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Association between Visual Impairment and Nutritional Risk among Older Adults with Diabetes: A Population-Based Cross-Sectional Study
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Eunjin Yang, Kyung Hee Lee
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J Korean Acad Nurs 2023;53(2):167-176. Published online April 30, 2023
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DOI: https://doi.org/10.4040/jkan.22141
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Abstract
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- 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.
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Citations
Citations to this article as recorded by 
- Insights into the associated risk factors of malnutrition among nursing home residents: A longitudinal study
Johanna de Almeida Mello, Emilie Schoebrechts, Patricia Ann Ivonne Vandenbulcke, Anja Declercq, Jan De Lepeleire, Christophe Matthys, Dominique Declerck, Joke Duyck Clinical Nutrition.2024; 43(11): 166. CrossRef - Frailty and Visual Impairment in Elderly Individuals: Improving Outcomes and Modulating Cognitive Decline Through Collaborative Care Between Geriatricians and Ophthalmologists
Daniel Dinarvand, Johann Panthakey, Ahmed Hassan, Mohamed H. Ahmed Diseases.2024; 12(11): 273. CrossRef - Malnutrition Risk in Community-Dwelling Older Adults with Dual Sensory Declines: Focusing on Social Determinants of Health
Ha Na Jeong Research in Community and Public Health Nursing.2024; 35: 325. CrossRef
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Diabetes Self-Management Experience of Patients with Diabetes: Focused on the Visually Impaired
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Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hee Jung Kim
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J Korean Acad Nurs 2021;51(1):92-104. Published online February 28, 2021
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DOI: https://doi.org/10.4040/jkan.20231
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Abstract
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- Purpose
This study aimed to understand and describe the diabetes self-management experience of visually impaired people with diabetes. Methods Ten participants were recruited through a website used by the visually impaired from February to March 2020. Data were collected through two focus group interviews conducted in June 2020; each group consisted of five participants. All interviews were recorded with the consent of the participants and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis. Results Seven categories were as follows; a two-faced, lifelong companion, an unprepared encounter, struggle to live, love-hate relationship with family, strategies to adapt, lessening attention to self-management, the desire to learn properly. Conclusion It can be concluded that the visually impaired have fewer opportunities for receiving diabetes self-management education than general diabetic patients. Consequently, plans to improve the education available to such patients are required. Additionally, psychological counseling and diabetes education for patients’ families are necessary, and improving the perception of medical workers regarding the visually impaired will be prove useful.
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Citations
Citations to this article as recorded by 
- Diabetes care for people experiencing homelessness in the UK: insights from a national survey of frontline professionals and the development of an integrated care model
Daniela Oehring, Martha Paisi, Mona Nasser, Theo Jackson, Ryan Young, Lynne Wooff, Helen Partridge, Jacqueline Conaty, Samantha Dorney-Smith Frontiers in Public Health.2025;[Epub] CrossRef - Widening disparities in the national prevalence of diabetes mellitus for people with disabilities in South Korea
I. Hwang, S.Y. Kim, Y.Y. Kim, J.H. Park Public Health.2024; 226: 173. CrossRef - A Tailored Intervention for Improving Diabetes Self-care Among Adults With Visual Impairment: A Pilot Study
Hee Jung Kim, Kyoung-eun Lee, Eunjin Yang, Sun Ju Chang Canadian Journal of Diabetes.2024; 48(6): 394. CrossRef - The Impact of Visual Impairment on Healthcare Use among Four Medical Institution Types: A Nationwide Retrospective Cohort Study in Korea
Boyoung Jeon, Heejo Koo, Hee Kyoung Choi, Euna Han Yonsei Medical Journal.2023; 64(7): 455. CrossRef - Association between Visual Impairment and Nutritional Risk among Older Adults with Diabetes: A Population-Based Cross-Sectional Study
Eunjin Yang, Kyung Hee Lee Journal of Korean Academy of Nursing.2023; 53(2): 167. CrossRef - Who are the most vulnerable populations for primary care? Avoidable hospitalizations across individuals with different types of disabilities in South Korea
S. Kim, B. Jeon Public Health.2023; 217: 138. CrossRef - Factors Associated With Diabetes Self-Care Behaviors of People With Visual Impairment: A Cross-Sectional Study
Sun Ju Chang, Hee Jung Kim, Kyoung-eun Lee, Eunjin Yang The Science of Diabetes Self-Management and Care.2022; 48(5): 324. CrossRef
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