Association of muscle strength and muscle mass with body mass index and insulin treatment in older patients with type 2 diabetes mellitus admitted to geriatric outpatient clinic

Fatma Özge Kayhan Koçak; Sumru Savaş; Selahattin Fehmi Akçiçek

doi:10.19161/etd.915688

TR EN

Geriatri polikliniğine başvuran tip 2 diabetes mellituslu hastalarda kas gücü ve kas kütlesinin vücut kitle indeksi ve insülin tedavisiyle ilişkisi

Öz

Giriş: Bu çalışmanın amacı, 65 yaş üstü diabetes mellituslu hastaların kas gücü ve kas kütlesinin vücut kitle indeksi ve insülin tedavisi ile ilişkisini araştırmaktır. Gereç ve Yöntem: Çalışmaya Ekim 2015 – Ekim 2019 tarihleri arasında bir üniversite hastanesi Geriatri polikliniğine başvurmuş 65 yaş ve üzeri 123 diabetes mellituslu hasta dahil edilmiştir. Demografik bilgiler, tıbbi kayıtlar, laboratuvar sonuçları, el sıkma gücü, kas kütlesi ölçümleri hastane kayıtlarından retrospektif olarak kaydedilmiştir. Bulgular: Hastalar, insülin kullanımına ve vücut kitle indeksine göre gruplandırıldı. Hastaların vücut kitle indeksi ve el sıkma güçleri arasında negatif bir korelasyon (p = 0,002), vücut kitle indeksi ile kas kütle indeksi arasında ise pozitif bir korelasyon saptandı (p = 0,001). İnsülin kullanan ve kullanmayan hastaların el sıkma gücü ve kas kütlesi ölçümleri arasında ise anlamlı fark saptanmadı. Sonuç: Normal kilolu ve obez diabetes mellituslu hastalar arasında, gerçek sarkopenik hastaları tespit etmek için, antropometrik farklılıklar göz önünde tutulmalıdır. Bu hastalarda kas kütlesinin değerlendirilmesinden çok, kas gücü ve hatta kas kalitesinin değerlendirilmesi daha faydalı olabilir.

Anahtar Kelimeler

Association of muscle strength and muscle mass with body mass index and insulin treatment in older patients with type 2 diabetes mellitus admitted to geriatric outpatient clinic

Abstract

Aim: The aim of this study was to investigate the hand grip strength and muscle mass of older patients with type 2 diabetes mellitus in relation to body mass index and insulin treatment. Materials and Methods: A total of 123 older patients with diabetes mellitus ≥65 years of age were admitted to geriatric outpatient clinic of a university hospital between October 2015 and October 2019. Demographic data, medical records, laboratory results, hand grip strength and muscle mass were derived from the hospital records, retrospectively. Results: The patients were grouped according to body mass index and usage of insulin treatment. There was a negative correlation between body mass index and hand grip strength (p = 0,002), and a positive correlation between body mass index and muscle mass index (p = 0,001). No significant differences for hand grip strength and muscle mass index were observed between insulin treatment group and non-insulin treatment group. Conclusion: In type 2 diabetes mellitus patients with normal weight and obesity, anthropometric differences should be considered to identify true sarcopenic patients. Assessment of muscle strength, and also evaluation of muscle quality might be more valuable than assessment of muscle mass for those patients

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Fatma Özge Kayhan Koçak ^*
0000-0002-6447-2352
Türkiye

Sumru Savaş
0000-0003-4836-3786
Türkiye

Selahattin Fehmi Akçiçek
0000-0003-2583-4709
Türkiye

Publication Date

April 19, 2021

Submission Date

January 18, 2021

Acceptance Date

March 15, 2021

Published in Issue

Year 2021

DOI

https://doi.org/10.19161/etd.915688

IZ

https://izlik.org/JA64EW86YH

Cite

RIS / Bibtex

Vancouver

1.Fatma Özge Kayhan Koçak, Sumru Savaş, Selahattin Fehmi Akçiçek. Association of muscle strength and muscle mass with body mass index and insulin treatment in older patients with type 2 diabetes mellitus admitted to geriatric outpatient clinic. EJM. 2021 Apr. 1;60-6. doi:10.19161/etd.915688