Body weight, body fat and skeletal muscle status in elderly patients with diabetes

Q4 Nursing 中华临床营养杂志 Pub Date : 2018-06-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.03.006

Qizhi An, Xin Tao, Lirui Wang, Chun-wei Li

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Abstract

Objective To investigate the status of body weight, total body fat and skeletal muscle in elderly patients with diabetes. Methods A total of 71 elderly diabetic patients (study group) who met entry criteria and signed informed consent were consecutively enrolled, and 70 healthy subjects (control group) matched for age and gender were selected into the study. Body weight, body mass index (BMI), waist-to-hip ratio (WHR), total body fat (TBF), abdominal fat (AF), visceral fat (VF), visceral fat area (VFA), fat-free mass (FFM), total body muscle (TBM), skeletal muscle (SM), skeletal muscle height index (SMHI) and grip strength (GS) were measured by anthropometry and multi-frequency bioelectric impedance analysis. The rate of low weight, overweight and obesity was judged by BMI; the rate of abdominal obesity by WHR; and the status of muscle by TBM, SM, MHI and GS. Results The two groups were comparable at baseline. Compared to the control group, the rate of low weight [36.6% (26/71) vs. 20.0% (14/70), χ2=4.791, P=0.039], weight loss [(1.37±1.57)kg vs. (0.82±1.12)kg, t=2.402, P=0.018], ratio of people who experienced weight loss>5% in 3 months [22.5% (16/71) vs. 8.6% (6/70), χ2=5.219, P=0.035], TBF%[(32.3±5.0)% vs. (30.3±5.2)%, t=2.294, P=0.023], WHR(0.91±0.55 vs. 0.87±0.51, t=2.661, P=0.009), the rate of abdominal obesity[49.3% (35/71) vs. 25.7%(18/70), χ2=8.355, P=0.005], AF[(12.1±3.4)kg vs. (10.3±3.6)kg, t=2.981, P=0.003], VF[(2.9±0.8)kg vs.(2.5±0.9)kg, t=2.853, P=0.005] and VFA[(99.8±26.3)cm2vs. (84.9±31.1)cm2,t=3.045, P=0.003] were increased significantly in study group, while the FFM[(34.9±7.5)kg vs. (37.9±5.6)kg, t=-2.691, P=0.008], SM[(25.8±4.5)kg vs.(27.3±3.5)kg, t=-2.140, P=0.034], SMHI[(9.4±1.8)kg/m2vs. (10.2±1.5)kg/m2,t=-3.081, P=0.002] and GS[(29.3±6.6)kg vs. (31.8±5.7)kg, t=-2.406, P=0.017] were decreased significantly in study group. Conclusion Abnormal weight, abdominal obesity and loss of skeletal muscle were more likely to be observed in elderly patients with diabetes. Key words: Diabetes mellitus; Aged; Body fat; Obesity, abdominal; Skeletal muscle; Grip strength

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老年糖尿病患者的体重、体脂和骨骼肌状况

目的了解老年糖尿病患者的体重、体脂和骨骼肌状况。方法连续入组符合入组标准并签署知情同意书的老年糖尿病患者71例(研究组)，选择年龄和性别相匹配的健康受试者70例(对照组)。采用人体测量法和多频生物电阻抗法测量体重、体质量指数(BMI)、腰臀比(WHR)、体总脂肪(TBF)、腹部脂肪(AF)、内脏脂肪(VF)、内脏脂肪面积(VFA)、无脂质量(FFM)、全身肌肉(TBM)、骨骼肌(SM)、骨骼肌高度指数(SMHI)和握力(GS)。通过BMI来判断低体重、超重和肥胖的比率;腹部肥胖率;TBM、SM、MHI和GS对肌肉状态的影响。结果两组在基线时具有可比性。与对照组相比，低体重率[36.6% (26/71)vs. 20.0% (14/70)， χ2=4.791, P=0.039]，体重减轻[(1.37±1.57)kg vs.(0.82±1.12)kg, t=2.402, P=0.018]， 3个月内体重减轻率[22.5% (16/71)vs. 8.6% (6/70)， χ2=5.219, P=0.035]， TBF%[(32.3±5.0)% vs.(30.3±5.2)%，t=2.294, P=0.023]， WHR(0.91±0.55)vs. 0.87±0.51,t=2.661, P=0.009]，腹部肥胖率[49.3% (35/71)vs. 25.7%(18/70)， χ2=8.355, P=0.005]，房颤[(12.1±3.4)公斤和(10.3±3.6)公斤,t = 2.981, P = 0.003), VF[(2.9±0.8)公斤和(2.5±0.9)公斤,t = 2.853, P = 0.005)和VFA(99.8±26.3)cm2vs。研究组(84.9±31.1)cm2,t=3.045, P=0.003)， FFM[(34.9±7.5)kg vs(37.9±5.6)kg, t=-2.691, P=0.008]， SM[(25.8±4.5)kg vs(27.3±3.5)kg, t=-2.140, P=0.034]， SMHI[(9.4±1.8)kg/m2vs。(10.2±1.5)kg/m2,t=-3.081, P=0.002]和GS[(29.3±6.6)kg vs(31.8±5.7)kg, t=-2.406, P=0.017]显著降低。结论老年糖尿病患者体重异常、腹部肥胖、骨骼肌损失多见。关键词:糖尿病;岁的;身体脂肪;肥胖,腹部;骨骼肌;握力

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.