Volume 22 Issue 1
Jan.  2024
Turn off MathJax
Article Contents
LI Jing, ZHOU Yusen, HAO Shuli, WU Wei, MA Guoqi. Nutritional risk screening and influencing factors in patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2024, 22(1): 74-76. doi: 10.16766/j.cnki.issn.1674-4152.003334
Citation: LI Jing, ZHOU Yusen, HAO Shuli, WU Wei, MA Guoqi. Nutritional risk screening and influencing factors in patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2024, 22(1): 74-76. doi: 10.16766/j.cnki.issn.1674-4152.003334

Nutritional risk screening and influencing factors in patients with type 2 diabetes

doi: 10.16766/j.cnki.issn.1674-4152.003334
Funds:

 AHWJ2022b117

  • Received Date: 2023-09-06
    Available Online: 2024-03-09
  •   Objective  To systematically analyze the nutritional status of type 2 diabetes (T2DM) patients based on nutrition risk screening (NRS2002), and screen the main impact indicators of nutritional risk.  Methods  A total of 196 T2DM patients were obtained from the People's Hospital of Bozhou between October 10, 2022 and May 9, 2023. The patients were divided into nutritional risk group (35 cases) and non-nutritional risk group (161 cases) based on the presence or absence of nutritional risk. Statistical analysis was used to investigate the differences in gender and related biochemical indicators (hemoglobin, glycated hemoglobin, albumin, total cholesterol, triglycerides, urea nitrogen, creatinine) between patients with and without nutritional risk. The independent influencing factors of nutritional risk were analyzed using multiple logistic regression analysis.  Results  There was no significant difference in the occurrence of nutritional risks between different genders (P>0.05). The relevant clinical biochemical test results showed that T2DM patients with nutritional risk had significant differences in serum hemoglobin [(122.29±10.07) g/L], albumin [(40.98±3.61) g/L], urea nitrogen [(6.97±0.16) mmol/L], and creatinine [(86.91±5.96) mmol/L] levels compared to non-nutritional risk patients [(128.15±9.96) g/L, (43.38±4.34) g/L, (5.81±0.92) mmol/L, (79.75±8.56) mmol/L, respectively, P < 0.05]. There was no significant difference in the statistics of glycated hemoglobin, total cholesterol, and serum triglycerides between patients with and without nutritional risk (P>0.05). Multiple logistic regression analysis was used to analyze hemoglobin, albumin, urea nitrogen, and creatinine. The results showed that hemoglobin, albumin, and creatinine were related risk factors for nutritional risk in T2DM patients.  Conclusion  NRS2002 is applied to assess the nutritional status of patients with T2DM, and haemoglobin, albumin and creatinine levels are influential factors in the occurrence of nutritional risk in patients with T2DM.

     

  • loading
  • [1]
    许冰蕊, 沈学毅, 吴娟. 动态调整营养液输注速度对糖尿病全胃肠外营养患者血糖的影响[J]. 福建医药杂志, 2023, 45(2): 160-161. doi: 10.3969/j.issn.1002-2600.2023.02.061

    XU B R, SHEN X Y, WU J. Effect of dynamically adjusting the infusion rate of nutrient solution on blood glucose in patients with diabetes undergoing total parenteral nutrition[J]. Fujian Med J, 2023, 45(2): 160-161. doi: 10.3969/j.issn.1002-2600.2023.02.061
    [2]
    曹慧颖, 冯磊, 唐灵通, 等. 遗传风险评分在预测2型糖尿病中的进展[J]. 中华全科医学, 2023, 21(8): 1383-1387. doi: 10.16766/j.cnki.issn.1674-4152.003128

    CAO H Y, FENG L, TANG L T. Progress of genetic risk scores in predicting type 2 diabetes[J]. Chinese Journal of General Practice, 2023, 21(8): 1383-1387. doi: 10.16766/j.cnki.issn.1674-4152.003128
    [3]
    《中国老年型糖尿病防治临床指南》编写组. 中国老年2型糖尿病防治临床指南(2022年版)[J]. 中国糖尿病杂志, 2022, 30(1): 2-51. doi: 10.3969/j.issn.1006-6187.2022.01.002
    [4]
    YU M, YUAN G Y, ZHANG B, et al. Efficacy and safety of dulaglutide by baseline HbA1c in Chinese patients with type 2 diabetes: a post hoc analysis[J]. Diabetes Ther, 2020, 11(5): 1147-1159. doi: 10.1007/s13300-020-00804-2
    [5]
    JEON J, JUNG K J, JEE S H. Waist circumference trajectories and risk of type 2 diabetes mellitus in Korean population: the Korean genome and epidemiology study (KoGES)[J]. BMC Public Health, 2019, 19(1): 741. doi: 10.1186/s12889-019-7077-6
    [6]
    LIU H, JIAO J, ZHU M, et al. Nutritional status according to the short-form mini nutritional assessment (MNA-SF) and clinical characteristics as predictors of length of stay, mortality, and readmissions among older inpatients in China: a national study[J]. Front Nutr, 2022, 9: 815578. DOI: 10.3389/fnut.2022.815578.
    [7]
    ZHANG G T, LI Z X, GU H Q, et al. Dysphagia management and outcomes in elderly stroke patients with malnutrition risk: results from Chinese stroke center alliance[J]. Clin Interv Aging, 2022, 17: 295-308. doi: 10.2147/CIA.S346824
    [8]
    蔡淑艳, 郑建伟, 高志刚. 营养风险筛查2002对腹壁感染合并2型糖尿病患者营养状况的评估[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(4): 379-381. doi: 10.3877/cma.j.issn.1674-392X.2021.04.016

    CAI S Y, ZHENG J W, GAO Z G. Analysis of abdominal wall infection combined with type 2 diabetes mellitus by NRS-2002[J]. Chin J Helia Abdominal Wall Surg (Elextronic Edition), 2021, 15(4): 379-381. doi: 10.3877/cma.j.issn.1674-392X.2021.04.016
    [9]
    赖璐华, 黄秋菊, 陈士光, 等. 2型糖尿病合并慢性并发症住院患者的营养风险状况调查[J]. 广西医学, 2022, 44(14): 1615-1618. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202214012.htm

    LAI L H, HUANG Q J, CHEN S G, et al. Investigation on nutritional risk for inpatients with type 2 diabetes mellitus complicated with chronic complication[J]. Guangxi Medical Journal, 2022, 44(14): 1615-1618. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202214012.htm
    [10]
    World Health Organization. WHO/NCD/NCS/99.2 Definition, diagnosis and classification of diabetes mellitus and its complication. Part 1: diagnosis and classification of diabetes mellitus[S]. Geneva: World Health Organization, 1999.
    [11]
    黎文明, 黎佩君, 陈春莲, 等. GNRI与NRS2002在糖尿病肾病患者中应用价值的探讨[J]. 中国医药指南, 2020, 18(12): 4-5, 8. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202012003.htm

    LI W M, LI P J, CHEN C L, et al. The explore of Application value between GNR1 and NRS2002 in patients with diabetic kidney disease[J]. Guide of China Medicine, 2020, 18(12): 4-5, 8. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202012003.htm
    [12]
    施汉平, 梁肖肖. 2型糖尿病住院患者营养状况分析[J]. 肿瘤代谢与营养电子杂志, 2019, 6(3): 342-345. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLDX201903020.htm

    SHI H P, LIANG X X. Analysis of nutritional status of hospitalized patients with type 2 diabetes mellitus[J]. Electron J Metab Nutr Cancer, 2019, 6(3): 342-345. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLDX201903020.htm
    [13]
    MURAWIAK M, KRZMIŃSKA-SIEMASZKO R, KALUŹNIAK-SZYMANOWSKA A, et al. Sarcopenia, obesity, sarcopenic obesity and risk of poor nutritional status in polish community-dwelling older people aged 60 years and over[J]. Nutrients, 2022, 14(14): 2889. doi: 10.3390/nu14142889
    [14]
    亓倩倩, 辛红菊, 周洲薇, 等. 老年综合征对老年2型糖尿病患者的躯体功能和跌倒风险的影响[J]. 中华全科医学, 2022, 20(3): 424-427, 502. doi: 10.16766/j.cnki.issn.1674-4152.002368

    QI Q Q, XIN H J, ZHOU Z W, et al. Effect of geriatric syndrome on physical function and fall risk in elderly patients with type-2 diabetes[J]. Chinese Journal of General Practice, 2022, 20(3): 424-427, 502. doi: 10.16766/j.cnki.issn.1674-4152.002368
    [15]
    高旖旎, 夏伟, 金海燕, 等. 糖化血红蛋白水平对老年2型糖尿病患者营养状况的影响及相关危险因素分析[J]. 中国医刊, 2022, 57(3): 283-286. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202203014.htm

    GAO Y N, XIA W, JIN H Y. Effects of glycosylated hemoglobin level on nutritional status of elderly patients with type 2 diabetes mellitus and analysis of related risk factors[J]. China Academic Journal, 2022, 57(3): 283-286. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202203014.htm
    [16]
    冶学燕, 仝雪薇, 邓朝晖, 等. 2型糖尿病住院患者营养状况评估及影响因素分析[J]. 国际检验医学杂志, 2020, 41(11): 1310-1313. doi: 10.3969/j.issn.1673-4130.2020.11.007

    YE X Y, TONG X W, DENG Z H, et al. Evaluation of nutritional status and influencing factors of inpatients with type 2 diabetes[J]. Int J Lab Med, 2020, 41(11): 1310-1313. doi: 10.3969/j.issn.1673-4130.2020.11.007
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (83) PDF downloads(16) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return