Functional Fitness and Risk of Falling in Older Adults with Diabetic Neuropathy

被引：3

作者：

Gupta, Garima ^{[1
]}

Maiya, G. Arun ^{[1
]}

Bhat, Shyamasunder N. N. ^{[2
]}

Hande, H. Manjunatha ^{[3
]}

Mayya, Shreemathi S. S. ^{[4
]}

机构：

[1] Manipal Acad Higher Educ, Manipal Coll Hlth Profess, Ctr Diabet Foot Care & Res, Dept Physiotherapy, Manipal, India

[2] Manipal Acad Higher Educ, Kasturba Med Coll, Dept Orthoped, Manipal, India

[3] Manipal Acad Higher Educ, Kasturba Med Coll, Dept Med, Manipal, India

[4] Manipal Acad Higher Educ, Prasanna Sch Publ Hlth, Dept Data Sci, Manipal, India

来源：

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS | 2023年 / 41卷 / 04期

关键词：

Aged; falls; diabetic neuropathies; ROC curve; regression analysis; postural balance; physical fitness; PHYSICAL-ACTIVITY; BALANCE SCALE; EPIDEMIOLOGY; ASSOCIATION; STATEMENT; PEOPLE; INDIA;

D O I：

10.1080/02703181.2023.2187104

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

AimsTo assess functional fitness (FF) and its association with the risk of falling in older adults with diabetic neuropathy (DPN).MethodsA cross-sectional study was conducted on 104 older adults (60 to 80 years) with DPN. A senior fitness test assessed FF, and the Fullerton Advanced Balance scale evaluated the risk of falling.Result71% of participants had below-average fitness in four or more FF parameters. Regression analysis shows that participants with lower performance on endurance (b = 0.05, p = 0.05), upper limb flexibility (b = 0.21, p = 0.01) and dynamic balance/agility fitness (b=-0.97, p < 0.001) are likely to have a higher risk of falling. Receiver Operating Characteristic analysis of FF parameters identified 56 steps and 9.88 seconds as cutoff scores for the 2-minute step test and 8-foot up-and-go test, respectively.ConclusionFF of older adults with DPN is subpar. FF assessments could assist in identifying older DPN patients at risk of falling.

引用

页码：538 / 555

页数：18

共 55 条

[1] Altered walking strategy and increased unsteadiness in participants with impaired glucose tolerance and Type 2 diabetes relates to small-fibre neuropathy but not vitamin D deficiency [J].