Association between Visual Impairment and Nutritional Risk among Older Adults with Diabetes: A Population-Based Cross-Sectional Study.

Purpose: Despite the high prevalence of visual impairment caused by diabetic retinopathy and nutritional problems among older adults with diabetes, evidence regarding factors related to nutritional risk in this population is limited. Therefore, this study aimed to identify the correlates of nutritio...

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Publicado en:Journal of Korean Academy of Nursing Vol. 53; no. 2; pp. 167 - 177
Autores principales: Yang Eunjin, Lee Kyung Hee
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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        atl: Association between Visual Impairment and Nutritional Risk among Older Adults with Diabetes: A Population-Based Cross-Sectional Study.
      aug:
        au:
          Yang Eunjin
          Lee Kyung Hee
        affil: Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Korea
      sug:
        subj:
          Diabetes Mellitus Complications
          Diabetic Retinopathy Complications
          Vision Disorders Complications
          Malnutrition Risk Factors
          Risk Assessment
          Human
          Male
          Female
          Aged
          South Korea
          Secondary Analysis
          Questionnaires
          Analysis of Variance
          Chi Square Test
          Logistic Regression
          Descriptive Statistics
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Depression
          Functional Status
          Hospitalization
          Checklists
          Scales
          Psychological Tests
          Funding Source
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Despite the high prevalence of visual impairment caused by diabetic retinopathy and nutritional problems among older adults with diabetes, evidence regarding factors related to nutritional risk in this population is limited. Therefore, this study aimed to identify the correlates of nutritional risk among older adults with diabetes, focusing on visual impairment. Methods: This study was a secondary data analysis of the 2020 National Survey of Older Koreans aged 65 years and above. The sample comprised 2,376 older adults with diabetes, and complex sample ANOVA and Rao-Scott chi-square tests were used to compare the groups according to visual impairment. Complex- sample logistic regression analyses were conducted to verify the association between visual impairment and nutritional risk. Results: Older adults with diabetes, who also have severe visual impairment, are more likely to have nutritional risk status than those without impairment after controlling for covariates (odds ratio [OR] = 2.44, 95% confidence interval [CI] 1.16-5.13). Among the covariates, depression (OR = 3.58, 95% CI 2.60-4.94), dependent activities of daily living status (OR = 2.79, 95% CI 1.60-4.86), and experience of hospitalization during the past year (OR = 2.51, 95% CI 1.57-4.03) were strongly associated with nutritional risk. Conclusion: Severe visual impairment increases the nutritional risk among older adults with diabetes. Therefore, it is essential to prevent visual impairment due to exacerbation of diabetes through appropriate management. Additionally, tailored nutritional interventions for visually impaired older adults with diabetes that consider visual characteristics are required.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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