SR ORAL 2 - ASSOCIATION BETWEEN COGNITIVE FUNCTION AND SEDENTARY BEHAVIOUR WITH SARCOPENIA AMONG OLDER ADULTS WITH TYPE 2 DIABETES MELLITUS IN A PRIMARY CARE SETTING. Cheow Yi Qi, Kong Wen Yuan

Yi Qi C. 1, Wen Yuan K. 1, Winnie C. 2, Harvinder Kaur GS. 2

 

1 B. Sc (Hons) in Dietetics with Nutrition, International Medical University (IMU), Kuala Lumpur

2 Department of Nutrition and Dietetics, International Medical University (IMU), Kuala Lumpur

 

Objective

This study investigated the association between cognitive function and sedentary behaviour with sarcopenia among older adults with Type 2 Diabetes Mellitus (T2DM) in a primary care setting.

 

Methodology

In this retrospective study, a total of 107 multi-ethnic HD patients were recruited from 3 dialysis centres in Pulau Pinang. Data was collected via face-to-face interview. Food security status was assessed using the validated 10-items USDA-FSSM. Differences in food intakes and post-dialysis weight before and during the full-blown MCO (6th week) in 2020 were determined and analyzed using general linear model.

 

Results & Discussion

Majority of the participants were males (52.3%), with a mean age of 69.9±5.4 years and have been having diabetes for an average of 12.1±8.0 years. The studied population had a high prevalence of sarcopenia (95.5%) with 91.3% of males and 100% of females. Males were more muscular with a higher skeletal muscle mass, RASM and HGS than females, (p<0.001) while females had more body fat. However, all participants, regardless of gender revealed a low RASM value and all females had a low HGS. Also, sarcopenic participants were older than non-sarcopenic participants (70.3±5.3 years old vs 62.0±1.4 years old). There were no significant association between cognitive function and sedentary behaviour with sarcopenia, (p>0.05). 20.5% participants had impaired cognition and an average MMSE score of sarcopenic (26.1±3.5 points) was similar to that of non-sarcopenic (26.5±3.5 points). 43% participants had sedentary behaviour which age, body fat (%), fat-free mass (kg and %) were greatly associated with sedentary behaviour among participants.


Conclusion
This study suggested that cognitive function and sedentary behaviour were not associated with sarcopenia among T2DM older adults in a primary care setting. Further studies with larger sampling are needed to confirm the preliminary findings in this study.