Intervensi Nutrisi pada Kualitas Hidup Lansia Penderita Diabetes Melitus 2
(Literature Riview)
DOI:
https://doi.org/10.57214/jasira.v4i1.296Keywords:
Diabetes Mellitus, Elderly, Nutrition, Nutrition Management, Quality of LifeAbstract
Type 2 diabetes mellitus in the elderly significantly impacts quality of life (QoL) due to physiological changes in aging, comorbidities,and the risk of chronic complications. Nutritional management is considered a key intervention to improve glycemic control and functional status in the elderly.Objective: To review the current evidence regarding the effect of nutritional interventions on the quality of life in elderly with type 2 diabetes mellitus through a Literature Review approach.Methods: The Literature Review was conducted by identifying articles from the Scopus database published in 2020–2025. The review process included screening based on inclusion-exclusion criteria, eligibility assessment, and narrative synthesis of relevant studies,including controlled trials,quasi-experimental studies, observational studies, and systematic observations.Results: From the selected studies, interventions with a low glycemic index diet and a balanced diet have been shown to reduce HbA1c levels and the risk of complications; a multicomponent program combining diet and exercise produces synergistic effects on glucose control, physical function,and quality of life.Structured nutrition education (DSME) and family involvement improve satisfaction and metabolic outcomes.The use of technology (mobile apps) shows potential in monitoring intake and glucose,although digital literacy challenges and limited sample size and study design are often limitations.Conclusion: Targeted nutrition interventions, especially when combined with exercise, education,family support,and age-friendly technology,have the potential to improve metabolic control and quality of life in older adults with T2DM.Recommendation: Large-scale RCTs and more robust longitudinal studies are needed to establish the long-term effectiveness and cost-effectiveness of multicomponent nutrition interventions and technology adaptations for older adults with multimorbidity.
References
Adilka Nurpadilah, A., Maulani, A. S. A., Astuti, E. T., Agnesti, S., & Ridwan, H. (2025). Implementasi keperawatan pada lansia yang menderita diabetes mellitus tipe 2. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 10(1). https://doi.org/10.51933/health.v10i1.2151
Arimbi, D. S. D., Lita, L., & Indra, R. L. (2020). Pengaruh pendidikan kesehatan terhadap motivasi mengontrol kadar gula darah pada pasien DM tipe II. Jurnal Keperawatan Abdurrab, 4(1). https://doi.org/10.36341/jka.v4i1.1244
Article, O., Sha, X., Zhao, X., & Chen, Y. (2024). The effects of dietary intervention combined with comprehensive exercise instruction on somatic function and quality of life in elderly patients with diabetes mellitus. 40(6).
Choi, Y., & Park, K. (2024). Health-related quality of life and nutrient intake of the elderly with type 2 diabetes according to comorbidity burden: A cross-sectional study. 29(5), 418–430.
Coleone, J. D., Bellei, E. A., Roman, M. K., Kirsten, R., Carolina, A., & Marchi, B. D. (2021). Dietary intake and health status of elderly patients with type 2 diabetes mellitus: Cross-sectional study using a mobile app in primary care. 5, 1–14. https://doi.org/10.2196/27454
Efliani, D., Permanasari, I., & Andriani. (2024). Faktor yang mempengaruhi diabetes mellitus tipe 2 pada lansia. Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan (Journal of Nursing Sciences), 13(1). https://doi.org/10.35328/keperawatan.v13i1.2630
Fridolin, A., Djoar, R. K., Luh, N., Purnama, A., Katolik, S., Vincentius, S., & Surabaya, P. (2020). Fungsi perawatan kesehatan keluarga pada anggota keluarga lansia penderita diabetes melitus. JPK: Jurnal Penelitian Kesehatan, 10(1).
