74, 
      34.89 for income  pound118-355), unemployment (AOR 4.23, 95 % CI 1.51, 11.85) and 
      cognitive impairment (AOR 5.28, 95 % CI 1.56, 17.93). These findings support the 
      notion that older adults with T2DM should be encouraged to maintain adequate 
      glycaemic control without concern for malnutrition, especially those who have low 
      income, unemployment or decreased cognitive functions.
FAU - Thaenpramun, Rattiyaphon
AU  - Thaenpramun R
AD  - Department of Family and Preventive Medicine, Faculty of Medicine, Prince of 
      Songkla University, Hat Yai, Songkhla90110, Thailand.
FAU - Komolsuradej, Narucha
AU  - Komolsuradej N
AUID- ORCID: 0000-0002-4474-7187
AD  - Department of Family and Preventive Medicine, Faculty of Medicine, Prince of 
      Songkla University, Hat Yai, Songkhla90110, Thailand.
FAU - Buathong, Napakkawat
AU  - Buathong N
AD  - Department of Family and Preventive Medicine, Faculty of Medicine, Prince of 
      Songkla University, Hat Yai, Songkhla90110, Thailand.
FAU - Srikrajang, Siwaluk
AU  - Srikrajang S
AD  - Department of Physical Therapy, Faculty of Medicine, Prince of Songkla 
      University, 15 Kanjanavanich road, Hat Yai, Songkhla90110, Thailand.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20240119
PL  - England
TA  - Br J Nutr
JT  - The British journal of nutrition
JID - 0372547
RN  - 0 (Glycated Hemoglobin)
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/complications
MH  - Aged
MH  - Female
MH  - Male
MH  - Cross-Sectional Studies
MH  - *Malnutrition
MH  - *Glycemic Control/methods
MH  - *Nutritional Status
MH  - Middle Aged
MH  - Risk Factors
MH  - Glycated Hemoglobin/analysis/metabolism
MH  - Nutrition Assessment
MH  - Prevalence
MH  - Blood Glucose/analysis/metabolism
PMC - PMC11043908
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - Glycaemic control
OT  - Malnutrition
OT  - Nutrition status
OT  - Older adult
EDAT- 2024/01/19 06:42
MHDA- 2024/04/24 19:04
PMCR- 2024/04/25
CRDT- 2024/01/19 02:08
PHST- 2024/04/24 19:04 [medline]
PHST- 2024/01/19 06:42 [pubmed]
PHST- 2024/01/19 02:08 [entrez]
PHST- 2024/04/25 00:00 [pmc-release]
AID - S0007114524000175 [pii]
AID - 10.1017/S0007114524000175 [doi]
PST - ppublish
SO  - Br J Nutr. 2024 May 14;131(9):1497-1505. doi: 10.1017/S0007114524000175. Epub 
      2024 Jan 19.