Prevalence of malnutrition among patients with diabetes mellitus type 2 admitted in a tertiary hospital.
- Author:
Cabangon Myl R.
;
Narvacan-Montano Carolyn
;
del Rosario-Capellan Maria Leonora
;
Campos-Cagingin Ma. Luisa
- Publication Type:Journal Article, Original
- MeSH: Human; Male; Female; Aged; Middle Aged; Adult; Nutrition Assessment; Nutritional Status; Diabetes Mellitus, Type 2; Ascites; Body Weight; Obesity; Edema; Wound Healing
- From: Philippine Journal of Internal Medicine 2016;54(2):1-11
- CountryPhilippines
- Language:English
-
Abstract:
INTRODUCTION: Malnutrition is a state of deficiency of the proper micro and macronutrients to meet daily nutritional requirement. Hospital malnutrition is associated with higher infection, impaired wound healing, and increased morbidity and mortality, especially in patients with type 2 diabetes mellitus (T2DM).
OBJECTIVES: To determine the comprehensive baseline nutrition status of hospitalized patients and the prevalence of malnutrition in patients with T2DM in Makati Medical Center (MMC).
METHODS: A prospective cross-sectional study involving T2DM patients admitted at MMC from October to December 2014. Malnutrition risk and status were assessed with Subjective Global Assessment (SGA) and clinical parameters.
RESULTS: A total of 150 adults with T2DM were assessed with the Comprehensive Nutrition Assessment Form (CNAF) using SGA, Nutritional risk level showed 37% has moderate risk while 63% has high risk for malnutrition. Nutritional status showed that 55% has mild to moderate malnutrition and 45% of patients have severe malnutrition. Factors significantly associated with high nutritional risk for malnutrition were SGA C (P<0.001), abnormal BMIunderweight and obese class2 (P<0.001), lower albumin (P=0.005) and lower total lymphocyte count (P<0.001). Factors associated to nutritional status were: weight change (P=0.004), functional capacity (P=0.017), disease and nutritional requirements (P<0.001), and presence of edema or ascites (P=0.012).
CONCLUSION: Malnutrition is highly prevalent in the acute hospital setting, 37% has moderate risk while 63% has high risk for malnutrition. While 55% has mild to moderate malnutrition and 45% of patients has severe malnutrition. Significant factors associated with malnutrition were SGA C, abnormal BMI, low albumin and low total lymphocyte count. Factors associated with severity of malnutrition were weight change, functional capacity, disease and nutritional requirements and presence of edema or ascites.