Gayatri, R. W., Wardani, H. E., & Katmawanti, S. (2019). Hubungan hasil deteksi dini diabetes mellitus menggunakan aplikasi android “DM Personal Screening” dengan kadar gula darah acak pengunjung puskesmas Janti Kota Malang. Preventia: The Indonesian Journal of Public Health, 4(2), 116. https://doi.org/10.17977/um044v4i2p116-123
Gonzalez, G. C. G., Gonz, L. M., Montaña, I. C. J., Salgado, A. M. B., Fonseca, S. M. P., Solano, M. J. A., & Rico, C. L. V. (2024). Nutritional interventions in older persons with type 2 diabetes and frailty: A scoping systematic review. 1–14.
Jauhanita, D., Sriatmi, A., & Kartasurya, M. I. (2024). Management of diabetes mellitus in adolescents: Evaluation of nutritional approaches and nutritional interventions in a systematic review. MAHESA: Malahayati Health Student Journal, 4(5).
Jinglong, L., & Me, R. C. (2024). Investigating the health diet needs of diabetic elderly in daily life: A systematic review. 8(4), 1131–1143. https://doi.org/10.55214/25768484.v8i4.1487
Josefin, J. M., Debora, O., P. P. P., & Sipollo, B. V. (2025). Hubungan beban dengan kualitas hidup caregiver informal yang merawat lansia penderita diabetes melitus. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 11(3). https://doi.org/10.33023/jikep.v11i3.2797
Kasmawati, F. N., & Taha, M. D. (2024). Implementasi manajemen nutrisi pada Ny. N kasus diabetes melitus dengan masalah defisit nutrisi di ruangan Seroja Rumah Sakit Umum Daerah Undata Provinsi Sulawesi Tengah. Jurnal Kolaboratif Sains, 7(2).
Khoiruni, I. R., Isnawati, I. A., Hamim, N., & Alfarizi, M. (2023). Pengaruh pelatihan modifikasi diet terhadap kadar gula darah dan pola makan penderita diabetes melitus tipe 2 di Kabupaten Lumajang. Jurnal Ilmiah Ners Indonesia, 4(2). https://doi.org/10.22437/jini.v4i2.26685
Listyarini, A. D., Budi, I. S., & Assifah, Z. (2022). Gambaran kadar glukosa darah sewaktu pada lansia diabetes melitus di Desa Sambung. Jurnal Kesehatan Dan Kedokteran, 1(2). https://doi.org/10.56127/jukeke.v1i2.138
Lukman, A., Aguscik, & Agustini, V. A. (2023). Penerapan manajemen nutrisi pada asuhan keperawatan diabetes melitus tipe II dengan masalah keperawatan defisit nutrisi. Jurnal Aisyiyah Palembang, 8.
Mardhatillah, G., Mamfaluti, T., Jamil, K. F., Nauval, I., Dokter, S. P., Kedokteran, F., Kuala, U. S., Dalam, I. P., Aceh, B., Gizi, B. I., Kedokteran, F., Syiah, U., & Aceh, B. (2022). Kepatuhan diet, status gizi dan kualitas hidup pasien diabetes melitus tipe 2 di Posbindu PTM Puskesmas Ulee Kareng. 11, 285–293.
Mccready, R., Morris, C., Antwi-adjei, P., Pourghaed, M., Sarangi, A., & Boles, A. (2026). Relationships between diabetes, vitamin D status, depression, and Hispanic ethnicity: A project FRONTIER study. November 2024.
Meilani, N., Azis, W. O. A., & Rifandi, S. (2022). Faktor resiko kejadian diabetes mellitus pada lansia. Jurnal Ilmu Kesehatan, 15(4).
