Investigation of nutritional status in elderly patients with type 2 diabetes mellitus and its relationship with the risk of sarcopenia
10.3969/j.issn.1006-2483.2026.05.028
- VernacularTitle:老年2型糖尿病患者营养状况与肌少症发生风险
- Author:
Qing CAO
1
;
Yan XU
1
;
Caiyun HOU
1
;
Li WANG
2
;
Huan PAN
3
;
Min CHEN
4
Author Information
1. Department of Renal Endocrinology, the 904th Hospital of the Joint Logistics Support Force of Chinese People's Liberation Army, Wuxi , Jiangsu 214000, China
2. Department of Neurology, the 904th Hospital of the Joint Logistics Support Force of Chinese People's Liberation Army, Wuxi , Jiangsu 214000, China
3. Department of Clinical Nutrition, the 904th Hospital of the Joint Logistics Support Force of Chinese People's Liberation Army, Wuxi , Jiangsu 214000, China
4. Department of Geriatrics, the 904th Hospital of the Joint Logistics Support Force of Chinese People's Liberation Army, Wuxi , Jiangsu 214000, China
- Publication Type:Journal Article
- Keywords:
Elderly;
Type 2 diabetes mellitus;
Nutritional status;
Sarcopenia
- From:
Journal of Public Health and Preventive Medicine
2026;37(5):131-135
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the nutritional status in elderly patients with type 2 diabetes mellitus (T2DM) and analyze its relationship with the risk of sarcopenia. Methods A retrospective analysis was conducted on 312 elderly patients with T2DM admitted to the 904th Hospital of the Joint Logistics Support Force of the People's Liberation Army between January 2023 and December 2025. Based on the presence or absence of sarcopenia, the patients were classified into a sarcopenia group (121 cases) and a non-sarcopenia group (191 cases). The nutritional status and related factors were compared between the two groups. Binary logistic regression analysis was adopted to analyze the correlation and influencing factors. Results The incidence rate of sarcopenia among elderly patients with T2DM was 38.78%. Compared with the non-sarcopenia group, the sarcopenia group had older age and higher proportions of patients with daily activity dependence, coronary heart disease, and gastrointestinal diseases. Conversely, the proportions of patients exercising ≥4 times per week and those paying attention to nutritional knowledge were lower in the sarcopenia group than those in the non-sarcopenia group (P<0.05). The body mass index (BMI), calf circumference (CC), body weight, albumin (ALB), hemoglobin (Hb), and MNA-SF score in the sarcopenia group were lower compared with those in the non-sarcopenia group (P<0.05). After logistic regression analysis, it was found that low BMI, exercising ≥4 times per week, dependence on daily activity, and low ALB and Hb were independent factors influencing sarcopenia in elderly patients with T2DM (P<0.05). Conclusion The incidence rate of sarcopenia is relatively high in elderly patients with T2DM. Low BMI, low ALB, low Hb, reduced weekly exercise frequency, and daily activity dependence are independent related factors. It is necessary to pay clinical attention to nutritional assessment and intervention.
