Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis

Detalhes bibliográficos
Autor(a) principal: Dias, Vanessa da Nóbrega
Data de Publicação: 2021
Outros Autores: Jacome, Maria Clara Almeida, Meneses, Wesley Ribeiro Costa, Carlos, Adriana Guedes, Gazzola, Juliana Maria
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/13345
Resumo: 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.
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spelling Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysisEquilibrio postural en ancianos con y sin Diabetes Mellitus tipo 2: un análisis comparativoEquilíbrio postural em idosos com e sem Diabetes Mellitus tipo 2: Uma análise comparativaEquilíbrio posturalIdosoDiabetes mellitusComplicações do diabetes.Equilíbrio posturalAncianoDiabetes mellitusComplicaciones de la diabetes.Postural balanceAgedDiabetes mellitusDiabetes complications.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.El presente estudio tuvo como objetivo investigar el equilibrio postural de personas mayores con y sin diabetes mellitus tipo 2 (DM2) y verificar las características clínicas asociadas. Es un estudio observacional, analítico y transversal; Se evaluaron 233 ancianos (60 años o más), 147 con diagnóstico de DM2 (G1) y 86 sin DM2 (G2). El equilibrio postural se evaluó utilizando el Mini - The Balance Evaluation Systems Test (MiniBESTest). Las asociaciones entre los puntajes totales de G1 y G2 se verificaron utilizando las pruebas de Mann-Whitney y la prueba de Chi-cuadrado, α = 0.05. Tras el análisis inferencial se observó significación entre las variables de los grupos G1 y G2: IMC (p = 0,048), número de medicamentos (p = 0,001), TUGt motor (p = 0,015), FPP (p <0,001), WHODAS (p = 0,011), EDG (p = 0,001), presencia de cambios en los pies (p <0,001), callosidades (p <0,001), cambios articulares (p <0,001), cambios dermatológicos (p <0,001), sensibilidad vibratoria (p < 0,001), sensibilidad protectora de la piel (p <0,001), hipotensión ortostática (p = 0,003) y miedo a las caídas (p = 0,002). La media del MiniBesTest fue de 22,15 ± 4,64 puntos para el grupo con DM2 y de 21,94 ± 4,89 puntos para el grupo sin DM2. También se observó significancia en los dominios Mini BESTest: ajustes anticipatorios (p = 0,001) y respuestas posturales (p = 0,042) en ancianos con y sin DM2. Los ancianos G1 tienen mayor deterioro del equilibrio postural cuando se asocia a la presencia de síntomas depresivos, disminución de la movilidad, presencia de comorbilidades, polifarmacia, alteraciones en los pies y miedo a caer.O presente estudo teve como objetivo investigar o equilíbrio postural das pessoas idosas com e sem Diabetes Mellitus tipo 2 (DM2) e verificar as características clínicas associadas. Trata-se de um estudo observacional, analítico e transversal; avaliou-se 233 pessoas idosas (60 anos ou mais), sendo 147 com diagnóstico de DM2 (G1) e 86 sem DM2 (G2). O equilíbrio postural foi avaliado por meio do Mini - The Balance Evaluation Systems Test (MiniBESTest). As associações entre os escores totais do G1 e G2 foram verificadas por meio dos testes de Mann-Whitney e teste Qui-Quadrado, α=0,05. Após a análise inferencial, foi observada significância entre as variáveis dos grupos G1 e G2: IMC (p=0,048), número de medicamentos (p=0,001), TUGt motora (p=0,015), FPP (p<0,001), WHODAS (p=0,011), EDG (p=0,001), presença de alterações nos pés (p<0,001), calosidade (p<0,001), alterações articulares (p<0,001), alterações dermatológicas (p<0,001), sensibilidade vibratória (p<0,001), sensibilidade cutâneo-protetora (p<0,001), hipotensão ortostática (p=0,003) e medo de quedas (p=0,002). A média do MiniBesTest foi de 22,15±4,64 pontos para o grupo com DM2 e 21,94 ± 4,89 pontos para o grupo sem DM2. Foi observado também, significância nos domínios do Mini BESTest: ajustes antecipatórios (p=0,001) e respostas posturais (p=0,042) em idosos com e sem DM2. Os idosos do G1 apresentam maior prejuízo do equilíbrio postural, quando associados à presença de sintomas depressivos, diminuição da mobilidade, presença de comorbidades, polifarmácia, alterações nos pés e medo de quedas.Research, Society and Development2021-03-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1334510.33448/rsd-v10i3.13345Research, Society and Development; Vol. 10 No. 3; e29610313345Research, Society and Development; Vol. 10 Núm. 3; e29610313345Research, Society and Development; v. 10 n. 3; e296103133452525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/13345/12005Copyright (c) 2021 Vanessa da Nóbrega Dias; Maria Clara Almeida Jacome; Wesley Ribeiro Costa Meneses; Adriana Guedes Carlos; Juliana Maria Gazzolahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDias, Vanessa da Nóbrega Jacome, Maria Clara Almeida Meneses, Wesley Ribeiro Costa Carlos, Adriana Guedes Gazzola, Juliana Maria 2021-03-28T12:03:35Zoai:ojs.pkp.sfu.ca:article/13345Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:34:42.586482Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
Equilibrio postural en ancianos con y sin Diabetes Mellitus tipo 2: un análisis comparativo
Equilíbrio postural em idosos com e sem Diabetes Mellitus tipo 2: Uma análise comparativa
title Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
spellingShingle Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
Dias, Vanessa da Nóbrega
Equilíbrio postural
Idoso
Diabetes mellitus
Complicações do diabetes.
Equilíbrio postural
Anciano
Diabetes mellitus
Complicaciones de la diabetes.
Postural balance
Aged
Diabetes mellitus
Diabetes complications.
title_short Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
title_full Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
title_fullStr Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
title_full_unstemmed Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
title_sort Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
author Dias, Vanessa da Nóbrega
author_facet Dias, Vanessa da Nóbrega
Jacome, Maria Clara Almeida
Meneses, Wesley Ribeiro Costa
Carlos, Adriana Guedes
Gazzola, Juliana Maria
author_role author
author2 Jacome, Maria Clara Almeida
Meneses, Wesley Ribeiro Costa
Carlos, Adriana Guedes
Gazzola, Juliana Maria
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Dias, Vanessa da Nóbrega
Jacome, Maria Clara Almeida
Meneses, Wesley Ribeiro Costa
Carlos, Adriana Guedes
Gazzola, Juliana Maria
dc.subject.por.fl_str_mv Equilíbrio postural
Idoso
Diabetes mellitus
Complicações do diabetes.
Equilíbrio postural
Anciano
Diabetes mellitus
Complicaciones de la diabetes.
Postural balance
Aged
Diabetes mellitus
Diabetes complications.
topic Equilíbrio postural
Idoso
Diabetes mellitus
Complicações do diabetes.
Equilíbrio postural
Anciano
Diabetes mellitus
Complicaciones de la diabetes.
Postural balance
Aged
Diabetes mellitus
Diabetes complications.
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/13345
10.33448/rsd-v10i3.13345
url https://rsdjournal.org/index.php/rsd/article/view/13345
identifier_str_mv 10.33448/rsd-v10i3.13345
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/13345/12005
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 3; e29610313345
Research, Society and Development; Vol. 10 Núm. 3; e29610313345
Research, Society and Development; v. 10 n. 3; e29610313345
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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