Pilot study of the Mini Nutritional Assessment on predicting outcomes in older adults with type 2 diabetes
Abstract
Aim To date, few studies have focused on the nutritional status of elderly hospitalized patients with diabetes. Our aims were to explore the prevalence of malnutrition among elderly diabetes patients admitted to the hospital, and to explore the relationships between malnutrition and geriatric syndromes, diabetic complications, and clinical outcomes. Methods A prospective, observational study including diabetes patients aged ≥65 years was carried out in a central hospital in Western China. Nutritional status was assessed using the Mini Nutritional Assessment incorporated into a comprehensive geriatric assessment. Follow up was carried out for ≤2.8 years. Results Of 302 participants, the prevalence of malnutrition, risk of malnutrition, and normal nutrition was 18.5%, 33.1% and 48.3%, respectively. In multivariate analysis, incontinence (odds ratio [OR] 3.17, 95% confidence interval [CI] 1.08-9.36), diabetic microvascular complications (OR 2.22, 95% CI 1.06-4.61) and activities of daily living (ADL) dependence (OR 11.6, 95% CI 5.10-26.5) were independently associated with malnutrition. Malnourished patients had longer hospital stays (P = 0.003) and higher mortality rates (P Conclusions The present study showed a high prevalence of malnutrition among elderly diabetes patients hospitalized for geriatric care. Considering the negative impact of malnutrition on hospital stay and mortality, adequate nutritional care should be emphasized for each elderly patient with diabetes, regard…
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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 [81]
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 [92]
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Ellis, G., Whitehead, M. A., Robinson, D., O'Neill, D., & Langhorne, P. (2011) · BMJ · doi:10.1136/bmj.d6553 · Cited by 1,068 · see citing works
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13. Older Adults: Standards of Care in Diabetes—2025
American Diabetes Association Professional Practice Committee, ElSayed, N. A., McCoy, R. G., Aleppo, G., Balapattabi, K., Beverly, E. A., Briggs Early, K., Bruemmer, D., Echouffo-Tcheugui, J. B., Ekhlaspour, L., et al. (2025) · Diabetes Care · doi:10.2337/dc25-s013 · Cited by 209 · see citing works
13. Older Adults: Standards of Care in Diabetes—2026
American Diabetes Association Professional Practice Committee for Diabetes*, Bajaj, M., McCoy, R. G., Balapattabi, K., Bannuru, R. R., Bellini, N. J., Bennett, A. K., Beverly, E. A., Briggs Early, K., ChallaSivaKanaka, S., et al. (2026) · Diabetes Care · doi:10.2337/dc26-s013 · Cited by 87 · see citing works
- Authors
- Liu, G., Chen, Y., Yang, Y., Yang, K., Liang, J., Wang, S., & Gan, H.
- Affiliations
- The Center of Gerontology and Geriatrics, West China Hospital Sichuan University Chengdu Sichuan China
- Sichuan University (CN)
- Venue
- Geriatrics & Gerontology International
- Publisher
- Wiley
- Published
- 2017-06-28
- Volume
- 17
- Issue
- 12
- Pages
- 2485-2492
- ISSN
- 1444-1586 (ISSN-L)
- 1447-0594
- OpenAlex
- W2727905316
- Cited by
- 54
- References
- 1
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 8 · 2019: 5 · 2018: 2 · 2017: 2
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Geriatrics and gerontology international/Geriatrics & gerontology international (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sichuan University
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Keywords
- malnutrition, type 2 diabetes, older adults, Mini Nutritional Assessment, nutritional status, geriatric syndromes, incontinence, diabetic microvascular complications, activities of daily living dependence, length of hospital stay, mortality, dietary management, hospitalized older adults
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, China, Diabetes Mellitus, Type 2, Female, Humans, Inpatients, Length of Stay, Male, Nutritional Status, Pilot Projects, Prognosis, Prospective Studies, Risk Factors, Urinary Incontinence, Geriatric Assessment, Nutrition Assessment, Prevalence, Malnutrition, Diabetes Complications
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