Impact of Type‐2 Diabetes Time Since Diagnosis on Elderly Women Gait and Functional Status

• Published in: Physiotherapy research international : the journal for researchers and clinicians in physical therapy Vol. 22; no. 2
• Main Authors: Anjos, Daniela Maria, Moreira, Bruno, Pereira, Daniele Sirineu, Picorelli, Alexandra Miranda Assumpção, Pereira, Danielle Aparecida Gomes, Kirkwood, Renata Noce, Dias, Rosângela Corrêa, Pereira, Leani Souza Máximo
• Format: Journal Article
• Language: English
• Published: United States 01.04.2017
• Subjects: Accidental Falls - prevention & control; Accidental Falls - statistics & numerical data; Aged; Cohort Studies; Cross-Sectional Studies; diabetes mellitus; Diabetes Mellitus, Type 2 - complications; Diabetes Mellitus, Type 2 - diagnosis; Diabetes Mellitus, Type 2 - drug therapy; Disability Evaluation; Disease Progression; elderly; Female; frail elderly; functional status; gait; Gait - physiology; Geriatric Assessment - methods; Humans; Incidence; Mobility Limitation; Postural Balance - physiology; Prognosis; Risk Assessment; Time Factors; frail elderly; diabetes mellitus; functional status; gait; elderly
• ISSN: 1358-2267; 1471-2865
• DOI: 10.1002/pri.1651

Background and Purpose The gait, mobility and lower‐limb strength alterations of diabetic elderly women without symptoms of diabetic neuropathy in different periods of the chronic disease can contribute to an early functional diagnosis, allowing prevention of adverse outcomes like falls and disability. This could also contribute to the development of interventions, cures and physiotherapy practice for this population. The aim of this study was to verify the impact of type‐2 diabetes mellitus time since diagnosis on gait and functional status of elderly women. Methods Eighty‐two diabetic elderly women without neuropathic symptoms participated and divided in two groups: 1) 49 elderly (71.4 ± 4.8 years) with less than 10 years of type‐2 diabetes mellitus diagnosis, and 2) 33 elderly (70 ± 4.5 years) with 10 or more years of type‐2 diabetes mellitus diagnosis. Outcomes were spatiotemporal gait parameters (speed, cadence, step length, base of support, stance time, swing time, and double support time) assessed through GAITRite® system, and functional status assessed using the Timed Up and Go test and five times sit‐to‐stand test. To compare spatiotemporal gait variables and performance on functional tests between groups, multivariate analysis of variance and Mann–Whitney test were performed, respectively. Results The group with 10 or more years of diagnosis showed lower gait speed and smaller step length (112.3 cm/s; 59.2 cm) compared with the group with less than 10 years of diagnosis (122.9 cm/s; 62.4 cm). In relation to Timed Up and Go test and five times sit‐to‐stand test, there were no statistically significant differences between the groups. Conclusion Type‐2 diabetes mellitus time since diagnosis has a negative impact on gait speed and step length, but not on functional status of the elderly women. Copyright © 2015 John Wiley & Sons, Ltd.