Análise comparativa do risco de quedas entre pacientes com e sem diabetes mellitus tipo 2

Oliveira, Patrícia Pereira de; Fachin, Silvia Maria; Tozatti, Joana; Ferreira, Mari Cassol; Marinheiro, Lizanka Paola Figueiredo

doi:10.1590/s0104-42302012000200021

Cited by 17 publications

(10 citation statements)

References 26 publications

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“…This study sought to determine whether percent IntraMAT in the lower leg was different among women with and without type 2 diabetes, as IntraMAT may be one of the mediating factors responsible for the accelerated musculoskeletal aging observed in people with type 2 diabetes [ 1 ]. In agreement with other studies [ 2 , 43 , 44 ], we found that our cohort of women with type 2 diabetes had greater TUG test scores indicating poorer functional mobility, lower grip strength, and lower specific force, an indirect measure of muscle quality. Various mechanisms for poor functional mobility and strength in adults with type 2 diabetes have been proposed and include reduced muscle fibre size and number [ 45 ] and reduced α -motor neuron innervation [ 46 ]; however we hypothesized that IntraMAT might also be a likely mediator.…”

Section: Discussionsupporting

confidence: 93%

The Relationship between Intramuscular Adipose Tissue, Functional Mobility, and Strength in Postmenopausal Women with and without Type 2 Diabetes

Pritchard

Karampatos

Beattie

et al. 2015

Journal of Aging Research

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Objectives. To determine (1) whether intramuscular adipose tissue (IntraMAT) differs between women with and without type 2 diabetes and (2) the association between IntraMAT and mobility and strength. Methods. 59 women ≥ 65 years with and without type 2 diabetes were included. A 1-Tesla MRI was used to acquire images of the leg. Timed-up-and-go (TUG) and grip strength were measured. Regression was used to determine associations between the following: (1) type 2 diabetes and IntraMAT (covariates: age, ethnicity, BMI, waist : hip ratio, and energy expenditure), (2) IntraMAT and TUG (covariates: diabetes, age, BMI, and energy expenditure), and (3) IntraMAT and grip strength (covariates: diabetes, age, height, and lean mass). Results. Women with diabetes had more IntraMAT. After adjustment, IntraMAT was similar between groups (diabetes mean [SD] = 13.2 [1.4]%, controls 11.8 [1.3]%, P = 0.515). IntraMAT was related to TUG and grip strength, but the relationships became nonsignificant after adjustment for covariates (difference/percent IntraMAT [95% CI]: TUG = 0.041 seconds [−0.079–0.161], P = 0.498, grip strength = −0.144 kg [−0.335–0.066], P = 0.175). Conclusions. IntraMAT alone may not be a clinically important predictor of functional mobility and strength; however, whether losses in functional mobility and strength are promoted by IntraMAT accumulation should be explored.

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Section: Discussionsupporting

confidence: 93%

The Relationship between Intramuscular Adipose Tissue, Functional Mobility, and Strength in Postmenopausal Women with and without Type 2 Diabetes

Pritchard

Karampatos

Beattie

et al. 2015

Journal of Aging Research

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“…This pathology may also cause neural and cardiovascular alterations, diabetic neuropathy, diminished visual and auditory acuity, dizziness, polypharmacy, hypoglycemia, among others [20]. In the sample researched, no significant changes in mobility were verified in the diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life of Patients After an Acute Coronary Event: Hospital Discharge

Dias

2014

J Clin Med Res

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BackgroundThe acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge.MethodologyThis was a cross-sectional study, with ACS patients hospitalized in ICU of a private hospital in the city of Salvador, Brazil, submitted to CVR1. The quality of life questionnaire Euroqol-5D was applied on discharge from hospital. Patients included in the study were those with ACV, who had medical permission to walk, had not been submitted to acute surgical treatment, were time and space oriented, and over the age of 18 years. Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1. Data were collected by a previously trained ICU team.ResultsData were collected of 63 patients who revealed compromise in the domains of pain/feeling ill (20.63%) and anxiety/depression (38.09%). Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01).ConclusionIn this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.

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“…The literature search yielded 131 potential articles; 68 were MVC-related and 63 were fall-related injuries which were reviewed for inclusion. The study included original articles based on hospital data; ten MVC-related[ 15 16 17 18 19 20 21 22 23 24 ] and nine falls-related articles[ 25 26 27 28 29 30 31 32 33 ] were considered for analysis. The study population in MVC-related studies was mainly drivers in which the driving impairment caused by diabetic complications was addressed.…”

Section: Methodsmentioning

confidence: 99%

Traumatic injuries in patients with diabetes mellitus

El‐Menyar

Mekkodathil²,

Al-Thani³

2016

J Emerg Trauma Shock

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Diabetes mellitus (DM) is associated with increased in-hospital morbidity and mortality in patients sustained traumatic injuries. Identification of risk factors of traumatic injuries that lead to hospital admissions and death in DM patients is crucial to set effective preventive strategies. We aimed to conduct a traditional narrative literature review to describe the role of hypoglycemia as a risk factor of driving and fall-related traumatic injuries. DM poses significant burden as a risk factor and predictor of worse outcomes in traumatic injuries. Although there is no consensus on the impact and clear hazards of hyperglycemia in comparison to the hypoglycemia, both extremes of DM need to be carefully addressed and taken into consideration for proper management. Moreover, physicians, patients, and concerned authorities should be aware of all these potential hazards to share and establish the right management plans.

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Análise comparativa do risco de quedas entre pacientes com e sem diabetes mellitus tipo 2

Abstract: There appears to be an association between hyperglycemic status and poorer mobility, with an increased fall risk even in younger patients and in those with shorter disease duration.

Cited by 17 publications

References 26 publications

The Relationship between Intramuscular Adipose Tissue, Functional Mobility, and Strength in Postmenopausal Women with and without Type 2 Diabetes

The Relationship between Intramuscular Adipose Tissue, Functional Mobility, and Strength in Postmenopausal Women with and without Type 2 Diabetes

Quality of Life of Patients After an Acute Coronary Event: Hospital Discharge

Traumatic injuries in patients with diabetes mellitus

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