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Sodium Intake and Incidence of Diabetes Complications in Elderly Patients with Type 2 Diabetes—Analysis of Data from the Japanese Elderly Diabetes Intervention Study (J-EDIT)
 
 
Review

Energy Requirements for Older Patients with Type 2 Diabetes: A Narrative Review of the Current Findings and Future Tasks

Sports Medicine Research Center, Keio University, Yokohama 223-8521, Japan
Academic Editor: Antonio Brunetti
Nutrients 2021, 13(3), 753; https://doi.org/10.3390/nu13030753
Received: 2 February 2021 / Revised: 18 February 2021 / Accepted: 24 February 2021 / Published: 26 February 2021
(This article belongs to the Special Issue Nutrition and Geriatric Syndromes in Older Adults with Diabetes)
Aging patients with type 2 diabetes (T2DM) have a high risk of frailty and disability. This narrative review summarizes the current findings and future tasks regarding the following issues: (1) the optimum body mass index (BMI) target for patients with T2DM, (2) energy expenditure and requirements of patients with T2DM, and (3) the significance of low-intensity physical activity (LPA) as a key determinant of total energy expenditure (TEE) among the older population. While weight reduction is associated with an improvement in glycemic control, an increased risk of mortality as well as disability related to unhealthy BMI must also be considered, especially in older patients. The optimum BMI range and energy requirements for maintaining a healthy BMI should be identified. Limited evidence has shown that the TEE measured using the doubly labeled water method in patients with T2DM did not differ from that of subjects without diabetes, suggesting that the energy requirement data of subjects without diabetes may be applicable to these populations. LPA is one of the determinants of variability in the energy requirements of older patients with T2DM, and the beneficial effects of increasing LPA on nutritional intake and frailty prevention should be investigated further. View Full-Text
Keywords: diabetes mellitus; older patients; energy expenditure; body mass index; doubly labeled water; low-intensity physical activity diabetes mellitus; older patients; energy expenditure; body mass index; doubly labeled water; low-intensity physical activity
MDPI and ACS Style

Katsukawa, F. Energy Requirements for Older Patients with Type 2 Diabetes: A Narrative Review of the Current Findings and Future Tasks. Nutrients 2021, 13, 753. https://doi.org/10.3390/nu13030753

AMA Style

Katsukawa F. Energy Requirements for Older Patients with Type 2 Diabetes: A Narrative Review of the Current Findings and Future Tasks. Nutrients. 2021; 13(3):753. https://doi.org/10.3390/nu13030753

Chicago/Turabian Style

Katsukawa, Fuminori. 2021. "Energy Requirements for Older Patients with Type 2 Diabetes: A Narrative Review of the Current Findings and Future Tasks" Nutrients 13, no. 3: 753. https://doi.org/10.3390/nu13030753

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