Analysis of factors influencing comorbid sarcopenia in elderly patients with type 2 diabetes mellitus
Objective To analyze the factors influencing comorbid sarcopenia in elderly patients with type 2 diabetes mellitus.Methods 200 elderly patients with type 2 diabetes mellitus were selected.Among them,48 patients with sarcopenia were selected as the observation group and 152 patients without sarcopenia as the control group.The grip strength and walking speed were compared between the two groups.The influencing factors of sarcopenia were analyzed.Results The grip strength and walking speed of the observation group were(12.98±3.17)kg and(0.54±0.13)m/s,which were lower than(15.79±4.30)kg and(0.72±0.21)m/s of the control group,and the difference was statistically significant(P<0.05).In the observation group,the percentages of male,high fasting blood glucose(FBG),high glycosylated hemoglobin(HbA1c),comorbid neurovascular system complications,low 25-hydroxyvitamin D[25(OH)D],and poor sleep quality were 79.17%,83.33%,83.33%,81.25%,79.17%,and 75.00%,which were higher than 51.97%,50.00%,53.29%,46.05%,53.29%,and 48.03%in the control group,and the difference was statistically significant(P<0.05).Comparison of age,duration of diabete,systolic blood pressure and diastolic blood pressure between the two groups showed no statistically significant difference(P>0.05).Logistic regression analysis showed that male,high FBG,high HbA1c,comorbid neurovascular system complications,low 25(OH)D,and poor sleep quality were risk factors for comorbid sarcopenia in elderly patients with type 2 diabetes mellitus(P<0.05).Conclusion Clinical attention and health management should be strengthened for elderly patients with type 2 diabetes mellitus who are male,have high FBG,high HbA1c,comorbid neurovascular system complications,low 25(OH)D and poor sleep quality,so as to prevent sarcopenia in this population.
Type 2 diabetes mellitus in the elderlySarcopeniaInfluencing factor
万方数据
维普
