Type 2 Diabetes in the Elderly in Obuasi: Management Strategies and Effect on Nutrition and Health


Authors : Boakye Kwame Yiadom; Anthony Kwaku Edusei; Boakye Boatema Akua; Emmanuel Adombor

Volume/Issue : Volume 9 - 2024, Issue 4 - April

Google Scholar : https://tinyurl.com/y952du3v

Scribd : https://tinyurl.com/38e4svv6

DOI : https://doi.org/10.38124/ijisrt/IJISRT24APR1010

Abstract : Type 2 Diabetes Mellitus (DM) is a chronic non-communicable disease which requires effective management strategies, especially in the elderly, in order to maintain good nutrition and ensure optimal health. The main objective of the study was to assess the management strategies of Type 2 DM in the elderly as well as the effects of Type 2 Diabetes Mellitus on the nutrition and health of persons aged 60 years and above in Obuasi Municipality. Using a cross sectional study design 100 respondents comprising Type 2 diabetic patients were selected purposively to respond to the research instruments. Questionnaire and a mini nutritional assessment tool were the main instruments for the study. The findings of the study indicated that majority of the respondents were within the age range of 60-65 years and were females. Also, most of the respondents had pharmacotherapy and diet therapy as their treatment options for the management of the type 2 diabetes. Again, majority of the patients were on anti- diabetic medications while few were on insulin. Furthermore, half of the respondents had physical activities as part of their management. About half (45%) of the respondents had hypertension as additional chronic disease. Most (52.7%) of the respondents aged 60-65 years had normal nutritional status. Also, majority (45.8%) of the female respondents were malnourished. There is the need for health authorities to develop local- specific diabetes management guidelines for the patients. Dietitians/Doctors should intensify awareness and education diabetes to reduce the prevalence of diabetes and improve outcomes for the persons with the disease.

Keywords : Type 2 Diabetes, Elderly, Nutritional Status, Diet Therapy, Pharmacotherapy, Anti-Diabetic Medications, Comorbidities and Physical Activities.

References :

