Malnutrition as Independent Predictor of Geriatric Syndromes in Older Individuals with Diabetes Living in Urban Slums: A Cross-Sectional Study.

Q3 Medicine

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2026-04-01 Epub Date: 2026-07-03 DOI:10.1080/21551197.2026.2695580

Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi

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引用次数: 0

Abstract

Background: Malnutrition is a critical but often under-recognized associated with adverse health outcomes in older adults with diabetes. This study aimed to examine the relationship between nutritional status and geriatric syndromes in a low-resource context.

Methods: We conducted a cross-sectional study among 100 older adults with diabetes in urban slums of Casablanca, Morocco. Standardized tools were used to assess nutritional status, cognitive function, depressive symptoms, functional status, quality of life, and comorbidity burden. Descriptive, bivariate, and multivariable linear regression analyses were performed using Jamovi version 2.3.

Results: In adjusted models, better nutritional status was independently associated with improved cognitive function (β = 1.31, P < 0.001), reduced depressive symptoms (β = -0.508, P < 0.001), higher quality of life (β = 2.80, P < 0.001), greater functional independence (Katz: β = 0.330, P < 0.001; Lawton: β = 0.497, P < 0.001), and lower comorbidity burden (β = -0.115, P = 0.002). These associations remained significant after adjusting for HbA1c and physical activity.

Conclusions: Nutritional status is a central independent predictor of geriatric syndromes in older adults with diabetes. Routine nutritional screening may help identify individuals at increased risk of functional impairment, cognitive decline, and reduced quality of life.

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营养不良作为生活在城市贫民窟的老年糖尿病患者老年综合征的独立预测因子：一项横断面研究。

背景：营养不良是老年糖尿病患者不良健康结局的一个关键因素，但往往未得到充分认识。本研究旨在探讨低资源环境下营养状况与老年综合征之间的关系。方法：我们对摩洛哥卡萨布兰卡城市贫民窟的100名老年糖尿病患者进行了横断面研究。采用标准化工具评估营养状况、认知功能、抑郁症状、功能状态、生活质量和合并症负担。使用Jamovi 2.3版本进行描述性、双变量和多变量线性回归分析。结果：在调整后的模型中，营养状况改善与认知功能改善独立相关（β = 1.31, P β = -0.508, P β = 2.80, P β = 0.330, P β = 0.497, P β = -0.115, P = 0.002）。在调整了HbA1c和体力活动后，这些关联仍然显著。结论：营养状况是老年糖尿病患者老年综合征的中心独立预测因子。常规营养筛查可能有助于识别功能障碍、认知能力下降和生活质量下降风险增加的个体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nutrition in Gerontology and Geriatrics Nursing-Nutrition and Dietetics

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Journal of Nutrition in Gerontology and Geriatrics publishes original research studies that are directly relevant to clinical and community nutrition issues that affect older adults. Epidemiologic and community-based studies are suitable for JNE, as are well-controlled clinical trials of preventive and therapeutic nutritional interventions. The Journal of Nutrition in Gerontology and Geriatrics invites papers on a broad array of topics in the nutrition and aging field, including but not limited to studies of: preventive nutrition, nutritional interventions for chronic disease, aging effects on nutritional requirements, nutritional status and dietary intake behaviors, nutritional frailty and functional status, usefulness of supplements, programmatic interventions, transitions in care and long term care, and community nutrition issues.