Prevalence of malnutrition in elderly patients with type 2 diabetes mellitus: a meta-analysis
10.3760/cma.j.cn115822-20240106-00005
- VernacularTitle:老年糖尿病患者营养不良患病率的Meta分析
- Author:
Tong ZHANG
1
;
Jinhan NAN
;
Jialu LI
;
Jianhui DONG
;
Jiali GUO
;
Jiarong HE
;
Yuxia MA
;
Lin HAN
Author Information
1. 兰州大学护理学院循证护理中心，兰州 730000
- Keywords:
The elderly;
Diabetes mellitus;
Malnutrition;
Prevalence;
Meta-analysis
- From:
Chinese Journal of Clinical Nutrition
2024;32(5):289-297
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the prevalence of malnutrition in elderly patients with diabetes.Methods:A total of eight databases, namely PubMed, Embase, Web of Science, The Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, Chinese Biomedical Literature Database (CBM), and VIP Database, were systematically searched for cross-sectional studies on malnutrition in elderly diabetic patients published from the inception of the databases to September 13, 2023. Two researchers independently conducted literature screening, data extraction, and quality assessment. Data analysis was performed using Stata 16.0 software.Results:A total of 22 studies were included, involving 6 349 elderly diabetic patients. Results of the meta-analysis showed that the overall prevalence of malnutrition in elderly patients with diabetes was 32.3% (95% CI: 0.21 to 0.43), and the prevalence of at-risk of malnutrition was 49.0% (95% CI: 0.31 to 0.67). Subgroup analysis showed that the prevalence of malnutrition in elderly diabetic patients with chronic complications (56.8%) was significantly higher than those without chronic complications (21.9%). Inpatients also showed a higher prevalence compared with outpatients and community (44.4%, 29.0%, and 18.5%, respectively). The prevalence of malnutrition as per mini-nutritional assessment scale was higher than that as per mini-nutritional assessment short-form scale (35.8% vs. 23.3%, P<0.05). There was no significant difference in the prevalence of malnutrition in elderly diabetic patients of different genders ( P>0.05). Conclusions:The prevalence of malnutrition and at-risk of malnutrition in elderly diabetic patients is high. In clinical practice, we should not only strengthen the early diagnosis of malnutrition in patients, but also emphasize the screening of malnutrition risk, implement timely corresponding interventions, and promote patient education on nutrition and health, to improve the prognosis and quality of life in elderly diabetes patients.