  1. Agbogli, H., Annan, R., Agyemang-Duah, E. & Mak-Mensah, E. (2017). Prevalence and Risk factors of Diabetes Mellitus Among the inhabitants of Kumasi Metropolis; Archives of Clinical and Biomedical Research. DOI: 10.26502/acbr.50170025
  2. Aliabadi, M. , Kimiagar, M., Ghayour Mobarhan, M. & Ilati Feiz Abadi, A. (2016). Prevalence of Malnutrition and Factors Related to it in The Elderly Subjects in Khorasan Razavi Province Iran. NSFT 2007; 2(3): 45-56.
  3. American Diabetes Association Professional Practice Committee (2022). 13. Older Adults: Standards of Medical Care in Diabetes-2022. Diabetes care45(Suppl 1), S195–S207. https://doi.org/10.2337/dc22-S013
  4. Amoah A. G. (2003). Sociodemographic variations in obesity among Ghanaian adults. Public health nutrition6(8), 751–757. https://doi.org/10.1079/phn2003506
  5. Amoah, A.G., Owusu, S.K., & Adjei, S. (2002). Diabetes in Ghana: a community based prevalence study in Greater Accra. Diabetes Res Clin Pract, 56, 197–205.
  6. Avwokeni J.A. (2006). Research Methods: Process, Evaluation & Critique. Port Harcourt: Unicampus Tutorial Services.
  7. CDC (2017). National Diabetes Statistics Report: Estimates of Diabetes and its burden in the United States.
  8. Chentli F, Azzoug S, & Mahgoun, S. (2015). Diabetes mellitus in elderly. Indian Journal of Endocrinology and Metabolism., 19(6), 744.
  9. Colberg, S. (2007). Physical activity, insulin action, and diabetes prevention and control. Curr Diabetes Rev., 3(3), 176–84.
  10. Danquah, I., Bedu-Addo, G., Terpe, K. J., Micah, F., Amoako, Y. A., Awuku, Y. A., Dietz, E., van der Giet, M., Spranger, J., & Mockenhaupt, F. P. (2012). Diabetes mellitus type 2 in urban Ghana: characteristics and associated factors. BMC public health12, 210. https://doi.org/10.1186/1471-2458-12-210
  11. Dunn, A. & Dixon, S. (2013). Diabetes and cancer: addressing interrelationships and treatment recommendations. Spring, 21 (2).
  12. Hinkle, J.L. & Cheever, K.H. (2010). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (14th ed). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins Ghana ranks 6th on diabetes table in Africa (2017, November 17), Joynews. Retrieved from https://www.myjoyonline.com/ghana-ranks-6th-on-diabetes-table-in-africa/
  13. Gill, J.M. & Cooper. A. (2008). Physical activity and prevention of type 2 diabetes mellitus. Sports Medicine. 2, 38(10), 807–24.
  14. IDF (2019). IDF Diabetes Atlas. (9th ed.). Retrieved from https://www.diabetesatlas.org/
  15. Joanna, S.C., Bare, B.G., Hinkle, J.L. & Cheever, K.H. (2010). Comprehensive Assessment of Malnutrition Risk and Factors in A Large Group of Community-Dwelling Older Adults. JCN 2010; 29(4): 507-11.
  16. LaMonte, M. J., Blair, S. N., & Church, T. S. (2005). Physical activity and diabetes prevention. Journal of applied physiology (Bethesda, Md. : 1985)99(3), 1205–1213. https://doi.org/10.1152/japplphysiol.00193.2005
  17. Low, L. (2010). The epidemic of Type 2 diabetes mellitus in Asia-Pacific region. Pediatr Diabetes, 11, 212–5.
  18. Masumi,  E.W., Beckles, G.L., Williamson, D.F., Leveille, S.G., Langlois, J.A. & Engelgau, M.M. (2012) Diabetes and physical disability among older US adults. Diab Care;23 (9):1272–7
  19. Meneilly, G.S. (2006). Diabetes in the Elderly. Indian Journal of Endocrinology and Metabolism, 90(5). DOI:https://doi.org/10.1016/j.mcna.2006.05.011
  20. Olokoba AB, Obateru OA, O. L. (2012). Type 2 diabetes mellitus: a review of current trends. Oman Medical Journal., 27(4), 269.
  21. Pasdar Y. (2016). Determining nutritional status of elderly people covered by Kermanshah state centers: Its relation with biochemical markers. Journal of Behbood; 15(3): 178-85.
  22. Polikandrioti, M. & Dokoutsidou, H. (2009). The role of exercise and nutrition in type II diabetes mellitus management. Health Science Journal., 3(4).
  23. Rich, Z., Halil, M., Kalan, I., Yavuz, B.B., Cankurtaran, M., Gungor, E. & Ariogul, S. (2012). Comprehensive Assessment of Malnutrition Risk and Factors in A Large Group of Community-Dwelling Older Adults. JCN 2012; 29(4): 507-11. DOI: 10.1016/j.clnu.2010.01.006
  24. Sloan, F. A., Bethel, M. A., Ruiz, D., Jr, Shea, A. M., & Feinglos, M. N. (2008). The growing burden of diabetes mellitus in the US elderly population. Archives of internal medicine168(2), 192–199. https://doi.org/10.1001/archinternmed.2007.35
  25. Smith, A. D., Crippa, A., Woodcock, J., & Brage, S. (2016). Physical activity and incident type 2 diabetes mellitus: a systematic review and dose-response meta-analysis of prospective cohort studies. Diabetologia59(12), 2527–2545. https://doi.org/10.1007/s00125-016-4079-0
  26. United Nations (2015). World Population Prospects: the 2015 Revision. Retrieved from http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015.._
  27. Valery, P. C., Ibiebele, T., Harris, M., Green, A. C., Cotterill, A., Moloney, A., Sinha, A. K., & Garvey, G. (2012). Diet, physical activity, and obesity in school-aged indigenous youths in northern Australia. Journal of obesity2012, 893508. https://doi.org/10.1155/2012/893508
  28. WHO (2016). Global Report on Diabetes. Retrieved from www.apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf
  29. Yamane, T. (1967). Statistics, An Introductory Analysis, 2nd Ed., New York: Harper and Row.

Type 2 Diabetes Mellitus (DM) is a chronic non-communicable disease which requires effective management strategies, especially in the elderly, in order to maintain good nutrition and ensure optimal health. The main objective of the study was to assess the management strategies of Type 2 DM in the elderly as well as the effects of Type 2 Diabetes Mellitus on the nutrition and health of persons aged 60 years and above in Obuasi Municipality. Using a cross sectional study design 100 respondents comprising Type 2 diabetic patients were selected purposively to respond to the research instruments. Questionnaire and a mini nutritional assessment tool were the main instruments for the study. The findings of the study indicated that majority of the respondents were within the age range of 60-65 years and were females. Also, most of the respondents had pharmacotherapy and diet therapy as their treatment options for the management of the type 2 diabetes. Again, majority of the patients were on anti- diabetic medications while few were on insulin. Furthermore, half of the respondents had physical activities as part of their management. About half (45%) of the respondents had hypertension as additional chronic disease. Most (52.7%) of the respondents aged 60-65 years had normal nutritional status. Also, majority (45.8%) of the female respondents were malnourished. There is the need for health authorities to develop local- specific diabetes management guidelines for the patients. Dietitians/Doctors should intensify awareness and education diabetes to reduce the prevalence of diabetes and improve outcomes for the persons with the disease.

Keywords : Type 2 Diabetes, Elderly, Nutritional Status, Diet Therapy, Pharmacotherapy, Anti-Diabetic Medications, Comorbidities and Physical Activities.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe