000048372 001__ 48372
000048372 005__ 20200221144334.0
000048372 0247_ $$2doi$$a10.3390/nu8030153
000048372 0248_ $$2sideral$$a94103
000048372 037__ $$aART-2016-94103
000048372 041__ $$aeng
000048372 100__ $$0(orcid)0000-0002-7758-3588$$aSanz-Paris, A.$$uUniversidad de Zaragoza
000048372 245__ $$aHealth-care costs, glycemic control and nutritional status in malnourished older diabetics treated with a hypercaloric diabetes-specific enteral nutritional formula
000048372 260__ $$c2016
000048372 5060_ $$aAccess copy available to the general public$$fUnrestricted
000048372 5203_ $$aDiabetes-specific formulas are an effective alternative for providing nutrients and maintaining glycemic control. This study assesses the effect of treatment with an oral enteral nutrition with a hypercaloric diabetes-specific formula (HDSF) for one year, on health-care resources use, health-care costs, glucose control and nutritional status, in 93 type-2 diabetes mellitus (T2DM) malnourished patients. Changes in health-care resources use and health-care costs were collected the year before and during the year of intervention. Glucose status and nutritional laboratory parameters were analyzed at baseline and one-year after the administration of HDSF. The administration of HDSF was significantly associated with a reduced use of health-care resources, fewer hospital admissions (54.7%; p < 0.001), days spent at hospital (64.1%; p < 0.001) and emergency visits (57.7%; p < 0.001). Health-care costs were reduced by 65.6% (p < 0.001) during the intervention. Glycemic control (shortand long-term) and the need of pharmacological treatment did not change, while some nutritional parameters were improved at one year (albumin: +10.6%, p < 0.001; hemoglobin: +6.4%, p = 0.026). In conclusion, using HDSF in malnourished older type-2 diabetic patients may allow increasing energy intake while maintaining glucose control and improving nutritional parameters. The use of health-care resources and costs were significantly reduced during the nutritional intervention.
000048372 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000048372 590__ $$a3.55$$b2016
000048372 591__ $$aNUTRITION & DIETETICS$$b23 / 81 = 0.284$$c2016$$dQ2$$eT1
000048372 592__ $$a1.542$$b2016
000048372 593__ $$aNutrition and Dietetics$$c2016$$dQ1
000048372 593__ $$aFood Science$$c2016$$dQ1
000048372 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000048372 700__ $$aBoj-Carceller, D.$$uUniversidad de Zaragoza
000048372 700__ $$aLardies-Sanchez, B.
000048372 700__ $$aPerez-Fernandez, L.
000048372 700__ $$aCruz-Jentoft, A.
000048372 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000048372 773__ $$g8, 3 (2016), 153 [10 pp]$$pNUTRIENTS$$tNutrients$$x2072-6643
000048372 8564_ $$s1097270$$uhttps://zaguan.unizar.es/record/48372/files/texto_completo.pdf$$yVersión publicada
000048372 8564_ $$s73350$$uhttps://zaguan.unizar.es/record/48372/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000048372 909CO $$ooai:zaguan.unizar.es:48372$$particulos$$pdriver
000048372 951__ $$a2020-02-21-13:46:44
000048372 980__ $$aARTICLE