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Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements

Introduction: The prevalence of malnutrition in patients with diabetes mellitus is high. In these patients, monitoring nutritional intervention is complex. Aims: To evaluate the evolution in the nutritional status in patients with diabetes/prediabetes and malnutrition with a diabetes-specific entera...

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Autores principales: López-Gómez, Juan J., Gutiérrez-Lora, Cristina, Izaola-Jauregui, Olatz, Primo-Martín, David, Gómez-Hoyos, Emilia, Jiménez-Sahagún, Rebeca, De Luis-Román, Daniel A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9692739/
https://www.ncbi.nlm.nih.gov/pubmed/36432489
http://dx.doi.org/10.3390/nu14224802
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author López-Gómez, Juan J.
Gutiérrez-Lora, Cristina
Izaola-Jauregui, Olatz
Primo-Martín, David
Gómez-Hoyos, Emilia
Jiménez-Sahagún, Rebeca
De Luis-Román, Daniel A.
author_facet López-Gómez, Juan J.
Gutiérrez-Lora, Cristina
Izaola-Jauregui, Olatz
Primo-Martín, David
Gómez-Hoyos, Emilia
Jiménez-Sahagún, Rebeca
De Luis-Román, Daniel A.
author_sort López-Gómez, Juan J.
collection PubMed
description Introduction: The prevalence of malnutrition in patients with diabetes mellitus is high. In these patients, monitoring nutritional intervention is complex. Aims: To evaluate the evolution in the nutritional status in patients with diabetes/prediabetes and malnutrition with a diabetes-specific enteral formula. Methods: Real-life study of one arm in 60 patients with diabetes and prediabetes, performing a dietary adaptation with diabetes-specific oral nutritional supplementation. A morphofunctional assessment was performed, consisting of intake assessment, anthropometry, body composition (bioimpedance and muscle ultrasound), handgrip strength and biochemical markers. The diagnosis of malnutrition was made using the criteria of the Global Leadership Initiative on Malnutrition (GLIM). The variables were measured at baseline and 3 months after starting the intervention. Results: The mean age was 67.13 (14.9) years. In total, 30 (50%) of the patients were women. Of the total, 60% of the patients had diabetes mellitus and 40% of the patients had prediabetes. The initial body mass index was 24.65 (5.35) kg/m(2). It was observed that 80% of the patients had malnutrition, whereas after the intervention, the prevalence was 51.7% (p < 0.01). At the beginning of the study, 20% of the patients suffered from sarcopenia and after the intervention it was 16.7% (p = 0.19). Conclusions: Medical Nutrition Therapy with an adapted oral diet associated with diabetes-specific oral nutritional supplementation reduces malnutrition in patients at nutritional risk and disturbances of carbohydrate metabolism.
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spelling pubmed-96927392022-11-26 Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements López-Gómez, Juan J. Gutiérrez-Lora, Cristina Izaola-Jauregui, Olatz Primo-Martín, David Gómez-Hoyos, Emilia Jiménez-Sahagún, Rebeca De Luis-Román, Daniel A. Nutrients Article Introduction: The prevalence of malnutrition in patients with diabetes mellitus is high. In these patients, monitoring nutritional intervention is complex. Aims: To evaluate the evolution in the nutritional status in patients with diabetes/prediabetes and malnutrition with a diabetes-specific enteral formula. Methods: Real-life study of one arm in 60 patients with diabetes and prediabetes, performing a dietary adaptation with diabetes-specific oral nutritional supplementation. A morphofunctional assessment was performed, consisting of intake assessment, anthropometry, body composition (bioimpedance and muscle ultrasound), handgrip strength and biochemical markers. The diagnosis of malnutrition was made using the criteria of the Global Leadership Initiative on Malnutrition (GLIM). The variables were measured at baseline and 3 months after starting the intervention. Results: The mean age was 67.13 (14.9) years. In total, 30 (50%) of the patients were women. Of the total, 60% of the patients had diabetes mellitus and 40% of the patients had prediabetes. The initial body mass index was 24.65 (5.35) kg/m(2). It was observed that 80% of the patients had malnutrition, whereas after the intervention, the prevalence was 51.7% (p < 0.01). At the beginning of the study, 20% of the patients suffered from sarcopenia and after the intervention it was 16.7% (p = 0.19). Conclusions: Medical Nutrition Therapy with an adapted oral diet associated with diabetes-specific oral nutritional supplementation reduces malnutrition in patients at nutritional risk and disturbances of carbohydrate metabolism. MDPI 2022-11-13 /pmc/articles/PMC9692739/ /pubmed/36432489 http://dx.doi.org/10.3390/nu14224802 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
López-Gómez, Juan J.
Gutiérrez-Lora, Cristina
Izaola-Jauregui, Olatz
Primo-Martín, David
Gómez-Hoyos, Emilia
Jiménez-Sahagún, Rebeca
De Luis-Román, Daniel A.
Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements
title Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements
title_full Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements
title_fullStr Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements
title_full_unstemmed Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements
title_short Real World Practice Study of the Effect of a Specific Oral Nutritional Supplement for Diabetes Mellitus on the Morphofunctional Assessment and Protein Energy Requirements
title_sort real world practice study of the effect of a specific oral nutritional supplement for diabetes mellitus on the morphofunctional assessment and protein energy requirements
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9692739/
https://www.ncbi.nlm.nih.gov/pubmed/36432489
http://dx.doi.org/10.3390/nu14224802
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