Diabetes Mellitus Is Associated With an Increased Risk of Falls in Elderly Residents of a Long-Term Care Facility

Maurer, Mathew S.; Burcham, Joyce; Cheng, Huai Yong

doi:10.1093/gerona/60.9.1157

Cited by 234 publications

(200 citation statements)

References 43 publications

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“…This difference demonstrated lower balance ability in patients with diabetic neuropathy according to balance indices, which is consistent with previous studies [1,[4][5][6]10,12,[14][15][22][23]. Aly et al reported significant differences between the stability indices (OSI, APSI, and LRSI) of control and diabetic neuropathy patients, with both open and closed eyes [1].…”

Section: Comparisons Of Groups Before Trainingsupporting

confidence: 90%

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Do diabetic neuropathy patients benefit from balance training?

Akbari¹,

Jafari²,

Moshashaee³

et al. 2012

JRRD

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Abstract-Peripheral neuropathy is a common complaint of diabetes. Peripheral neural damage in turn will cause balance impairments in diabetic patients. The purpose of this study was to investigate the effects of balance exercises on sway indices in diabetic patients with neuropathy. In this clinical trial study, 10 diabetic patients with peripheral neuropathy were recruited through simple nonprobability sampling along with 10 nondisabled aged-matched subjects. Participants in both groups were examined for balance abilities with the Biodex Balance System before intervention. The experimental group was tested again after intervention. Intervention consisted of progressive Biodex stability and rocker and wobble-board training for 10 sessions. All tests were done in eyes open and closed conditions with bilateral standing. After intervention, the experimental group was re-examined in the same way. Student and paired t-tests were used for data analysis. The overall stability index and anterior-posterior stability index were significantly decreased after treatment in the experimental group during different conditions. Balance indices in the experimental group were significantly higher than the control group before treatment. There was no significant difference in indices between the two groups after treatment. The results show that balance training can improve stability indices in diabetic patients with neuropathy.

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Section: Comparisons Of Groups Before Trainingsupporting

confidence: 90%

“…Diabetic neuropathy plays a significant role in falling among elderly patients [4]; people with peripheral neuropathy caused by diabetes often experience balance disorder [5]. Postural sway in these patients is increased, especially with the eyes closed [6].…”

Section: Introductionmentioning

confidence: 99%

Do diabetic neuropathy patients benefit from balance training?

Akbari¹,

Jafari²,

Moshashaee³

et al. 2012

JRRD

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show abstract

“…This effect was more evident in people with diabetes and peripheral neuropathy possibly putting such patients at particular risk of falls. It is important that health care professionals recognise the potential for falls in those with DPN and implement early preventative strategies (25,26). M= Males, F= female, DM group = subjects with diabetes but no peripheral neuropathy and DPN group = subjects with diabetes and peripheral neuropathy.…”

Section: Discussionmentioning

confidence: 99%

The effect of a cognitive or motor task on gait parameters of diabetic patients, with and without neuropathy

et al. 2009

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with diabetes and no neuropathy (70 ± 2.9years). The temporal and spatial parameters of gait were evaluated using the GAITRite walkway. Subjects undertook four walks under normal walking conditions (single task); four times while simultaneously undertaking an additional motor task, carrying a tray with cups of water (dual task); and four times whilst undertaking a cognitive dual task, counting backwards in sevens. This arithmetic task was also completed in sitting.Results: For all gait variables there was a statistically significant difference between the groups. Subjects with DPN walked slower and with smaller steps compared to those with diabetes. In general the secondary task had a significant and adverse effect on the gait parameters and this effect was greater for those with DPN in both absolute and relative terms. Both groups had poorer arithmetic ability when walking compared to sitting. Discussion:Patients with DPN have different gait parameters to diabetic patients without neuropathy. Problems with divided attention when walking were more evident in the DPN group and may increase their risk of falls.

