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2020, Number 3

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Aten Fam 2020; 27 (3)

Nutritional Status and its Association with Fragility in the Elderly with Type 2 Diabetes Mellitus

Lorenzo CI, Guerrero MAL

Language: Spanish
References: 23
Page: 135-139
PDF size: 157.82 Kb.


ABSTRACT

Objective: to evaluate the association between nutritional status and fragility in the elderly with type 2 diabetes mellitus (DM2). Methods: analytical cross-sectional study; 128 adults over 64 years of age participated, attached to the Family Medicine Unit (FMU) no. 75 of the Mexican Institute of Social Security (IMSS), during 2019; for the collection of data a Mini Nutritional Assessment identification card (MNA) and the frail Questionnaire for frailty were used. The results are shown in frequencies and percentages, to determine the association between nutritional status and fragility the statistical χ2 Test was used; considering a significant value of p≤ 0.05. Results: 66.4% of participants were women, 33.6% men. The median age was 74.43 years. An association between nutritional status and fragility was determined (p=0.000); of the 128 older adults involved 35.2% was fragile, 43.8%, pre-fragile and 21.1%, robust. 15.6% had malnutrition, 43.8%, risk of malnutrition and 40.6% was normal. Conclusion: the existence of an association between nutritional status and fragility was demonstrated, so it is important to promote strategies, from the first care level, that favor the timely prevention and detection of these entities which affect the elderly.


REFERENCES

  1. Gobierno de México. CONAPO (Consejo nacional de población). [Internet]. [Citado 2019 Jul 7]. Disponible en: https://www.gob.mx/conapo

  2. Hernández ÁM, Rivera DJ, et al. ENSANUT MC 2016: Encuesta nacional de salud y nutrición 2016. México SSA. 2016;1-151.

  3. Secretaría de salud. Cenetec. Guía de práctica clínica. Diagnóstico y tratamiento del síndrome de fragilidad en el adulto mayor. México 2014 [Internet]. [Citado 2019 Oct 15]. Disponible en: http:// www.cenetec-difusion.com/CMGPC/IMSS-479- 11/ER.pdf

  4. Kimura A, et al. Predictive factors of mortality of patients with fragility hip fractures at 1 year after discharge: a multicenter, retrospective study in the northern kyushu district of japan. J Orthop Surg (Hong Kong). 2019;27(3):1-8.

  5. Gobierno de la república. Situación de las personas adultas mayores en México [Internet]. [Citado 2019 Oct 25]. Disponible en: http://cedoc.inmujeres. gob.mx/documentos_download/101243_1.pdf

  6. Milic J, et al. European cohorts of older HIV adults: poppy, age HIV, geppo, cobra and funcfrail. European Geriatric Medicine. 2019;10(2):247-257.

  7. Journal of visceral surgery. The vision and role of geriatric oncology in surgical treatment of the elderly patient. [Internet]. [Citado 2019 Feb 01]. Disponible en: https://doi.org/10.1016/j.jviscsurg. 2018.10.003

  8. Arkley J, Dixon J, Wilson F, Charlton K, John OB, Eardley W. Assessment of nutrition and supplementation in patients with hip fractures. Geriatric Orthopaedic Surgery & Rehabilitation. 2019;10(0):1-7.

  9. Boccardi V, Lorenzo G, Garaffa F, Croce M, Baroni M, Ercolani S, Mecocci P, Ruggiero C. Hypovitaminosis D: a disease marker in hospitalized very old persons at risk of malnutrition. Nutrients. 2019;11(1):128.

  10. Palermo A, D’Onofrio L, Buzzetti R, Manfrini S, Napoli N. Pathophysiology of bone fragility in patients with diabetes. Calcif Tissue Int. 2017;100(0):122-132.

  11. Ostuni M, Musso CG. Usefulness of frailty evaluation for handling chronic kidney disease elderly patients: a review and original proposal. Int Urol Nephrol. 2019;51(3):461-465.

  12. Bo Y, Liu C, Ji Z, Yang R, An Q, Zhang X, You J, Duan D, Sun Y, Zhu Y, Cui H, Lu Q. A high whey protein, vitamin D and E supplement preserves muscle mass, strength, and quality of life in sarcopenic older adults: a double-blind randomized controlled trial. Clin Nutr. 2019;38(1):159-164.

  13. Kai W, Ma-Shwe ZN, Qi G, Shiou LW, Keng BY, Tze PN. Association of frailty and malnutrition with long-term functional and mortality outcomes among community-dwelling older adults results from the singapore longitudinal aging study. JAMA Netw Open. 2018;1(3):1-13.

  14. Hernández MJ, Gómez MC, Morrillas RJ. Dietary factors associated with frailty in old adults: a review of nutritional interventions to prevent frailty development. Nutrients. 2019; 11(102):1-15.

  15. Díaz de Bustamante M, Alarcón T, Menéndez CR, Ramírez MR, Otero A, González MJ. Prevalence of malnutrition in a cohort of 509 patients with acute hip fracture: the importance of a comprehensive assessment. Eur J Clin Nutr. 2018;72(1):77- 81.

  16. Sinclair H, Zhaotao GS, Batty J, Beska B, Verrasamy M, Ford G, Qiu W, Kunadian V. Frail older patients have a greater improvement in physical quality of life than robust patients at one year following invasive treatment for non-st elevation acute coronary syndrome. Heart. 2017;103(5):A42-A43.

  17. Gutiérrez Valencia M, Izquierdo M, Lacalle Fabo E, Marín Epelde I, Ramón Espinoza M, Domene T, Casas H, Galbete A, Martínez V. Relationship between frailty, polypharmacy, and underprescription in older adults living in nursing homes. Eur J Clin Pharmacol. 2018;74(7):961-970.

  18. Mohd HF, Nur’Asyura A, Ibrahim Z, Mun CY, Abdul AN. Prevalence of frailty syndrome and its associated factors among community-dwelling elderly in east coast of peninsular malaysia. SAGE Open Med. 2018;29(6):1-11.

  19. Lekan DA, McCoy T, C Wallace D. Frailty assessment in hospitalized older adults using the electronic health record. J Gerontol Geriatr Res. 2017;6(3):60.

  20. Marques A, et al., Sarcopenia and falls. Fragility Fracture Nursing. 2018;15-26.

  21. Chang CB, Yang RS, Chang LY, Peng JK, Tsai KS, Huang WJ, Yang TH, Chan DC. Frailty. Fracture types affect clinical outcomes of patients managed within the fracture liaison and osteoporosis medication management services. Scientific Reports. 2019;9(0):1-10.

  22. Damiao R, Meneguci J, Da Silva SA, Matijasevich A, Rossi MP. Nutritional risk and quality of life in community-dwelling elderly: a cross-sectional study. J Nutr Health Aging. 2018;22(1):111-116.

  23. Siriwardhana DD, Hardoon S, Rait G, C Weerasinghe M, R Walters K. Prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middleincome countries: a systematic review and meta-analysis. BMJ Open. 2018;8(0):1-17.




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