| Title |
Multiple diabetic complications, as well as impaired physical and mental function, are associated with declining balance function in older persons with diabetes mellitus
|
|---|---|
| Published in |
Clinical Interventions in Aging, January 2017
|
| DOI | 10.2147/cia.s123985 |
| Pubmed ID | |
| Authors |
Xiufang Hong, Xujiao Chen, Jiaojiao Chu, Shanshan Shen, Qichen Chai, Gaobo Lou, Lingyan Chen |
| Abstract |
To investigate whether there is a difference in balance function between older persons with and without diabetes mellitus (DM), and to identify whether mediating factors, such as diabetic complications, Instrumental Activities of Daily Living (IADL) score, Mini-Mental State Examination (MMSE) score, as well as hemoglobin A1c (HbA1c), fasting plasma glucose (FPG), serum total cholesterol (TC), triglycerides (TG), and low-density lipoprotein (LDL), are associated with balance function in older persons with DM. In this cross-sectional study, a total of 208 older persons were divided into a DM group (n=80) and a control group who did not have DM (n=128). Balance function was evaluated with the Tinetti performance-oriented mobility assessment (POMA), which includes balance and gait subscales. Activities of daily living (ADL), IADL, and the MMSE were also measured. Fall incidents in last 12 months, the use of walking aids, fear of falling, comorbidities, and polypharmacy were recorded. Diabetic complications were recorded, and HbA1c, FPG, TC, TG, and LDL were measured in the patients of the DM group. Fall incidents in last 12 months were higher in the DM group than in the control group (P<0.01). POMA score as well as ADL and IADL scores were lower in the diabetic group than the control group (P<0.05). Within the diabetic group, the POMA score was positively related to the ADL score (odds ratio [OR], 11.7; 95% confidence interval [CI], 3.076-44.497; P<0.01), IADL score (OR, 16.286; 95% CI, 4.793-55.333; P<0.01), and MMSE score (OR, 10.524; 95% CI, 2.764-40.074; P<0.01), but was negatively related to age (OR, 7.707; 95% CI, 2.035-29.185; P<0.01) and diabetic complication (OR, 6.667; 95% CI, 2.279-19.504; P<0.01). Also, within the DM group, the decreased POMA score was associated with multiple diabetic complications (OR, 5.977; 95% CI, 1.378-25.926; P<0.05), decreased IADL score (OR, 10.288; 95% CI, 2.410-43.915; P<0.01), and MMSE score (OR, 13.757; 95% CI, 2.556-74.048; P<0.01). Multiple diabetic complications, lower MMSE, ADL, and IADL scores were associated with declining balance function in the older persons with DM. These findings can alert physicians to detect and intervene earlier on declining balance in older persons with DM. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Ireland | 4 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 3 | 75% |
| Scientists | 1 | 25% |
Mendeley readers
The data shown below were compiled from readership statistics for 74 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 74 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 12 | 16% |
| Student > Bachelor | 12 | 16% |
| Student > Ph. D. Student | 10 | 14% |
| Student > Postgraduate | 7 | 9% |
| Researcher | 6 | 8% |
| Other | 9 | 12% |
| Unknown | 18 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 18 | 24% |
| Nursing and Health Professions | 18 | 24% |
| Neuroscience | 4 | 5% |
| Sports and Recreations | 4 | 5% |
| Psychology | 3 | 4% |
| Other | 6 | 8% |
| Unknown | 21 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 January 2017.
All research outputs
#14,787,133
of 25,382,440 outputs
Outputs from Clinical Interventions in Aging
#959
of 1,968 outputs
Outputs of similar age
#217,831
of 421,709 outputs
Outputs of similar age from Clinical Interventions in Aging
#28
of 39 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
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