Postural balance in the elderly with and without Type 2 Diabetes Mellitus: A comparative analysis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
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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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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1797052672347471872 |