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INVESTIGATION OF RISK FACTORS FOR DEPRESSION IN ELDERLY PATIENTS WITH TYPE 2 DIABETES AT THONG NHAT HOSPITAL
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Abstract
Background: Depression is a common comorbidity among elderly patients with type 2 diabetes mellitus (T2DM) worldwide. This condition negatively impacts self-care ability, treatment adherence, and glycemic control, thereby increasing the risk of complications and reducing quality of life. Moreover, depressive symptoms in the elderly are often atypical, easily overlooked, or mistaken for the natural manifestations of aging or for diabetes-related symptoms, leading to delayed diagnosis and intervention. Although numerous international studies have identified associated risk factors, research data from Vietnam remain limited and insufficient to guide effective treatment and prevention strategies. This study aims to provide essential information on the prevalence and risk factors of depression in elderly patients with T2DM, thereby contributing to improved treatment outcomes and quality of life for this patient population. Objective: To determine the prevalence of, and identify risk factors for, depression among elderly patients with type 2 diabetes mellitus. Methods: A cross-sectional study was conducted on elderly patients diagnosed with type 2 diabetes mellitus at the Endocrinology Outpatient Clinic of Thong Nhat Hospital from September 2024 to December 2024. Results: The findings of this study revealed that the prevalence of depression among elderly patients with type 2 diabetes was 19.71%, with the majority of cases classified as mild (88.41%). Several factors were identified as being associated with depression, including gender, age group, marital status, educational attainment, physical activity levels, duration of diabetes, insulin usage, HbA1C levels, Instrumental Activities of Daily Living (IADL), frailty, malnutrition, the number of medications, and the presence of comorbidities. Notably, frailty — as assessed by the Clinical Frailty Scale (CFS) — and malnutrition — evaluated using the Mini Nutritional Assessment-Short Form (MNA-SF) — emerged as significant risk factors in the multivariate regression analysis. Conclusion: Depression is a common condition among elderly patients with type 2 diabetes. This study highlights the importance of assessing frailty and managing nutritional status to reduce the risk of depression and improve quality of life in this patient population.
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Keywords
Depression, Type 2 diabetes, Elderly
References
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