SavedAdd your journal

Journals / Acta Medica Alanya / 2020 / Cilt: 4 - Sayı: 1

Is diabetes mellitus associated with malnutrition in patients in intensive care unit? Diabetes and malnutrition

Yoğun bakım hastalarında diyabetes mellitus malnütrisyonla ilişkili midir? Diyabet ve malnütrisyon

Avşar Zerman
Şakir Özgür Keşkek
Pages
43–47
Publication Date
2022-09-04
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This result may suggest that malnutrition is also related to co-morbidities in addition to diabetes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Types of diseases and treatment modalities can also lead to the exacerbation of malnutrition.
📊
Key Findings & Data:The study group comprised of 77 patients with type 2 diabetes and the control group comprised of 115 patients without diabetes.
💡
Conclusion & Impact:This result may suggest that malnutrition is also related to co-morbidities in addition to diabetes.
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Types of diseases and treatment modalities can also lead to the exacerbation of malnutrition. The aim of this study was to investigate nutritional status of patients with diabetes mellitus in the intensive care unit of a tertiary hospital. Materials and methods: One hundred and ninety-two patients were enrolled and divided into two groups. The study group comprised of 77 patients with type 2 diabetes and the control group comprised of 115 patients without diabetes. The nutritional risk assessment was tested with NRS (Nutritional Risk Screening) 2002, Nutric score, MNA (Mini-Nutritional Assessment) and MUST (Malnutrition Universal Screening Tool). Results: The groups were comparable according to the NRS 2002 (3.37 ± 1.84 vs. 3.93 ± 1.72, p = 0.075), Nutric score (4.61 ± 1.85 vs. 4.56 ± 1.85, p = 0.869), MNA (8.0 ± 3.1 vs. 7.1 ± 3.2, p = 0.068) and MUST score (1.62 ± 1.46 vs. 1.81 ± 1.59, p = 0.456). Conclusion: In this study, the risk of malnutrition is comparable in both groups. This result may suggest that malnutrition is also related to co-morbidities in addition to diabetes.

Özet

Amaç: Hastalık türleri ve tedavi yöntemleri yetersiz beslenmenin alevlenmesine yol açabilir. Bu çalışmada, üçüncü basamak bir hastanenin yoğun bakım ünitesinde (YBÜ) diyabetes mellituslu hastaların beslenme durumunun araştırılması amaçlandı. Yöntem: Yüz doksan iki hasta çalışmaya dahil edildi ve iki gruba ayrıldı. Çalışma grubuna tip 2 diyabetli 77 hasta, kontrol grubuna ise diyabeti olmayan 115 hasta alındı. Beslenme durumu ve riski NRS (Nutritional Risk Screening) 2002, Nutric skoru, MNA (Mini-Nutritional Assessment) ve MUST (Malnutrition Universal Screening Tool) testleri ile değerlendirildi. Bulgular: Gruplar NRS 2002 (3.37 ± 1.84 vs. 3.93 ± 1.72, p = 0.075), Nutric skoru (4.61 ± 1.85 vs. 4.56 ± 1.85, p = 0.869), MNA (8.0 ± 3.1 vs. 7.1 ± 3.2, p = 0.068) ve MUST skoruna (1.62 ± 1.46 vs. 1.81 ± 1.59, p = 0.456) göre benzer bulundu. Sonuç: Bu çalışmada, malnütrisyon riski her iki grupta benzer bulundu. Bu sonuç malnütrisyonun diyabete ek olarak eşlik eden diğer hastalıklarla da ilişkili olduğunu düşündürmektedir.

🔖

Cite This Article

Zerman, A., Keşkek, Ş. Ö. (2022). Is diabetes mellitus associated with malnutrition in patients in intensive care unit? Diabetes and malnutrition. Acta Medica Alanya, Cilt: 4 - Sayı: 1, 43–47. https://ajindex.com/articles/425820

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Sioson MS, Martindale R, Abayadeera A, Abouchaleh N, Aditianingsih D, Bhurayanontachai R et al. Nutrition therapy for critically ill patients across the Asia Pacific and Middle East regions: A consensus statement. Clin Nutr ESPEN. 2018;24:156-64. doi: 10.1016/j.clnesp.2017.11.008
  2. McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr. 2016;40:159-221. doi: 10.1177/0148607115621863
  3. Ghorabi S, Shariatpanahi ZV. Effect of early enteral nutrition on clinical outcomes in an intensive care unit. Thrita. 2014;3(3):e20905. doi: 10.5812/thrita.20905
  4. Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association between malnutrition and clinical outcomes in the intensive care unit: a systematic review. JPEN J Parenter Enteral Nutr.2017;41:744-58. doi: 10.1177/0148607115625638
  5. Nompleggi D. The basic principles of nutrition support in the intensive care unit. In: Irwin R, Rippe J, editors. Manual of Intensive Care Medicine. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 516–18
  6. Freijer K, Nuijten MJ, Schols JM. The budget impact of oral nutritional supplements for disease related malnutrition in elderly in the community setting. Front Pharmacol. 2012;3:78. doi: 10.3389/fphar.2012.00078
  7. Agarwal E, Miller M, Yaxley A, Isenring E. Malnutrition in the elderly: a narrative review. Maturitas. 2013;76:296–302. doi: 10.1016/j.maturitas.2013.07.013
  8. Rosenzweig JL. Diabetes and the health care system: economic and social costs. In: Kahn CR, Weir GC, King GL, editors. Joslin’s diabetes mellitus. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 777–92
  9. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). Clin Nutr. 2003;22(4):415-21. PMID:12880610 10. Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form Mini-Nutritional Assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001;56(6): M366-72. DOI:10.1093/ gerona/56.6.m366 11. Klein S, Kinney J, Jeejeebhoy K, Alpers D, Hellerstein M, Murray M et al. Nutrition support in clinical practice: review of published data and recommendat