Dynapenic abdominal obesity is associated with negative clinical outcomes in older patients with type 2 diabetes: a prospective cohort study
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| Format: | Artículo científico |
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Sociedade Brasileira de Geriatria e Gerontologia
2024
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| author | Mileni Vanti Beretta |
| author_facet | Mileni Vanti Beretta |
| contents | Dynapenic abdominal obesity is associated with negative clinical outcomes in older patients with type 2 diabetes: a prospective cohort study Mileni Vanti Beretta Ticiana da Costa Rodrigues Thais Steemburgo Multidisciplinaria (Ciencias Naturales y Exactas) older adults type 2 diabetes Abdominal obesity Objective: To evaluate the association between dynapenic abdominal obesity (DAO) and the following negative outcomes in older patients with type 2 diabetes (T2D): prolonged length of stay (LOS), readmission within 30 days, in-hospital mortality, and mortality within 1 year after hospital discharge.Methods: This prospective cohort study included hospitalized older patients with T2D. DAO was defined as a combination of abdominal obesity (high waist circumference WC: ≥ 102 cm for men and ≥ 88 cm for women) and dynapenia (reduced hand grip strength HGS: < ≤27 kg for men and < 16 kg for women). The association between clinical outcomes and DAO was evaluated using multivariate analyses adjusted for confounders. The Kaplan-Meier curve was used to compare 1-year survival in the presence of DAO.Results: We included 309 patients with T2D (mean age 73.3 ± 6.4 years; 50.5% female; 32.4% with DAO). In multivariate analyses, patients with DAO had a 5.29- and 4.71-fold increase in LOS (≥ 14 days) and 1-year mortality than those without DAO, respectively. Moreover, patients with DAO had a higher risk of 1-year mortality (log-rank test, p < 0.05).Conclusions: Older patients with T2D and DAO are more likely to have prolonged hospitalization and 1-year mortality compared to those without DAO. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769016 https://www.redalyc.org/journal/7397/739777769016/ https://www.redalyc.org/journal/7397/739777769016/html/ https://www.redalyc.org/journal/7397/739777769016/739777769016.epub https://www.redalyc.org/journal/7397/739777769016/movil 10.53886/gga.e0000230_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| format | Artículo científico |
| id | redalyc_739777769016 |
| institution | Redalyc |
| language | en |
| publishDate | 2024 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | Dynapenic abdominal obesity is associated with negative clinical outcomes in older patients with type 2 diabetes: a prospective cohort study Mileni Vanti Beretta Multidisciplinaria (Ciencias Naturales y Exactas) older adults type 2 diabetes Abdominal obesity Dynapenic abdominal obesity is associated with negative clinical outcomes in older patients with type 2 diabetes: a prospective cohort study Mileni Vanti Beretta Ticiana da Costa Rodrigues Thais Steemburgo Multidisciplinaria (Ciencias Naturales y Exactas) older adults type 2 diabetes Abdominal obesity Objective: To evaluate the association between dynapenic abdominal obesity (DAO) and the following negative outcomes in older patients with type 2 diabetes (T2D): prolonged length of stay (LOS), readmission within 30 days, in-hospital mortality, and mortality within 1 year after hospital discharge.Methods: This prospective cohort study included hospitalized older patients with T2D. DAO was defined as a combination of abdominal obesity (high waist circumference WC: ≥ 102 cm for men and ≥ 88 cm for women) and dynapenia (reduced hand grip strength HGS: < ≤27 kg for men and < 16 kg for women). The association between clinical outcomes and DAO was evaluated using multivariate analyses adjusted for confounders. The Kaplan-Meier curve was used to compare 1-year survival in the presence of DAO.Results: We included 309 patients with T2D (mean age 73.3 ± 6.4 years; 50.5% female; 32.4% with DAO). In multivariate analyses, patients with DAO had a 5.29- and 4.71-fold increase in LOS (≥ 14 days) and 1-year mortality than those without DAO, respectively. Moreover, patients with DAO had a higher risk of 1-year mortality (log-rank test, p < 0.05).Conclusions: Older patients with T2D and DAO are more likely to have prolonged hospitalization and 1-year mortality compared to those without DAO. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769016 https://www.redalyc.org/journal/7397/739777769016/ https://www.redalyc.org/journal/7397/739777769016/html/ https://www.redalyc.org/journal/7397/739777769016/739777769016.epub https://www.redalyc.org/journal/7397/739777769016/movil 10.53886/gga.e0000230_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| title | Dynapenic abdominal obesity is associated with negative clinical outcomes in older patients with type 2 diabetes: a prospective cohort study |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) older adults type 2 diabetes Abdominal obesity |
| url | https://www.redalyc.org/articulo.oa?id=739777769016 https://www.redalyc.org/journal/7397/739777769016/ https://www.redalyc.org/journal/7397/739777769016/html/ https://www.redalyc.org/journal/7397/739777769016/739777769016.epub https://www.redalyc.org/journal/7397/739777769016/movil |