P705 - OBESITY PATTERNS AND NUTRITIONAL STATUS IN GERIATRIC DIABETES MELLITUS: RELATIONSHIP WITH ANTHROPOMETRIC PARAMETERS AND BODY COMPOSITION

P705

OBESITY PATTERNS AND NUTRITIONAL STATUS IN GERIATRIC DIABETES MELLITUS: RELATIONSHIP WITH ANTHROPOMETRIC PARAMETERS AND BODY COMPOSITION

M. Pehlivan^1,*, D. Cengiz¹, C. Kayabaşı¹, A. Uyar¹, M. Eşme¹, C. Balcı¹, B. B. Doğu¹, M. Cankurtaran¹, M. G. Halil¹

¹Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, Türkiye

Rationale: This study investigates the intricate relationship between diabetes mellitus (DM), body mass index (BMI), obesity distribution, and nutritional status in the geriatric population, with a focus on gender-specific variations.

Methods: Data from 3,220 geriatric patients (aged ≥65 years) at Hacettepe University Medical Faculty (January 2023-January 2025) were analyzed. Patients were divided into DM (n=1,394, 43.29%) and non-DM (n=1,801, 55.93%) groups. Anthropometric measurements included detailed BMI category analysis. Nutritional status was evaluated using the Mini Nutritional Assessment Short-Form (MNA-SF).

Results: The analysis revealed significant differences between DM and non-DM patients. The mean BMI was higher in DM patients at 30.19 ± 4.8 kg/m², compared to 26.45 ± 3.9 kg/m² in non-DM patients (p<0.01). DM patients were less likely to maintain a normal weight, with only 12.12% maintaining normal weight compared to 16.77% in the non-DM group (p=0.02).Female DM patients exhibited higher obesity rates of 33.58%, compared to 25.59% in male DM patients (p<0.001). The weight maintenance pattern was particularly striking, with only 17.65% of female DM patients maintaining normal weight, in contrast to 43.81% of male DM patients (p<0.001). A critical finding was the higher malnutrition risk among female DM patients, who showed a 21.95% malnutrition rate compared to 15.35% in males, suggesting potential "sarcopenic obesity" patterns. The MNA-SF scores demonstrated a moderate negative correlation with SARC-F scores (r=-0.35) and a minimal correlation with HbA1c (r=-0.04).

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Conclusion: The study reveals unique obesity patterns in geriatric DM patients, highlighting significant gender differences. The coexistence of obesity and malnutrition risk, especially in female patients, underscores the need for gender-specific nutritional assessments that extend beyond BMI. 

Disclosure of Interest: None declared