Equilíbrio postural e funcionalidade em idosos com e sem diabetes mellitus tipo 2: uma análise comparativa
OBJECTIVE: The general objective of the study was to compare the elderly with and without type 2 Diabetes Mellitus (DM2) regarding sociodemographic, clinical, functional and psycho-cognitive factors related to body balance and functionality, and the specific objectives were: To compare biopsychosoci...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | doctoralThesis |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/45495 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | OBJECTIVE: The general objective of the study was to compare the elderly with
and without type 2 Diabetes Mellitus (DM2) regarding sociodemographic, clinical,
functional and psycho-cognitive factors related to body balance and functionality,
and the specific objectives were: To compare biopsychosocial factors among
elderly people with and without type 2 diabetes mellitus and identify which are the
predictors of the presence of the disease and investigate the postural balance of
elderly people with and without type 2 diabetes mellitus (DM2) and verify the
associated clinical characteristics. METHOD: This is an analytical observational
cross-sectional study, whose sample was selected by convenience and consisted
of elderly people aged 60 years or older, with and without a diagnosis of type 2
Diabetes Mellitus, according to the criteria of the American Diabetes Association
(ADA) , of both sexes, divided into two groups: group 1 (G1) - elderly diagnosed
with type 2 DM and group 2 (G2) - elderly without type 2 DM. The associations
between the total scores of G1 and G2 were verified by using the Mann-Whitney
test and the Chi-Square or Fisher's exact test. To obtain prognostic factors, a
multivariate logistic regression model was used and to obtain the final multivariate
model, variables with p< 0.10 in the univariate analysis were selected and the
process of variable selection Stepwise Forward Selection (stepwise) was applied.
For all statistical analyzes a significance level of 5% was adopted. RESULTS:
Significance was observed in the variables: 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 foot changes (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). Through the logistic regression
model with a “stepwise” selection process, the variables: number of medications,
number of diseases and EDG showed a significant association with DM2. Aging
and DM2 are important factors for the presence of psycho-cognitive and
functional deficits and this is often associated with impaired quality of life for these
individuals. Older people with DM2 are twice as likely to have depressive
disorders, on the other hand, comorbidity worsens the prognosis of both
diseases, leads to functional losses, higher rates of depression and cognitive problems. CONCLUSION: The elderly in G1 have greater impairment of postural
balance when associated with the presence of depressive symptoms, decreased
mobility, presence of comorbidities, polypharmacy, foot changes and fear of falls.
Predictive factors for the presence of the disease in the elderly are the greater
number of medications in use, the greater number of diagnosed diseases and the
presence of depressive symptoms. |
|---|