Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
DOI:
https://doi.org/10.33448/rsd-v10i3.13345Keywords:
Postural balance; Aged; Diabetes mellitus; Diabetes complications.Abstract
The present study aimed to investigate the postural balance of elderly people with and without Type 2 Diabetes Mellitus (DM2) and to verify the associated clinical characteristics. It is an observational, analytical and cross-sectional study; 233 elderly people (60 years or older) were evaluated, 147 with a diagnosis of DM2 (G1) and 86 without DM2 (G2). Postural balance was assessed using the Mini - The Balance Evaluation Systems Test (MiniBESTest). The associations between the total scores of G1 and G2 were verified using the Mann-Whitney tests and the Chi-square test, α = 0.05. After inferential analysis, significance was observed between variables in groups G1 and G2: BMI (p = 0.048), number of medications (p = 0.001), motor TUGt (p = 0.015), FPP (p <0.001), WHODAS ( p = 0.011), EDG (p = 0.001), presence of changes in the feet (p <0.001), calluses (p <0.001), joint changes (p <0.001), dermatological changes (p <0.001), vibratory sensitivity (p <0.001), skin-protective sensitivity (p <0.001), orthostatic hypotension (p = 0.003) and fear of falls (p = 0.002). The MiniBesTest average was 22.15 ± 4.64 points for the group with DM2 and 21.94 ± 4.89 points for the group without DM2. Significance was also observed in the Mini BESTest domains: anticipatory adjustments (p = 0.001) and postural responses (p = 0.042) in the elderly with and without DM2. G1 elderly people have greater impairment of postural balance when associated with the presence of depressive symptoms, decreased mobility, the presence of comorbidities, polypharmacy, changes in the feet and fear of falling.
References
Aveiro, M. C., Driusso, P., Barham, E. J., Pavarini, S. C. I., & Oishi, J. (2012). Mobilidade e risco de quedas de população idosa da comunidade de São Carlos. Ciênc. saúde coletiva, 17(9), 2481-2488.
Carlozzi, N. E., Kratz, A. L., Downing, N. R., Goodnight, S., Miner, Migliore, N., & Paulsen, J. S. (2015). Validity of the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in individuals with Huntington disease (HD), Qual Life Res., 24(8), 1963-71.
Chau, R. M. W., Ng, T. K. W. Kwan, Choi, C-H., & Cheing, G. L. Y. Risk of fall for people with diabetes. (2013). Disability and rehabilitation, 35(23), 1975-1980.
Folstein, F. F., Folstein, S. E., & Mchugh, P. R. (1975). Mini-mental state: a practical method for grading the cognitive states for the clinician. J Psychiatr Res., 12(3), 189-198.
Horak, B. F., Wrisley, M. D., & James, F. (2009). The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Physical therapy, 89(5), 489-498.
Lima Filho, B. F., Gama, A.G.D., Dias, V. N., Silva, E. M. T., Cavalcanti, F. A. C., & Gazzola, J. M. The frailty syndrome in older adults with type 2 diabetes mellitus and associated factors. (2020). Rev. bras. geriatr. gerontol, 23(1), e190196.
Menezes, T. N., Sousa, N. D. S., Moreira, A.S., Pedraza, D. F. (2014). Diabetes mellitus referido e fatores associados em idosos residentes em Campina Grande, Paraíba. Rev. bras. geriatr. gerontol. 17(4), 829-839.
Mettelinge, R. T., Dirk, C., Calders, P., Noortgate, V. D. N., & Delbaere, K. (2013). Understanding the Relationship between Type 2 Diabetes Mellitus and Falls in Older Adults: A Prospective Cohort Study. PLoS ONE, 8(6), e67055.
Noce, K. R., Borem, I. L., Sampaio, R. F., Ferreira, V. K. G., Almeida, J. C., Guimarães, S. B. B., & Moreira, B. S. (2019). Frailty status and gait parameters of older women with type 2 diabetes. Canadian Journal of Diabetes, 43(2), 121-127.
Pereira, A.S., Shitsuka, D. M., Parreira, F. J. P., Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Petrofsky, J. S., Cuneo, M., Lee, S., Johnson, E., & Lohman, E. (2006). Correlation between gait and balance in people with and without Type 2 diabetes in normal and subdued light. Med Sci Monit, 12(7), 273-281.
Rashedi, V., Iranpour, A., Mohseni, M., & Borhaninejad, V. Risk factors for fall in elderly with diabetes mellitus type 2. (2019). Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(5), 2347- 2351.
Silveira, L. A. G. (2013). Correlação entre obesidade e diabetes tipo 2. Pós-graduação Latu-Sensu em Fisiologia do Exercício e Avaliação-Morfofuncional Universidade Gama Filho.
Sociedade Brasileira de Diabetes. Consenso brasileiro sobre diabetes 2002: diagnóstico e classificação do diabetes melito e tratamento do diabetes melito tipo 2. (2003). Rio de Janeiro: Diagraphic.
Speciali, J.G. Semiotécnica neurológica. (2020). Medicina, 29(1), 19-31.
Strain, W. D., Hope, S. V., Green, A., Kar, P., Valabhji, J., & Sinclair, A. J. (2018). Type 2 diabetes mellitus in older people: a brief statement of key principles of modern day management including the assessment of frailty. A national collaborative stakeholder initiative. Diabet. Med., 35, 838–84.
Vinik, A. I., Vinik, E. J., Colberg, S. R., & Steven, M. (2015). Falls Risk in Older Adults with Type 2 Diabetes. Clínics in Geriatric Medicine, 31(1), 89-99.
Wanjgarten, M., Serro-Azu, J. B., & Goulart, M. L. (2017) Abordagem das hipotensões ortostática e pós-prandial. Rev Bras Hipertens, 14(1), 29-32.
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of psychiatric research, 17(1), 37-49.
Yingyongyudha, A., Saengsirisuwan, V., Panichaporn, W., & Boonsinsukh, R. (2015). The Mini-Balance Evaluation Systems Test (Mini-BESTest) Demonstrates Higher Accuracy in Identifying Older Adult Participants With History of Falls Than Do the BESTest, Berg Balance Scale, or Timed Up and Go Test. J Geriatr Phys Ther., 38,1-7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Vanessa da Nóbrega Dias; Maria Clara Almeida Jacome; Wesley Ribeiro Costa Meneses; Adriana Guedes Carlos; Juliana Maria Gazzola
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.