Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis

Abstract The prevalence of malnutrition in diabetic patients and its influencing factors remain poorly described. We aim to investigate the prevalence of malnutrition and the influencing factors in diabetic patients through meta‐analysis. Utilizing search terms, such as diabetes, malnutrition, and p...

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Main Authors: Tong Zhang, Jiangxia Qin, Jiali Guo, Jianhui Dong, Junbo Chen, Yuxia Ma, Lin Han
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:Journal of Diabetes
Subjects:
Online Access:https://doi.org/10.1111/1753-0407.13610
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author Tong Zhang
Jiangxia Qin
Jiali Guo
Jianhui Dong
Junbo Chen
Yuxia Ma
Lin Han
author_facet Tong Zhang
Jiangxia Qin
Jiali Guo
Jianhui Dong
Junbo Chen
Yuxia Ma
Lin Han
author_sort Tong Zhang
collection DOAJ
description Abstract The prevalence of malnutrition in diabetic patients and its influencing factors remain poorly described. We aim to investigate the prevalence of malnutrition and the influencing factors in diabetic patients through meta‐analysis. Utilizing search terms, such as diabetes, malnutrition, and prevalence, we systematically searched eight databases, including Embase, PubMed, Web of Science, The Cochrane Library, China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Chinese Biomedical Database (CBM), and VIP Database, from inception to May 4, 2023. The search aimed to identify studies related to the prevalence of malnutrition and its influencing factors in adult patients with diabetes. Cohort studies, case–control studies, and cross‐sectional studies that met the inclusion criteria were included in the analysis. Stata 16.0 software was used for meta‐analysis. Quality of the evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation (GRADE). The study protocol is registered with Prospective Register of Systematic Reviews (PROSPERO), CRD42023443649. A total of 46 studies were included, involving 18 062 patients with ages ranging from 18 to 95 years. The overall malnutrition prevalence was 33% (95% confidence interval [CI]: 0.25–0.40), compared with an at‐risk prevalence of 44% (95% CI: 0.34–0.54). Sixteen factors associated with malnutrition in diabetic patients were identified. This meta‐analysis provides insights into the prevalence of malnutrition and its risk factors in diabetic patients. Regular nutritional screening for patients with risk factors is essential for early detection and intervention.
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spelling doaj-art-815c98f4fc324448898d759daf2c1cf62024-12-26T11:52:04ZengWileyJournal of Diabetes1753-03931753-04072024-10-011610n/an/a10.1111/1753-0407.13610Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysisTong Zhang0Jiangxia Qin1Jiali Guo2Jianhui Dong3Junbo Chen4Yuxia Ma5Lin Han6Evidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaEvidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaEvidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaEvidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaEvidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaEvidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaEvidence‐Based Nursing, School of Nursing Lanzhou University Lanzhou ChinaAbstract The prevalence of malnutrition in diabetic patients and its influencing factors remain poorly described. We aim to investigate the prevalence of malnutrition and the influencing factors in diabetic patients through meta‐analysis. Utilizing search terms, such as diabetes, malnutrition, and prevalence, we systematically searched eight databases, including Embase, PubMed, Web of Science, The Cochrane Library, China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Chinese Biomedical Database (CBM), and VIP Database, from inception to May 4, 2023. The search aimed to identify studies related to the prevalence of malnutrition and its influencing factors in adult patients with diabetes. Cohort studies, case–control studies, and cross‐sectional studies that met the inclusion criteria were included in the analysis. Stata 16.0 software was used for meta‐analysis. Quality of the evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation (GRADE). The study protocol is registered with Prospective Register of Systematic Reviews (PROSPERO), CRD42023443649. A total of 46 studies were included, involving 18 062 patients with ages ranging from 18 to 95 years. The overall malnutrition prevalence was 33% (95% confidence interval [CI]: 0.25–0.40), compared with an at‐risk prevalence of 44% (95% CI: 0.34–0.54). Sixteen factors associated with malnutrition in diabetic patients were identified. This meta‐analysis provides insights into the prevalence of malnutrition and its risk factors in diabetic patients. Regular nutritional screening for patients with risk factors is essential for early detection and intervention.https://doi.org/10.1111/1753-0407.13610diabetesinfluencing factorsmalnutritionmeta‐analysisprevalence
spellingShingle Tong Zhang
Jiangxia Qin
Jiali Guo
Jianhui Dong
Junbo Chen
Yuxia Ma
Lin Han
Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis
Journal of Diabetes
diabetes
influencing factors
malnutrition
meta‐analysis
prevalence
title Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis
title_full Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis
title_fullStr Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis
title_full_unstemmed Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis
title_short Prevalence and influencing factors of malnutrition in diabetic patients: A systematic review and meta‐analysis
title_sort prevalence and influencing factors of malnutrition in diabetic patients a systematic review and meta analysis
topic diabetes
influencing factors
malnutrition
meta‐analysis
prevalence
url https://doi.org/10.1111/1753-0407.13610
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