Meilani, N., Azis, W. O. A., & Saputra, R. (2022). Faktor Resiko Kejadian Diabetes Mellitus Pada Lansia. Poltekita: Jurnal Ilmu Kesehatan, 15(4). https://doi.org/10.33860/jik.v15i4.860
Milita, F., Handayani, S., & Setiaji, B. (2021). Kejadian Diabetes Mellitus Tipe II pada Lanjut Usia di Indonesia (Analisis Riskesdas 2018). Jurnal Kedokteran Dan Kesehatan, 17(1). https://doi.org/10.24853/jkk.17.1.9-20
Miller, C. K., Ph, D., Edwards, L., Kissling, G., Ph, D., & Sanville, L. (2002). Nutrition education improves metabolic outcomes among older adults with diabetes mellitus: Results from a randomized controlled trial. Preventive Medicine, 259, 252-259. https://doi.org/10.1006/pmed.2001.0985
Mugo, E. M., Nzuma, R., Tade, O. O., Epia, G. O., Funmilayo, O. G., & Anyibama, B. (2024). Intervensi nutrisi untuk mengelola komplikasi diabetes yang berhubungan dengan penyakit bawaan makanan: Tinjauan komprehensif. World Journal of Advanced Research and Reviews, 23(1).
Nurhaliza, S., Mulfianda, R., & Putra, Y. (2021a). Hubungan motivasi dan dukungan keluarga terhadap kepatuhan diet pada penderita diabetes mellitus. Idea Nursing Journal, XII(2).
Nurhaliza, S., Mulfianda, R., & Putra, Y. (2021b). The correlation of motivation and family support towards diet compliance for diabetes. Idea Nursing Journal, XII(2).
Rahmani, S., Wahyuni, S., & Lubis, S. (2025). Hubungan self-efficacy dengan quality of life pada penderita diabetes melitus di Puskesmas Bangkala Kota Makassar. Health Research's Journal, 2(3).
Rahmawati, A., Naziyah, N., & Helen, M. (2023). Pengaruh pendidikan kesehatan melalui media leaflet tentang diet DM terhadap pengetahuan dan kadar gula darah pada pasien DM di wilayah Kelurahan Pabuaran Mekar Provinsi Jawa Barat. Malahayati Nursing Journal, 5(8). https://doi.org/10.33024/mnj.v5i8.9073
Relica, C., & Retnaningsih, D. (2025). Penerapan diabetes self-management education terhadap kadar glukosa darah pada lansia penderita diabetes mellitus. Journal of Health Science, 2(1). https://doi.org/10.63425/ljhs.v2i1.72
Rita, N. (2018). Hubungan faktor genetik dan pola makan dengan kejadian diabetes mellitus pada lansia. Jurnal Kesehatan Medika Saintika, 9(1). https://doi.org/10.30633/jkms.v9i1.128
Sudarman, Y., Tampake, R., & Mangundap, S. A. (2025). Empat pilar kualitas hidup penderita diabetes mellitus di Rumah Sakit Umum Daerah Undata Palu, Propinsi Sulawesi Tengah. Jurnal Kesehatan, 8(12), 8525-8536. https://doi.org/10.56338/jks.v8i12.9702
Taliabo, P. B., & Rura, S. T. (2024). Gambaran kadar glukosa darah sewaktu lansia diabetes melitus di Puskesmas Lakessi Parepare. Jurnal Priomotif Preventif, 7(4).
Tamura, Y., Omura, T., Toyoshima, K., & Araki, A. (2020). Nutrition management in older adults with diabetes: A review on the importance of shifting prevention. Nutrients, 12(11), 3367. https://doi.org/10.3390/nu12113367
Ubaidillah, Z., et al. (2019). Hubungan tingkat kepatuhan terhadap kualitas hidup pada pasien diabetes. Jurnal Kesehatan Hesti Wira Sakti, 8(5).
World Health Organization (WHO). (2022). Prevalensia lansia di dunia.
Yahya, W. S., Wardojo, S. S. I., & Yuliadarwati, N. M. (2023). Analisis faktor yang mempengaruhi kualitas hidup pada lansia dengan diabetes melitus tipe 2 di Kota Malang. Nursing Update: Jurnal Ilmiah Ilmu Keperawatan, 14(3). https://doi.org/10.36089/nu.v14i3.1280
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