Factors associated with type 2 diabetes mellitus in older adults living in Coastal Areas: Implications for community nursing practice
Dublin Core
Title
Factors associated with type 2 diabetes mellitus in older adults living in Coastal Areas: Implications for community nursing practice
Subject
community; older adults; T2DM
Description
Background: Indonesia’s growing older adult population is experiencing
a rising burden of type 2 diabetes mellitus (T2DM). Coastal populations
face unique risks, including limited health service access, dependence on
fisheries-based livelihoods, and dietary patterns high in salt and low in fresh
produce. These factors may heighten vulnerability to T2DM, yet remain
underexplored.
Purpose: This study aimed to examine determinants of T2DM among older
adults living in a coastal community.
Methods: A cross-sectional study was conducted with 86 older adults
selected using purposive sampling between October 30 and December
14, 2024. Data were collected using demographic questionnaires, the Mini
Nutritional Assessment (MNA), the Geriatric Depression Scale (GDS), and
the Physical Activity Scale for the Elderly (PASE). Chi-square tests assessed
associations between independent variables and T2DM, and variables
with p < 0.25 were entered into multivariable logistic regression to identify
significant predictors.
Results: Comorbidity (p < 0.001), nutritional status (p = 0.001), physical
activity (p < 0.001), and depression (p < 0.001) were significantly associated
with T2DM. In multivariable analysis, lower physical activity emerged as the
strongest predictor (OR = 4.13, 95% CI: 1.18–14.48; Wald = 4.92; p = 0.027).
Comorbidity (OR = 3.61), depression (OR = 3.64), and nutritional status (OR
= 3.28) also remained significant independent factors.
Conclusion: T2DM among older adults in coastal areas was more likely in
those with comorbidities, depressive symptoms, altered nutritional status,
and especially low physical activity. These findings highlight the need for
community-based nursing interventions emphasizing physical activity
promotion, nutritional counseling, and depression screening to mitigate
T2DM risk in vulnerable coastal populations
a rising burden of type 2 diabetes mellitus (T2DM). Coastal populations
face unique risks, including limited health service access, dependence on
fisheries-based livelihoods, and dietary patterns high in salt and low in fresh
produce. These factors may heighten vulnerability to T2DM, yet remain
underexplored.
Purpose: This study aimed to examine determinants of T2DM among older
adults living in a coastal community.
Methods: A cross-sectional study was conducted with 86 older adults
selected using purposive sampling between October 30 and December
14, 2024. Data were collected using demographic questionnaires, the Mini
Nutritional Assessment (MNA), the Geriatric Depression Scale (GDS), and
the Physical Activity Scale for the Elderly (PASE). Chi-square tests assessed
associations between independent variables and T2DM, and variables
with p < 0.25 were entered into multivariable logistic regression to identify
significant predictors.
Results: Comorbidity (p < 0.001), nutritional status (p = 0.001), physical
activity (p < 0.001), and depression (p < 0.001) were significantly associated
with T2DM. In multivariable analysis, lower physical activity emerged as the
strongest predictor (OR = 4.13, 95% CI: 1.18–14.48; Wald = 4.92; p = 0.027).
Comorbidity (OR = 3.61), depression (OR = 3.64), and nutritional status (OR
= 3.28) also remained significant independent factors.
Conclusion: T2DM among older adults in coastal areas was more likely in
those with comorbidities, depressive symptoms, altered nutritional status,
and especially low physical activity. These findings highlight the need for
community-based nursing interventions emphasizing physical activity
promotion, nutritional counseling, and depression screening to mitigate
T2DM risk in vulnerable coastal populations
Creator
La Ode Hidayat ZI1,2* , Sri Susanty3 , Suhadi Suhadi4
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
August 30, 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
La Ode Hidayat ZI1,2* , Sri Susanty3 , Suhadi Suhadi4, “Factors associated with type 2 diabetes mellitus in older adults living in Coastal Areas: Implications for community nursing practice,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10808.