VolumeVol. 54 • Number No. 2 • April - June 2016 Back
Prevalence of Malnutrition Among Patients with Diabetes Mellitus Type 2 Admitted in a Tertiary Hospital
Authors: Myl R. Cabangon, Carolyn Narvacan-Montano, Maria Leonora del Rosario-Capellan, Ma. Luisa Campos-Cagingin
DOI: 10.65564/pjim.16b585f16b
Date of Publication: June 2016
Abstract
Introduction: Malnutrition is a state of deficiency of the proper micro and macronutrients to meet daily nutritional requirement. Hospital malnutrition is associated with higher infection, impaired wound healing, and increased morbidity and mortality, especially in patients with type 2 diabetes mellitus (T2DM).
Objectives: To determine the comprehensive baseline nutrition status of hospitalized patients and the prevalence of malnutrition in patients with T2DM in Makati Medical Center (MMC).
Methods: A prospective cross-sectional study involving T2DM patients admitted at MMC from October to December 2014. Malnutrition risk and status were assessed with Subjective Global Assessment (SGA) and clinical parameters.
Results: A total of 150 adults with T2DM were assessed with the Comprehensive Nutrition Assessment Form (CNAF) using SGA, Nutritional risk level showed 37% has moderate risk while 63% has high risk for malnutrition. Nutritional status showed that 55% has mild to moderate malnutrition and 45% of patients have severe malnutrition. Factors significantly associated with high nutritional risk for malnutrition were SGA C (P<0.001), abnormal BMI-underweight and obese class2 (P<0.001), lower albumin (P=0.005) and lower total lymphocyte count (P<0.001). Factors associated to nutritional status were: weight change (P=0.004), functional capacity (P=0.017), disease and nutritional requirements (P<0.001), and presence of edema or ascites (P=0.012).
Conclusion: Malnutrition is highly prevalent in the acute hospital setting, 37% has moderate risk while 63% has high risk for malnutrition. While 55% has mild to moderate malnutrition and 45% of patients has severe malnutrition. Significant factors associated with malnutrition were SGA C, abnormal BMI, low albumin and low total lymphocyte count. Factors associated with severity of malnutrition were weight change, functional capacity, disease and nutritional requirements and presence of edema or ascites.
Keywords: Malnutrition, Comprehensive Nutrition Assessment Form, Subjective Global Assessment, Diabetes Mellitus type 2
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