Background and Aim: Sarcopenia is prevalent in older patients and increases the risk for negative outcomes during hospitalization and after hospital discharge. In patients with type 2 diabetes (T2D) this association may be even worse. Upon hospital admission, it is often difficult to identify sarcopenia, so the objective of this study was to assess whether the subjective global assessment (SGA), the European Society for Clinical Nutrition and Metabolism (ESPEN) and Global Leadership Initiative on Malnutrition (GLIM) criteria and/or usual anthropometric measures can predict sarcopenia. A secondary objective, to evaluate the accuracy of variables in the prediction of sarcopenia. Methodology: Patients 60 years old and with T2D were included. Malnutrition was evaluated in accordance with the guidelines of ESPEN and GLIM, and SGA. Anthropometric measurements were performed by Mid-arm circumference (MAC), mid-upper arm muscle circumference (MUAMC), and adductor pollicis muscle thickness (APMT) was performed. The sarcopenia was evaluated by handgrip strength, timed Up and Go (TUG) test and muscle mass by measuring the calf circumference (CC). Logistic regression was performed to assess the association of variables with Sarcopenia. Results: A total of 311 patients were included. The prevalence of malnutrition in accordance to ESPEN, GLIM and SGA was 18 (5.8%),
Background: Older patient with type 2 diabetes (T2D) and malnutrition have a greater chance of negative events during hospitalization and a higher risk of mortality. The aim of this study was to investigate nutritional markers as mortality predictors following discharge hospitalized older patients with T2D. Methods: This is a prospective cohort study with follow-up of four years. All patients were subjected to Mini Assessment Nutrition, Subjective Global Assessment, calf circumference, arm circumference and adductor pollicis muscle thickness, obtained all within 48 h of admission. Mortality data were verified by medical registry and analyzed using Cox-proportional hazard models and survival curves. Results: 311 patients were included; the mean age was 71.35 years. There were 113 (36.3 %) deaths in the follow-up period. Nutritional status evaluated according to BMI identified 54.5% (n = 168) were overweight, for other hand the MAN identified 45.7% of patients were at risk of malnutrition and 37.7% malnutrition and the SGA identify 61.7% (n = 192) presented normal nutrition in admission. Malnutrition patients (OR=2.02), with low calf circumference (OR=1.43) or with APMT less than 5th percentile (2.33) were associated with post-discharge mortality. Conclusion: Malnutrition, reduced calf circumference and reduced APMT were nutritional predictors of mortality after hospital discharge in older patients with diabetes
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