Conference abstract
Nutritional status of elderly patients with type 2 diabetes mellitus: case of a Regional Hospital
Pan African Medical Journal - Conference Proceedings. 2023:19(4).23
Nov 2023.
doi: 10.11604/pamj-cp.2023.19.4.2095
Archived on: 23 Nov 2023
Contact the corresponding author
Keywords: Undernutrition, prevalence, ageing, type 2 diabetes, GLIM, MNA-SF
Oral presentation
Nutritional status of elderly patients with type 2 diabetes mellitus: case of a Regional Hospital
Ongmeb Boli Anne1,2,&, Tsala Owono Cedric2, Feutseu Charly3, Astasselbe Abba Hadja Inna4,5, Ndi Manga Arnaud1, Tabi Crista1, Mambap Alex2, Ashuntantang Gloria Enow2, Sobngwi Eugène1,3,6
1Endocrinology and Metabolic Diseases Unit, Yaoundé Central Hospital, Yaoundé, Cameroon, 2Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon, 3Laboratory for Molecular Medicine and Metabolism, Biotechnology Centre, University of Yaoundé 1, Yaoundé, Cameroon, 4Garoua General Hospital, Garoua, Cameroon, 5Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroon, 6Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
&Corresponding author
Introduction: there is a higher risk of occurrence of non-communicable diseases such as hypertension and type 2 diabetes mellitus as age increases. Assessing the nutritional status of elderly patients with type 2 diabetes is crucial as it has been shown to improve the prognosis of this group of diabetic patients. Given that data on the burden of undernutrition among these patients are scarce in our context, we aimed to assess the nutritional status of elderly patients with type 2 diabetes mellitus followed at Bamenda Regional Hospital.
Methods: we conducted a cross-sectional study at the diabetic unit and the consultation unit of the hemodialysis center of the Bamenda Regional Hospital. The study population consisted of 146 outpatients aged 60 years and above, with type 2 diabetes mellitus attending the consultation from February 1st to May 31st, 2023 who gave their informed consent during our study period. Nutritional status was assessed using MNA-SF and GLIM criteria. Data were collected using a pretested questionnaire. We excluded patients with hepatocellular insufficiency, nephrotic syndrome, neoplasia, and any patient who refused to participate. Data were analyzed using the computer software SPSS version 26. The level of significance was set at p-value < 0.05.
Results: the mean age was 68.7 years. Normal BMI was found in 35.6% (n=52) of participants whereas 1.4% (n=2) had a BMI below 18.5kg/m2. The prevalence of undernutrition in elderly patients with type 2 diabetes mellitus was 12.3% according to the MNA-SF and 15.1% according to the GLIM criteria. A poor fasting blood glucose status, a normal body mass index, waist circumference, and serum albumin levels summarized the clinical and biological presentation of the undernourished participants. There was a strong association between age above 40 years and undernutrition [OR 4.1(95% CI: 1.48-11.3)] but not with diabetes duration. an association between polypharmacy and undernutrition [OR 0.29 (95% CI: 0.12-0.74)] was also reported.
Conclusion: the prevalence of undernutrition in elderly patients with type 2 diabetes mellitus was 12.3% - 15.1% with respect to the screening tool used. (MNA-SF and the GLIM criteria). There was a four-fold increase in the risk of undernutrition in patients above 70 years.
Nutritional status of elderly patients with type 2 diabetes mellitus: case of a Regional Hospital
Ongmeb Boli Anne1,2,&, Tsala Owono Cedric2, Feutseu Charly3, Astasselbe Abba Hadja Inna4,5, Ndi Manga Arnaud1, Tabi Crista1, Mambap Alex2, Ashuntantang Gloria Enow2, Sobngwi Eugène1,3,6
1Endocrinology and Metabolic Diseases Unit, Yaoundé Central Hospital, Yaoundé, Cameroon, 2Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon, 3Laboratory for Molecular Medicine and Metabolism, Biotechnology Centre, University of Yaoundé 1, Yaoundé, Cameroon, 4Garoua General Hospital, Garoua, Cameroon, 5Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroon, 6Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
&Corresponding author
Introduction: there is a higher risk of occurrence of non-communicable diseases such as hypertension and type 2 diabetes mellitus as age increases. Assessing the nutritional status of elderly patients with type 2 diabetes is crucial as it has been shown to improve the prognosis of this group of diabetic patients. Given that data on the burden of undernutrition among these patients are scarce in our context, we aimed to assess the nutritional status of elderly patients with type 2 diabetes mellitus followed at Bamenda Regional Hospital.
Methods: we conducted a cross-sectional study at the diabetic unit and the consultation unit of the hemodialysis center of the Bamenda Regional Hospital. The study population consisted of 146 outpatients aged 60 years and above, with type 2 diabetes mellitus attending the consultation from February 1st to May 31st, 2023 who gave their informed consent during our study period. Nutritional status was assessed using MNA-SF and GLIM criteria. Data were collected using a pretested questionnaire. We excluded patients with hepatocellular insufficiency, nephrotic syndrome, neoplasia, and any patient who refused to participate. Data were analyzed using the computer software SPSS version 26. The level of significance was set at p-value < 0.05.
Results: the mean age was 68.7 years. Normal BMI was found in 35.6% (n=52) of participants whereas 1.4% (n=2) had a BMI below 18.5kg/m2. The prevalence of undernutrition in elderly patients with type 2 diabetes mellitus was 12.3% according to the MNA-SF and 15.1% according to the GLIM criteria. A poor fasting blood glucose status, a normal body mass index, waist circumference, and serum albumin levels summarized the clinical and biological presentation of the undernourished participants. There was a strong association between age above 40 years and undernutrition [OR 4.1(95% CI: 1.48-11.3)] but not with diabetes duration. an association between polypharmacy and undernutrition [OR 0.29 (95% CI: 0.12-0.74)] was also reported.
Conclusion: the prevalence of undernutrition in elderly patients with type 2 diabetes mellitus was 12.3% - 15.1% with respect to the screening tool used. (MNA-SF and the GLIM criteria). There was a four-fold increase in the risk of undernutrition in patients above 70 years.
