老年2型糖尿病患者营养不良发生情况及影响因素分析  

Occurrence of Malnutrition and Its Influencing Factors in Elderly Patients with Type 2 Diabetes Mellitus

作　　者：初玉梅[1] 魏广玉[1] 蒋波[1] 孟俊华[3] 张坤[2] CHU Yu-mei;WEI Guang-yu;JIANG Bo;MENG Jun-hua;ZHANG Kun(Department of Endocrinology,Dalian Friendship Hospital,Dalian,Liaoning 116001,China;Department of Geriatrics,Dalian Friendship Hospital,Dalian,Liaoning 116001,China;Department of Endocrinology,PLA General Hospital,Beijing 100039,China)

机构地区：[1]大连市友谊医院内分泌科,辽宁大连116001 [2]大连市友谊医院老年病科,辽宁大连116001 [3]解放军总医院内分泌科,北京100039

出　　处：《临床误诊误治》2020年第1期57-61,共5页Clinical Misdiagnosis & Mistherapy

基　　金：大连市医学科学研究计划项目(1711031)

摘　　要：目的探讨老年2型糖尿病(type 2 diabetes mellitus,T2DM)患者营养不良发生情况及影响因素。方法选取2015年1月—2018年9月我院426例老年T2DM患者,采用微营养评定法评估患者营养状态,根据营养状态情况分为营养不良组和非营养不良组,比较不同营养状态患者一般资料、T2DM相关因素、非T2DM因素,使用logistic回归分析寻找老年T2DM患者营养不良的影响因素。结果426例中包括营养不良组82例(19.25%),非营养不良组(存在营养不良风险者及营养正常者)344例(80.75%)。logistic回归分析显示:高龄、空腹血糖(FBG)、糖化血红蛋白(HbA1c)、合并其他慢性病是老年T2DM患者营养不良的危险因素,血清白蛋白(Alb)、血红蛋白(Hb)、规律锻炼、经常获得营养保健知识是老年T2DM患者营养不良的保护因素。结论老年T2DM患者营养异常发生率较高,高龄、FBG、HbA1c、合并其他慢性病是老年T2DM患者营养不良的危险因素,Alb、Hb、规律锻炼、经常获得营养保健知识是老年T2DM患者营养不良的保护因素;临床应加强对老年T2DM患者的医学营养治疗。Objective To explore the occurrence of malnutrition and its influencing factors in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 426 elderly patients with T2DM who were admitted to our hospital between January 2015 and September 2018 were selected for the study.The micronutrient assessment was used to evaluate the nutritional status of patients,and they were divided into malnutrition group and non-malnutrition group according to different nutritional status.The general data,T2DM-related factors and non-T2DM factors were compared among patients with different nutritional status.Logistic regression analysis was used to analyze the influencing factors of malnutrition in elderly T2DM patients.Results Among the 426 patients,there were 82 cases(19.25%)in malnutrition group and 344 cases(80.75%)in non-malnutrition group(at risk of malnutrition and with normal nutrition).Logistic regression analysis showed that advanced age,FBG,HbAlc and combined chronic diseases were risk factors for malnutrition in elderly T2DM patients,and ALB,Hb,regular exercise and regular access to nutritional health knowledge were protective factors for malnutrition in elderly T2DM patients.Conclusion The incidence rate of nutritional abnormalities is high in elderly T2DM patients.Advanced age,FBG,HbAlc and combined chronic diseases were risk factors for malnutrition in elderly T2DM patients,and ALB,Hb,regular exercise and regular access to nutritional health knowledge were protective factors for malnutrition in elderly T2DM patients.Therefore,it is necessary to strengthen nutrition treatment in clinical practice.

关 键 词：糖尿病 2型 老年人 营养不良 影响因素分析 空腹血糖 糖化血红蛋白 

分 类 号：R587.1[医药卫生—内分泌]