The prevalence of sarcopenic obesity and its relationship with type 2 diabetes in a nursing home


ALTINKAYNAK M., ÖZTÜRK C., GÖKSOY SOLAK Y., Eryigit O. Y., AKPINAR T. S., ERTEN S. N., ...Daha Fazla

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, cilt.27, sa.7, ss.2858-2864, 2023 (SCI-Expanded) identifier identifier identifier

Özet

OBJECTIVE: Diabetes mellitus (DM), sarcopenia, and sarcopenic obesity (SO) in the elderly were related to frailty, morbidity, and mortality. The aim of this study was to deter-mine the contribution of diabetes mellitus to the prevalence of SO in a nursing home residents.SUBJECTS AND METHODS: This cross-sec-tional study included 397 old-aged (>= 65 years) nursing home residents dwelling in Darulaceze Directorate Kayisdagi Campus of Istanbul. Exclu-sion criteria included <65 years of age, residing for less than a month, acute medical problems, and severe cognitive impairment (mini-mental state examination test score <= 10). Demographic char-acteristics, anthropometric measurements, nutri-tional status, and handgrip strength were evalu-ated for each participant. Sarcopenia was defined according to the European Working Group on Sar-copenia in Older People (EWGSOP) II criteria and obesity was defined with body mass index (BMI) >= 30 kg/m2. SO was the concomitant existence of sarcopenia and obesity together.RESULTS: Mean age of the participants was 77.95 +/- 7.94 (65-101) years (n=397). The preva-lence of probable sarcopenia was significant-ly higher in non-obese patients when compared to obese (48.1% vs. 29.3%, p=0.014), which was similar after the exclusion of malnourished res-idents. In DM patients (n=63), the prevalence of obesity, probable sarcopenia and sarcopenic obesity were 30.2%, 42.2%, and 13.3%, which were 20.4%, 43.2%, and 6.5% in non-DM resi-dents, respectively.CONCLUSIONS: Although they did not reach statistical significance, obesity and sarcopenic obesity were more prevalent among diabetic pa-tients in a nursing home.