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Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2016 / Cilt: 62 - Sayı: 4

Balance performance and fear of falling in older patients with diabetics: a comparative study with non-diabetic elderly

Diyabetli yaşlılarda denge ve düşme korkusu: Diyabetli olmayan yaşlılarla karşılaştırmalı bir çalışma

Ömer KURU
Ayşegül ATMACA
Berna TANDER
Yasemin ULUS
Yeşim AKYOL
Çiğdem TURA
Pages
314–322
Publication Date
2022-11-04
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Physiatrist should also take part in the follow-up of older diabetic patients

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to evaluate balance performance and fear of falling (FOF) in older people with and without diabetes mellitus (DM) and the parameters affecting balance and FOF in older patients with DM.Patients and methods: Between 2013 June - 2014 April, a total of 100 patients with DM (37 males, 63 females; mean age 66.8±4.3 years; range 60 to 83 years) and 101 non-diabetic elderly controls (35 males, 66 females; mean age 68.0±4.3 years; range 64 to 81 years) were enrolled in this study.
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Key Findings & Data:Fear of falling (Falls Efficacy Scale-International (FES-I)), neuropathic pain [Leeds Assessment of Neuropathic Symptoms-Signs (LANSS)], mobility [Timed Up and Go test (TUG)], balance [Berg Balance Scale (BBS)], One-Legged Stance test (OLST), disability status [Modified Barthel Index (MBI)], depression [Beck Depression Inventory (BDI)] and anxiety [Beck Anxiety Inventory (BAI)] were assessed.Results: Timed Up and Go test, BDI, BAI, and FES-I scores were significantly higher; BBS, OLST, and MBI scores were significantly lower in patients.
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Conclusion & Impact:Physiatrist should also take part in the follow-up of older diabetic patients
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to evaluate balance performance and fear of falling (FOF) in older people with and without diabetes mellitus (DM) and the parameters affecting balance and FOF in older patients with DM.Patients and methods: Between 2013 June - 2014 April, a total of 100 patients with DM (37 males, 63 females; mean age 66.8±4.3 years; range 60 to 83 years) and 101 non-diabetic elderly controls (35 males, 66 females; mean age 68.0±4.3 years; range 64 to 81 years) were enrolled in this study. Fear of falling (Falls Efficacy Scale-International (FES-I)), neuropathic pain [Leeds Assessment of Neuropathic Symptoms-Signs (LANSS)], mobility [Timed Up and Go test (TUG)], balance [Berg Balance Scale (BBS)], One-Legged Stance test (OLST), disability status [Modified Barthel Index (MBI)], depression [Beck Depression Inventory (BDI)] and anxiety [Beck Anxiety Inventory (BAI)] were assessed.Results: Timed Up and Go test, BDI, BAI, and FES-I scores were significantly higher; BBS, OLST, and MBI scores were significantly lower in patients. There were significant effects of neuropathic pain, hypertension and cardiovascular disease on BBS and FES-I in diabetic patients. One-Legged Stance test, TUG, and FES-I were associated with BBS in diabetic patients. Falls Efficacy Scale-International was significantly correlated with HbA1c, MBI and BBS in patients.Conclusion: Older people with DM have increased FOF and balance problems. Uncontrolled DM, cardiovascular problems and neuropathic pain have negative impact on balance and FOF. Physiatrist should also take part in the follow-up of older diabetic patients

Özet

Amaç: Bu çalışmada diyabetli olan ve olmayan yaşlılarda denge ve düşme korkusu (DK) ve yaşlı diyabetli hastalarda denge ve DK'ye etki eden parametreler değerlendirildi.Hastalar ve yöntemler: Haziran 2013 - Nisan 2014 tarihleri arasında, toplam 100 diyabetli hasta (37 erkek, 63 kadın; ort. yaş 66.8±4.3 yıl; dağılım 60-83 yıl) ve 101 diyabetli olmayan yaşlı kontrol (35 erkek, 66 kadın; ort. yaş 68.0±4.3 yıl; dağılım 64-81 yıl) çalışmaya alındı. Düşme korkusu [Uluslararası Düşme Etkinlik Skalası (UDES)], nöropatik ağrı [Leeds Nöropatik Semptomlar-Bulgular Değerlendirme (LANSS)] mobilite [Kalk ve Yürü Testi (KYT)], denge [Berg Denge Skalası (BDS)], Tek Bacak Üzerinde Durma Testi (TBÜDT), özürlülük düzeyi [Modifiye Barthel İndeksi (MBİ)], depresyon [Beck Depresyon Ölçeği (BDÖ)] ve anksiyete [Beck Anksiyete Ölçeği (BAÖ)] ile değerlendirildi.Bulgular: Hastalarda KYT, BDÖ, BAÖ ve UDES skorları anlamlı olarak yüksek, BDS, TBÜDT ve MBİ skorları anlamlı olarak düşüktü. Diyabetik hastalarda nöropatik ağrının, hipertansiyonun ve kardiyovasküler hastalığın BDS ve UDES skorları üzerinde önemli etkisi vardı. Diyabetik hastalarda TBÜDT, KYT ve UDES, BDS ile anlamlı olarak ilişkiliydi. Hastalarda UDES skoru HbA1c, MBİ ve BDS ile anlamlı olarak ilişkiliydi.Sonuç: Yaşlı diyabetliler artmış düşme korkusu ve denge sorunlarına sahiptir. Kontrolsüz diyabet, kardiyovasküler sorunlar ve nöropatik ağrının denge ve DK üzerine olumsuz etkisi bulunmaktadır. Yaşlı diyabetik hastaların izleminde fiziyatrist de rol almalıdır

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Cite This Article

KURU, Ö., ATMACA, A., TANDER, B., ULUS, Y., AKYOL, Y., TURA, Ç. (2022). Balance performance and fear of falling in older patients with diabetics: a comparative study with non-diabetic elderly. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 62 - Sayı: 4, 314–322. https://ajindex.com/articles/628681

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