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“…Assim, a dismobilidade torna esses pacientes mais dependentes, conduz à perda de massa muscular e reduz a expectativa de vida (1). Os fatores predisponentes frequentes em portadores de diabetes incluem: neuropatia periférica, comprometimento visual, redução da função renal, alterações autonômicas e uso de medicamentos (2)(3)(4). Outras características presentes no paciente com DM2 são o sedentarismo e o ganho de peso (1) que, aliados à dismobilidade, têm como consequência o maior risco de quedas, que aparecem como importantes causas de ferimento não fatal entre pessoas com mais de 50 anos (5).…”

Section: Introductionunclassified

Redução da mobilidade funcional e da capacidade cognitiva no diabetes melito tipo 2

Ferreira

Tozatti

Fachin

et al. 2014

Arq Bras Endocrinol Metab

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RESUMOObjetivos: Avaliar a mobilidade funcional e sua relação com a capacidade cognitiva em pacientes com diabetes tipo 2 (DM2) entre 50 e 65 anos de idade, e com menos de 10 anos de diagnóstico. Materiais e métodos: Estudo observacional, analítico e transversal envolvendo indiví-duos não diabéticos e pacientes com DM2 com controle glicêmico inadequado, selecionados por amostra de conveniência. Em ambos os grupos, foram aplicados questionário estruturado, avaliação cognitiva com Miniexame do Estado Mental (MEEM) e teste do relógio (TDR), além da avaliação de mobilidade funcional pelo teste Timed Up & GO (TUG). Resultados: No TUG os pacientes com DM2 apresentaram tempo médio de 11,27 segundos versus 9,52 segundos nos controles (p = 0,013). A associação entre declínio cognitivo e dismobilidade foi positiva nos indivíduos com DM2 (p = 0,037). No subgrupo que apresentou dismobilidade e declínio cognitivo associados, 18% eram portadores de DM2 e 1,6% era do grupo sem DM2 (p < 0,01). Conclusões: Pacientes com DM2 apresentaram pior mobilidade funcional e desempenho cognitivo, favorecendo a hipótese de que o DM2 influencia a mobilidade funcional e capacidade cognitiva antes do aparecimento de complicações vasculares ou neuropáticas. Esses dados sugerem que a hiperglicemia é um fator agravante no desempenho de atividades que exijam funções mentais como atenção, orientação e memória de trabalho. Arq Bras Endocrinol Metab. 2014;58(9):946-52 Descritores Diabetes tipo 2; cognição; acidentes por quedas; aptidão física ABSTRACT Objectives: The aim of the present study was to evaluate the functional mobility and its relationship to cognitive ability in patients with type 2 diabetes (T2DM), age between 50 and 65 years and under 10 years of diagnosis. Materials and methods: An observational, analytical and cross-sectional study, involving no diabetic and type 2 diabetic individuals with inadequate glycemic control, selected by convenience sampling. In both groups, were administered structured questionnaire and cognitive assessment with Mini-Mental State Examination (MMSE) and the clock drawing test (CDT), besides assessment of functional mobility by the Timed Up & Go (TUG). Results: In TUG, DM2 patients presented a mean time of 11.27 seconds versus 9.52 seconds (p = 0.013). The association between cognitive decline and decrease of mobility was positive in individuals with T2DM (p = 0.037). In the subgroup that showed decrease of mobility and associated cognitive decline, 18% were patients with DM2 and 1.6% were individuals without T2DM (p < 0.01). Conclusions: Patients with T2DM presented worse functional mobility and cognitive performance, supporting the hypothesis that DM2 influence functional mobility and cognitive ability, regardless of neuropathic or vascular complications. These data suggest that hyperglycemia is an aggravating factor in the performance of activities requiring mental functions such as attention, working memory and orientation. Arq Bras Endocrinol Metab. 2014;58(9):946-52

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Diabetes Mellitus Is Associated With an Increased Risk of Falls in Elderly Residents of a Long-Term Care Facility

Abstract: Our results suggest that diabetes mellitus is an independent fall risk factor among elderly nursing home residents.

Cited by 234 publications

References 43 publications

Do diabetic neuropathy patients benefit from balance training?

Do diabetic neuropathy patients benefit from balance training?

The effect of a cognitive or motor task on gait parameters of diabetic patients, with and without neuropathy

Redução da mobilidade funcional e da capacidade cognitiva no diabetes melito tipo 2

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