Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study

The aim of this cross-sectional study was to examine the association between the geriatric nutritional risk index (GNRI) and the prevalence of sarcopenia in people with type 2 diabetes (T2DM). Having both low handgrip strength (<28 kg for men and <18 kg for women) and low skeletal muscle mass...

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Autores principales: Fuyuko Takahashi, Yoshitaka Hashimoto, Ayumi Kaji, Ryosuke Sakai, Yuka Kawate, Takuro Okamura, Noriyuki Kitagawa, Hiroshi Okada, Naoko Nakanishi, Saori Majima, Takafumi Senmaru, Emi Ushigome, Mai Asano, Masahide Hamaguchi, Masahiro Yamazaki, Michiaki Fukui
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:23af86b8b2804d779a1ba1eaac1bac2d2021-11-25T18:33:33ZAssociation between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study10.3390/nu131137292072-6643https://doaj.org/article/23af86b8b2804d779a1ba1eaac1bac2d2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3729https://doaj.org/toc/2072-6643The aim of this cross-sectional study was to examine the association between the geriatric nutritional risk index (GNRI) and the prevalence of sarcopenia in people with type 2 diabetes (T2DM). Having both low handgrip strength (<28 kg for men and <18 kg for women) and low skeletal muscle mass index (<7.0 kg/m<sup>2</sup> for men and <5.7 kg/m<sup>2</sup> for women) was diagnosed as sarcopenia. GNRI was estimated by the formula as below: GNRI = (1.489 × serum albumin level [g/L]) + (41.7 × [current body weight (kg)/ideal body weight (kg)]). Participants were dichotomized on the basis of their GNRI scores (GNRI < 98, low; or GNRI ≥ 98, high). Among 526 people (301 men and 225 women) with T2DM, the proportions of participants with sarcopenia and low GNRI were 12.7% (<i>n</i> = 67/526) and 5.1% (<i>n</i> = 27/526), respectively. The proportion of sarcopenia in participants with low-GNRI was higher than that with high GNRI (44.4% [<i>n</i> = 12/27] vs. 11.0% [<i>n</i> = 55/499], <i>p</i> < 0.001). The GNRI showed positive correlations with handgrip strength (<i>r</i> = 0.232, <i>p</i> < 0.001) and skeletal muscle mass index (<i>r</i> = 0.514, <i>p</i> < 0.001). Moreover, low GNRI was related to the prevalence of sarcopenia (adjusted odds ratio, 4.88 [95% confidence interval: 1.88–12.7], <i>p</i> = 0.001). The GNRI, as a continuous variable, was also related to the prevalence of sarcopenia (adjusted odds ratio, 0.89 [95% confidence interval: 0.86–0.93], <i>p</i> < 0.001). The present study revealed that low GNRI was related to the prevalence of sarcopenia.Fuyuko TakahashiYoshitaka HashimotoAyumi KajiRyosuke SakaiYuka KawateTakuro OkamuraNoriyuki KitagawaHiroshi OkadaNaoko NakanishiSaori MajimaTakafumi SenmaruEmi UshigomeMai AsanoMasahide HamaguchiMasahiro YamazakiMichiaki FukuiMDPI AGarticlegeriatric nutritional risk indexsarcopeniatype 2 diabetes mellitusNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3729, p 3729 (2021)
institution DOAJ
collection DOAJ
language EN
topic geriatric nutritional risk index
sarcopenia
type 2 diabetes mellitus
Nutrition. Foods and food supply
TX341-641
spellingShingle geriatric nutritional risk index
sarcopenia
type 2 diabetes mellitus
Nutrition. Foods and food supply
TX341-641
Fuyuko Takahashi
Yoshitaka Hashimoto
Ayumi Kaji
Ryosuke Sakai
Yuka Kawate
Takuro Okamura
Noriyuki Kitagawa
Hiroshi Okada
Naoko Nakanishi
Saori Majima
Takafumi Senmaru
Emi Ushigome
Mai Asano
Masahide Hamaguchi
Masahiro Yamazaki
Michiaki Fukui
Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study
description The aim of this cross-sectional study was to examine the association between the geriatric nutritional risk index (GNRI) and the prevalence of sarcopenia in people with type 2 diabetes (T2DM). Having both low handgrip strength (<28 kg for men and <18 kg for women) and low skeletal muscle mass index (<7.0 kg/m<sup>2</sup> for men and <5.7 kg/m<sup>2</sup> for women) was diagnosed as sarcopenia. GNRI was estimated by the formula as below: GNRI = (1.489 × serum albumin level [g/L]) + (41.7 × [current body weight (kg)/ideal body weight (kg)]). Participants were dichotomized on the basis of their GNRI scores (GNRI < 98, low; or GNRI ≥ 98, high). Among 526 people (301 men and 225 women) with T2DM, the proportions of participants with sarcopenia and low GNRI were 12.7% (<i>n</i> = 67/526) and 5.1% (<i>n</i> = 27/526), respectively. The proportion of sarcopenia in participants with low-GNRI was higher than that with high GNRI (44.4% [<i>n</i> = 12/27] vs. 11.0% [<i>n</i> = 55/499], <i>p</i> < 0.001). The GNRI showed positive correlations with handgrip strength (<i>r</i> = 0.232, <i>p</i> < 0.001) and skeletal muscle mass index (<i>r</i> = 0.514, <i>p</i> < 0.001). Moreover, low GNRI was related to the prevalence of sarcopenia (adjusted odds ratio, 4.88 [95% confidence interval: 1.88–12.7], <i>p</i> = 0.001). The GNRI, as a continuous variable, was also related to the prevalence of sarcopenia (adjusted odds ratio, 0.89 [95% confidence interval: 0.86–0.93], <i>p</i> < 0.001). The present study revealed that low GNRI was related to the prevalence of sarcopenia.
format article
author Fuyuko Takahashi
Yoshitaka Hashimoto
Ayumi Kaji
Ryosuke Sakai
Yuka Kawate
Takuro Okamura
Noriyuki Kitagawa
Hiroshi Okada
Naoko Nakanishi
Saori Majima
Takafumi Senmaru
Emi Ushigome
Mai Asano
Masahide Hamaguchi
Masahiro Yamazaki
Michiaki Fukui
author_facet Fuyuko Takahashi
Yoshitaka Hashimoto
Ayumi Kaji
Ryosuke Sakai
Yuka Kawate
Takuro Okamura
Noriyuki Kitagawa
Hiroshi Okada
Naoko Nakanishi
Saori Majima
Takafumi Senmaru
Emi Ushigome
Mai Asano
Masahide Hamaguchi
Masahiro Yamazaki
Michiaki Fukui
author_sort Fuyuko Takahashi
title Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study
title_short Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study
title_full Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study
title_fullStr Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study
title_full_unstemmed Association between Geriatric Nutrition Risk Index and The Presence of Sarcopenia in People with Type 2 Diabetes Mellitus: A Cross-Sectional Study
title_sort association between geriatric nutrition risk index and the presence of sarcopenia in people with type 2 diabetes mellitus: a cross-sectional study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/23af86b8b2804d779a1ba1eaac1bac2d
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