preprint · Research Square (Research Square)
Abstract Introduction There is a higher risk of occurrence of noncommunicable diseases such as hypertension and type 2 diabetes mellitus as age increases. 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. Data were analyzed using the computer software SPSS version 26. 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/m 2 . 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 70 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% and 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.
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DOI: 10.21203/rs.3.rs-4047556/v1
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