Turkish Journal of Geriatrics 2022 , Vol 25, Issue 4
THE RELATIONSHIP BETWEEN GLYCAEMIC INDEX, DAILY ENERGY INTAKE, METABOLIC PARAMETERS, AND BODY COMPOSITION IN THE ELDERLY: A CROSS-SECTIONAL STUDY
Burak METE1, Lezzan KESKÄ°N2
1Cukurova University, Faculty of Medicine, Department of Public Health, ADANA, Turkey
2Turgut Özal University Malatya Training and Research Hospital , Endocrinology Department , MALATYA, Turkey
DOI : 10.31086/tjgeri.2022.324 Introduction: This study aimed to evaluate the relationship between dietary glycaemic index, daily energy intake, metabolic parameters and body composition in elderly individuals.

Materials and Methods: This is a cross-sectional study that included 198 elderly individuals who applied to the endocrinology outpatient clinic. Participants were asked to record the foods they consumed on three-day diet forms, which would be collected the following week at the time when also the metabolic parameters would be measured and body composition analyses performed at the polyclinic. Nutrient content was recorded with the BeBIS software. The body composition was analysed by using the bioelectrical impedance method.

Results: The mean age of 198 people included in the study was 67.78±2.76 (65?78). HbA1c, insulin and HOMA-IR, visceral adiposity rates, body fat mass and metabolic age were found to be higher in participants with a dietary glycaemic index ?70, and the effect of the glycaemic index on these parameters was statistically small. The daily energy intake showed a positive correlation with fasting blood glucose, triglyceride and triglycerideglucose (TyG) index. Both the daily energy intake and glycaemic index showed a weakly positive correlation with visceral adiposity, metabolic age, body fat mass and body mass index. A dietary glycaemic index ?70 was observed to increase the risk of obesity OR=3.7 times (95% CI=1.72 ? 7.94), and the risk of HbA1C higher than 8 to increase OR=3.13 times (95% CI=1.0 ? 9.74).

Conclusion: An increase in the dietary glycaemic index and the daily energy intake in the elderly results in poor glycaemic control. Keywords : Aged; Glycaemic Index; Obesity