Document Detail


Functional mobility and executive function in elderly diabetics and non-diabetics.
MedLine Citation:
PMID:  21340243     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Elderly diabetics tend to show cognitive deficits related to more complex processes such as the executive function, which can lead to a greater risk of falls.
OBJECTIVES: The aims of this study were to compare the functional mobility, the risk of falls and the executive function among elderly with and without type 2 diabetes, and to check the correlation between these variables.
METHODS: Forty community elderly participated in the study and were divided into two groups: G1 elderly with type 2 diabetes and G2 elderly without diabetes, being the variables age, body mass index and gender similar between the groups. The functional mobility and the risk of falls were assessed by the "Timed Up and Go" test (TUG and cognitive TUG) and the executive function was assessed by the Verbal Fluency Test (VFT) (animal category).
RESULTS: Elderly with diabetes showed worse performance in the verbal fluency test (G1:14.9 ± 4.5; G2:17.7 ± 5.6; p = 0.031). A statistically between-group difference was observed regarding the functional mobility; being the G1 presenting worse performance in TUG (G1:10.5 ± 1.8 sec; G2:8.9 ± 1.9 sec; p = 0.01) and cognitive TUG (G1:13.9 ± 3.2 sec; G2:10.9 ± 2.3 sec; p = 0.004) tests. A significant correlation was observed between the cognitive TUG and VFT only in G1 (G1: Spearman's rho = -0.535; p = 0.015; G2: Spearman's rho =-0.250; p = 0.288).
CONCLUSIONS: Diabetics presented worse performance in the functional mobility and in the verbal fluency test than non-diabetics elderly that suggests a greater risk of falls for the elderly with diabetes. The inclusion of these evaluation parameters for diabetics on the physical therapy clinical practice is crucial in order to maintain the functionality and to prevent falls.
Authors:
Patrícia P Alvarenga; Daniele S Pereira; Daniela M C Anjos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))     Volume:  14     ISSN:  -     ISO Abbreviation:  Rev Bras Fisioter     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2011-02-22     Completed Date:  2011-08-03     Revised Date:  2013-08-21    
Medline Journal Info:
Nlm Unique ID:  101186153     Medline TA:  Rev Bras Fisioter     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  491-6     Citation Subset:  IM    
Affiliation:
Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cross-Sectional Studies
Diabetes Mellitus / physiopathology*
Executive Function*
Female
Humans
Male
Movement*

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