MỐI LIÊN QUAN GIỮA THIẾU CƠ VÀ CÁC ĐẶC ĐIỂM LÂM SÀNG Ở BỆNH NHÂN CAO TUỔI ĐÁI THÁO ĐƯỜNG TÍP 2 NGOẠI TRÚ

Abstract

Objective: To investigate the association between sarcopenia and clinical characteristics in elderly outpatients with type 2 diabetes mellitus (T2DM). Methods: A descriptive cross-sectional study was conducted on 150 patients aged ≥60 years with T2DM at the Endocrinology Clinic of Can Tho Central General Hospital from April to October 2022. Sarcopenia was assessed using the SARC-CalF score (cut-off ≥11 points). Data were collected through medical history interviews, physical examinations, and calf circumference measurements. Statistical analyses were performed using SPSS version 20.0, including chi-squared tests, t-tests, and logistic regression. Results: The prevalence of sarcopenia according to the SARC-CalF score was 50.7%. Sarcopenia was significantly associated with female sex (p<0.01), older age (p<0.001), lower body mass index (BMI) (p<0.01), smaller waist circumference (p<0.05), longer diabetes duration (p<0.01), poor glycemic control (HbA1c ≥7%) (p<0.05), and lower levels of physical activity (p<0.001). Conclusion: Sarcopenia is a common condition among elderly outpatients with T2DM, particularly in women, older individuals, those with poor glycemic control, and those with low physical activity. Routine screening for sarcopenia is essential to enable early interventions aimed at improving mobility and quality of life.