Objective To analyze the malnutrition prevalence and its influencing factors in hospitalized elderly patients with type 2 diabetes(T2DM).Methods A cross-sectional study was conducted on T2DM patients aged 65 years or older who were hospitalized in the Department of Geriatric of Peking Union Medical College Hospital from Janu-ary 2021 to March 2024.Univariate analysis and multivariate logistic regression were utilized to analyze the factors relat-ed to malnutrition in elderly patients with T2DM.Results A total of 420 elderly patients with Type 2 Diabetes Mellitus(T2DM)were included in the study,with complete data and aged 65 years or older.Among them,187 cases(44.5％)were male,with ages ranging from 65 to 91 years and a median age of 76 years.Of the total patients,150 cases(35.7％)were identified as malnourished.Patients with malnutrition had longer hospital stays compared to those with-out malnutrition.Additionally,they exhibited lower NRS 2002 score,BMI,albumin,and prealbumin levels,as well as re-duced handgrip strength,walking speed,ADL,and IADL scores.Furthermore,a higher proportion of malnourished pa-tients required assisted walking and had experienced falls within the past year.Fasting blood glucose and triglyceride lev-els were lower in malnourished patients,while high-sensitivity C-reactive protein levels were significantly higher(allP＜0.05).Multivariate logistic regression analysis showed grip strength(OR=0.945,95％CI:0.914-0.977,P=0.001),walking speed(OR=2.888,95％CI:l.110-7.518,P=0.030),instrumental activity of daily living(IADL)(OR=0.757,95％CI:0.655-0.875,P＜0.001),and history of falls within 1 year(OR=1.849,95％CI:1.135-3.012,P=0.014)were associated with malnutrition in elderly T2DM patients.Conclusions The prevalence of malnu-trition is notably high among hospitalized elderly patients with T2DM.Factors such as reduced grip strength and gait speed,limitations in Instrumental Activities of Daily Living(IADL),and a recent history of falls within the past year are significant indicators associated with malnutrition in elderly T2DM patients.
维普
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