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Cited by 52Nutrition and Health in AgingFrailty in Older AdultsAging, Health, and Disability

The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: a pilot explanatory study

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Alfonso-Rosa, R.M., del Pozo-Cruz, Borja, Del Pozo-Cruz, J., Del Pozo-Cruz, J.T., Sañudo, B.·2013·The Journal of nutrition, health and aging
DOI 10.1007/s12603-013-0028-5PMC PMC12879692
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Abstract

OBJECTIVE: To explore the relationship between nutritional status, functional capacity and health-related quality of life (HRQoL) in older adults with type 2 diabetes (T2DM). DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: Forty two non-insulin dependent older adults from a primary care center in Seville, Spain. MEASUREMENTS: Function was assessed with a battery of standardized physical fitness tests. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) and the European Quality of Life Questionnaire (EQ-5D-3L) was used to assess HRQoL. RESULTS: There was an association between MNA-nutritional status and lower body strength as assessed by the chair sit-stand test (rho= .451; p= .037) and between MNA-nutritional status and EQ-5D-3L-HRQoL (EQ-5D-3Lutility, rho= .553; p<.001 and EQ-5D-3LVAS rho= .402; p<.001). An MNA item by item correlation analysis with HRQoL and lower limb strength demonstrated that HRQoL appears to be related to functional capacity (principally lower body strength, motor agility and cardiorespiratory fitness) among participants. These results were maintained when correlations were adjusted for co-morbidity. CONCLUSION: Our results demonstrated that nutritional status is moderately associated with HRQoL and lower limb strength in patients with T2DM. Our data suggest that more emphasis should be placed on interventions to encourage a correct diet and stress the needed to improve lower body strength to reinforce better mobility in T2DM population.

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  • Malnutrition is associated with decreases in activities of daily living, grip strength, physical performance of lower limbs, cognition, and quality of life.

    “Malnutrition is also associated with decreases in activities of daily living, grip strength, physical performance of lower limbs, cognition, and quality of life (81-83).”

    From 13. Older Adults: Standards of Care in Diabetes—2025 (2025) · cites this paper as [83]

    The Results (Table 3; page unavailable) associate poorer nutritional status with lower-limb strength, quality of life, and reported problems with personal care and daily tasks in older adults with type 2 diabetes. They do not show an association with grip strength, and the paper does not report a nutritional-status association with cognition. The claim also omits the study’s specific population. (LLM, conf=0.87)

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  • Malnutrition is associated with decreases in activities of daily living, grip strength, physical performance of lower limbs, cognition, and quality of life.

    “Malnutrition is also associated with decreases in activities of daily living, grip strength, physical performance of lower limbs, cognition, and quality of life”

    From 13. Older Adults: Standards of Care in Diabetes—2026 (2026) · cites this paper as [94]

    The Results (Table 3; page unavailable) associate poorer nutritional status with lower-limb strength, personal care and daily-task difficulties, and lower health-related quality of life in older adults with type 2 diabetes. They do not establish an association with reduced grip strength: the reported handgrip correlation is .142 and is not marked significant. The paper also does not report a nutritional-status association with cognition, and its findings are limited to this study population. (LLM, conf=0.88)

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Cited by

Sorted by citations

Authors
Alfonso-Rosa, R. M., del Pozo-Cruz, B., Del Pozo-Cruz, J., Del Pozo-Cruz, J. T., & Sañudo, B.
Affiliations
Universidad de Sevilla (ES)
ORCID
Sañudo, B.
Venue
The Journal of nutrition, health and aging
Publisher
Elsevier BV
Published
2013-04
Volume
17
Issue
4
Pages
315-321
ISSN
1279-7707 (ISSN-L)
DOI
10.1007/s12603-013-0028-5
PMC
PMC12879692
OpenAlex
W2030413797
Cited by
52
References
4
Citations by year
2026: 3 · 2025: 5 · 2024: 5 · 2023: 1 · 2022: 8 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 2
FWCI
2.55
Type
journal article
Language
en
Open access
Licence
Locations
  • The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (acceptedVersion, cc-by-nc-nd)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • Deposito de Investigacion Universidad de Sevilla (University of Seville) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
type 2 diabetes, older adults, nutritional status, functional capacity, health-related quality of life, lower limb strength, physical fitness, Mini Nutritional Assessment, EQ-5D-3L, mobility (physical function), cardiorespiratory fitness, motor agility
MeSH terms
Aged, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Health Status, Humans, Male, Middle Aged, Nutritional Status, Physical Fitness, Pilot Projects, Quality of Life, Surveys and Questionnaires, Spain, Nutrition Assessment

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