Prevalence of Malnutrition among Patients with Type-2 Diabetes Mellitus in Tertiary Care Hospital in Pakistan

Ibrar Ahmad, Hoor Maab Kaifi, Fahim Ullah, Adan Javed, H. Tahir, M. Rahman
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Abstract

Purpose: To figure out the prevalence of malnutrition among patients with Type-2 Diabetes Mellitus (T2DM) in tertiary care hospital Methodology: The study adopted a cross-sectional study.  The study took place in Endocrine and Medicine Departments of Lady Reading Hospital, Peshawar, Pakistan from September 2019 to March 2020. A total number of 259 patients of T2DM were screened for screened for nutritional assessment with the help of nurse and supporting staff. The data was recorded with the help of question are and Subjective Global Assessment form (SGA). The nutritional risk parameters and malnutrition status was figured out and the data collected was statistically analyzed with the help of MS Excel and SPSS 22.0. Findings: The results of the current findings revealed that 123 patients out of 259 were at moderate risk of malnutrition, while 136 patients were highly at malnutrition risk. Similarly, 162 patients were sorted out to have the status of moderate malnutrition while 97 patients were severely mal-nourished. Among various categories of BMI the highest frequency has been shown by Obese Class-I with highest risk malnutrition risk and severe malnourished frequency. The Correlation Coefficient R2 value of 0.923. The Chi-Square value of 187.69 and p-value (1.214e-38) nullifies the Null hypothesis. Conclusion: Based on the findings of this study, it may be concluded that a wholesome ratio of T2DM are at nutritional risk or having the status of malnutrition in hospitalized patients. Secondly, it may also be inferred that the largest number of T2DM could be assumed at Obese Class-I of BMI distribution.
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巴基斯坦三级医院2型糖尿病患者营养不良患病率
目的:了解三级医院2型糖尿病(T2DM)患者营养不良的患病率。该研究于2019年9月至2020年3月在巴基斯坦白沙瓦雷丁夫人医院的内分泌和医学系进行。在护士和辅助人员的帮助下,对259例T2DM患者进行了营养评估筛查。数据采用问卷和主观总体评估表(SGA)进行记录。计算营养风险参数和营养不良状况,并利用MS Excel和SPSS 22.0软件对收集到的数据进行统计分析。研究结果:目前的研究结果显示,259名患者中有123名处于中度营养不良风险,而136名患者处于高度营养不良风险。同样,162例患者为中度营养不良,97例患者为重度营养不良。在BMI的各个类别中,肥胖i类的发病率最高,营养不良风险最高,严重营养不良发生率最高。相关系数R2值为0.923。卡方值为187.69,p值为1.214e-38,证明原假设无效。结论:根据本研究结果,T2DM住院患者中存在营养风险或处于营养不良状态的比例较高。其次,也可以推断,在BMI分布的肥胖i类中,T2DM人数最多。
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