| ObjectiveThis study reviewed and analyzed the data of the elderly inpatients in Chongqing to understand the prevalence of OSO,explore the relationship between OSO and T2 DM in the elderly,and hope to provide a more comprehensive approach to the prevention and treatment of T2 DM and comorbidities in the elderly.MethodsUsing cross-sectional analysis combined with retrospective research to collect basic information about the age and gender of inpatients in the Department of Geriatrics of the First Affiliated Hospital of Chong Medical College from May 2015 to December 2019,a grip device was used to measure grip strength,and BIA was used to measure body composition.According to SMI,GS,BMI,PBF,bone density,sarcopenia,obesity,and osteoporosis are diagnosed,all of which are OSO.Divided into OSO group and non-OSO group according to OSO diagnostic criteria,and compared the correlation between the two groups in the detection rate of T2 DM,and passed statistics such as t test,non-parametric rank sum test,chi-square test,and binary logistic regression method.Method to analyze the correlation between OSO and T2 DM.Results(1)In the population of this study,the detection rate of osteoporosis was 57.5%,male 31.2%,female 68.8%;sarcopenia detection rate 47.5%,male 35.7%,female 64.3%;obesity detection rate 62.3%,male46.2%,Female 53.8%;OSO detection rate 23.6%,male 32.2%,female67.8%.The detection rates of osteoporosis,sarcopenia,obesity and OSO were higher in women than in men,and the difference was statistically significant(P < 0.05).(2)The enrolled population was divided into OSO group and nonOSO group.The OSO group had higher detection rate,BMI,body fat rate,and visceral fat area in women,and lower detection rate in men,lower limb muscle mass index,and grip strength(P< 0.05),no age difference between the two groups was found(P>0.05).(3)In this study,the detection rate of T2 DM in the OSO group(45.8%)was higher than the detection rate of T2 DM in the non-OSO group(34.5%)(P>0.05),and the detection rate of T2 DM in the female OSO group(50.0%)was higher than that of non-OSO The detection rate of T2 DM in the group(31.0%)(P<0.01),the detection rate of T2 DM in the male OSO group and the non-OSO group were not statistically significant(P>0.05).(4)SMI(OR 0.255,P < 0.01)and GS(OR 0.943,P < 0.01)in hospitalized elderly patients are OSO protective factors,and T2DM(OR2.107,P<0.01)and PBF(OR 1.500,P<0.01)are OSO risk factors(OR1.500,P<0.01).Conclusion1.This study found that the prevalence of OSO in the elderly hospitalized population was significantly higher than that in the community population,which was related to the average age,coexistence of multiple diseases,and severe illness.It reminded us that we should be more vigilant about OSO and strengthen screening in elderly hospitalized patients.2.In this study,the PBF in the elderly hospitalized population was higher than the normal value,and the SMI and GS were lower than the normal value.The overall population has the characteristics of high body fat and low muscle,which is in line with the characteristics of the change in body composition of the elderly.The detection rates of osteoporosis,sarcopenia,obesity,and OSO are higher in women than in men,suggesting that there are gender differences in OSO and its three elements.3.The average BMI of the enrolled population in this study was lower than the diagnostic cut-off value of obesity,but the average body fat rate was higher than the diagnostic cut-off value.Considering that the BMI did not consider the problem of fat ratio.Because the muscle content of the elderly decreases with age,but the fat content,especially abdominal fat,accumulates with age,so the BMI index is often within the normal range but the fat content is excessive.Therefore,we recommend: OSO diagnostic criteria In the determination of obesity,the body fat rate is used as an indicator,which can better reflect the true status of obesity in the elderly.4.In this study,the OSO group had high BMI,high PBF,high VFM,low grip strength,and low SMI,indicating that the coexistence of OSO 3diseases is more likely to aggravate musculoskeletal damage and fat accumulation than a single disease or two diseases.5.In this study,the detection rate of T2 DM in the OSO group was higher than that in the non-OSO group.The detection rate of T2 DM in the OSO group was significantly higher than that of non-OSO in female patients,and T2 DM was an independent risk factor for OSO.In view of the potential relationship between OSO and T2 DM,we should increase efforts to screen for OSO in the elderly,and pay attention to the screening and prevention of T2 DM in the elderly OSO population,so as to intervene in the three elements of OSO in advance to delay the progress of T2 DM.It has significant value to reduce the risk of complications and complications.At the same time,we should be alert to the occurrence of OSO in elderly people with T2 DM,especially female patients with T2 DM.It is recommended to screen the three elements of OSO early for early detection and early intervention to avoid the formation of a vicious circle,thereby improving the overall prognosis of the elderly and improving the quality of life.,Reduce social burden. |
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