RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND QUALITY OF LIFE AMONG DIABETIC PATIENTS AT THE GENERAL HOSPITAL OF VINH CITY

Nguyễn Thị Anh Trúc1, , Nguyễn Hồng Trường1, Nguyễn Trọng Hiếu1, Nguyễn Thị Kim Lệ1
1 Bệnh viện Đa khoa Thành phố Vinh

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Tóm tắt

Aims: This study aimed to determine the nutritional status and quality of life among diabetic patients and assess the relationships between the two aspects.

Methods: A cross-sectional study was conducted on 151 diabetic patients aged 40 years and older, being treated at the General Hospital of Vinh City from February to September 2024. Nutrition status was assessed using the body mass index (BMI), waist-hip-ratio (WHR), and the Subjective Global Assessment (SGA) tool. Quality of life was assessed by EQ-5D-5L. 

Results: The rate of overweight/obesity was 45.03%. 80.13% of the participants were well-nourished according to SGA. 75.0% male and 95.2% female diabetic patients had a waist-hip-ratio higher than the recommended level . Mobility and pain/discomfort were the 2 dimensions in which most patients had to deal with. Median EQ-5D-5L and EQ-VAS scores were 0.7787 and 60, respectively. SGA and BMI categories were negatively associated with participants’ quality of life. 

Conclusion: Nutritional status is associated with quality of life among diabetic patients. Therefore, it is necessary to take great action to improve nutritional care for patients with the disease.

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Tài liệu tham khảo

1. World Health Organization. GHE: Life expectancy and healthy life expectancy [Internet]. www.who.int. World Health Organization; 2019. Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-life-expectancy-and-healthy-life-expectancy
2. International Diabetes Foundation. Home, Resources, diabetes L with, Acknowledgement, FAQs, Contact, et al. Resources | IDF Diabetes Atlas [Internet]. [Cited 2024 December 4]. Available from: https://diabetesatlas.org/resources/
3. Center for Control of Diseases and Prevention. National Diabetes Statistics Report. Diabetes. July 23, 2024. [Cited 2024 December 4]. Available from: https://www.cdc.gov/diabetes/php/data-research/index.html
4. Vural Keskinler M, Feyİzoglu G, Yildiz K, Oguz A. The Frequency of Malnutrition in Patients with Type 2 Diabetes. Medeni Med J. 2021;36(2):117-22. doi:10.5222/MMJ.2021.44270
5. National Institute of Nutrition. Methods of assessment and monitoring of nutritional status. [Cited 2024 July 23]. Available from: https://viendinhduong.vn/FileUpload/Documents/SGKDD_P2.pdf
6. Pacific WHORO for the W. The Asia-Pacific perspective : redefining obesity and its treatment [Internet]. iris.who.int. Sydney : Health Communications Australia; 2000. Available from: https://iris.who.int/handle/10665/206936
7. WHO. Waist circumference and waist-hip ratio: report of a WHO expert consultation [Internet]. www.who.int. 2008. [Cited 2024 December 4]. Available from: https://www.who.int/publications/i/item/9789241501491
8. Nguyen TH, Ma YN, Nguyen LT. A Knee Height Equation for Estimating Height of Vietnamese Adults. Nutrition Today [Internet]. 2021 [cited 2022 May 8];56(6):306–10. Doi: 10.1097/NT.0000000000000511
9. Benítez Brito N, Suárez Llanos JP, Fuentes Ferrer M, Oliva García JG, Delgado Brito I, Pereyra-García Castro F, et al. Relationship between Mid-Upper Arm Circumference and Body Mass Index in Inpatients. Aguilera AI, editor. PLOS ONE. 2016 Aug 5;11(8):e0160480. doi:10.1371/journal.pone.0160480
10. Duerksen DR, Laporte M, Jeejeebhoy K. Evaluation of Nutrition Status Using the Subjective Global Assessment: Malnutrition, Cachexia, and Sarcopenia. Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr. 2020 Dec 29;36(5):942-956. doi:10.1002/ncp.10613.
11. EuroQol. EQ-5D-5L [Internet]. EuroQol. 2025. [Cited 2024 Dec 4]. Available from: https://euroqol.org/information-and-support/euroqol-instruments/eq-5d-5l/
12. Firouzi S, Barakatun-Nisak MY, Azmi KN. Nutritional status, glycemic control and its associated risk factors among a sample of type 2 diabetic individuals, a pilot study. J Res Med Sci Off J Isfahan Univ Med Sci. 2015;20(1):40-46.
13. Ahmed I, Kaifi HM, Tahir H, Javed A. Malnutrition among patients with Type-2 Diabetes Mellitus. Pak J Med Sci. 2023;39(1):64-69. doi:10.12669/pjms.39.1.5485.
14. Nam VT, Hưng NT, Vững NĐ. Quality of life according to EQ-5D-5L scale of type 2 diabetic patients with severe polyneuropathy. Tạp Chí Học Việt Nam. 2024 Mar 4;536(1). doi:10.51298/vmj.v536i1.8697
15. Tri VD, Ngoc NPB. Assessment of the health-related quality of life in outpatients with diabetes mellitus at Hue University of Medicine and Pharmacy Hospital. Tạp Chí Dược Học. 2020 Dec;10(6):35-42.
16. Park S, Jung S, Yoon H. The role of nutritional status in the relationship between diabetes and health-related quality of life. Nutr Res Pract. 2022;16(4):505-16. doi:10.4162/nrp.2022.16.4.505.
17. Apple R, Samuels LR, Fonnesbeck C, et al. Body mass index and health‐related quality of life. Obes Sci Pract. 2018 Jul 25;4(5):417-26. doi:10.1002/osp4.292.
18. Bottone FG, Hawkins K, Musich S, Cheng Y, Ozminkowski RJ, Migliori RJ, et al. The relationship between body mass index and quality of life in community-living older adults living in the United States. The journal of nutrition, health & aging. 2013 Mar 18;17(6):495–501. doi:10.1007/s12603-013-0022-y.