PD997 - SARCOPENIA IN OLDER OUTPATIENTS WITH DIABETES MELLITUS: PREVALENCE AND ASSOCIATED FACTORS IN A SINGLE-CENTER STUDY FROM VIETNAM

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PD997

SARCOPENIA IN OLDER OUTPATIENTS WITH DIABETES MELLITUS: PREVALENCE AND ASSOCIATED FACTORS IN A SINGLE-CENTER STUDY FROM VIETNAM

T. Duy Doan1,2,*, G. P. Q. Doan1, T. T. Do2, H. T. T. Le2, A. T. L. Pham1, T. N. Pham1

1Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, 2Department of Nutrition and Dietetics, HCMC Hospital for Rehabilitation – Professional Diseases, Ho Chi Minh, Viet Nam

 

Rationale: Sarcopenia is an important comorbidity in older adults with diabetes mellitus, associated with impaired physical function, frailty, falls, and poor outcomes. This study aimed to determine the prevalence of sarcopenia and its associated factors among older outpatients with diabetes mellitus.

Methods: A cross-sectional study was conducted among 215 outpatients aged ≥60 years with diabetes mellitus at Thu Duc Regional General Hospital, Ho Chi Minh City, Vietnam. Data on demographics, anthropometry, body composition, nutritional status, frailty, falls, sitting time, and physical activity were collected using structured questionnaires and direct measurements. Sarcopenia was diagnosed according to the AWGS 2019. Body composition was assessed by BIA using the InBody 770. The study was approved (No. 5454/ĐHYD-HĐĐĐ) by the Institutional Review Board of UMP.

Results: The prevalence of sarcopenia was 37.2% and was higher in females than in males (41.8% vs 29.6%). Compared with those aged 60–69 years, older age groups had a higher prevalence of sarcopenia (PR = 1.67; 95% CI: 1.32–2.13; p < 0.001). Sarcopenia was also significantly associated with insufficient physical activity, longer sitting time, history of falls within the previous 12 months, malnutrition, underweight, and frailty. Frailty showed the strongest association, with a 2.13-fold higher prevalence of sarcopenia for each increase in frailty level (PR = 2.13; 95% CI: 1.69–2.68; p < 0.001). Meeting recommended physical activity levels and overweight/obesity were inversely associated with sarcopenia.

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Conclusion: Sarcopenia was common among older outpatients with diabetes mellitus. Comprehensive assessment of muscle health, nutritional status, physical activity, and frailty should be considered in high-risk individuals to guide timely nutrition and rehabilitation interventions.

Disclosure of Interest: None declared