Controle postural em pessoas idosas com e sem diabetes tipo 2 e pré-diabetes
DOI:
https://doi.org/10.1590/Palavras-chave:
Idosos, Diabetes, Equilíbrio Postural, Evolução da Saúde, Atenção Primária à SaúdeResumo
Não está claro na literatura se pessoas com prédiabetes
apresentam déficits no controle postural. Portanto,
o objetivo deste estudo foi comparar o controle postural
de idosos com e sem diabetes tipo 2 e com pré-diabetes.
Um total de 178 idosos (n=117 mulheres) incluindo 41 com
diabetes tipo 2 (HbA1C≥6,5%, idade: 68±6 anos), 55 com prédiabetes
(HbA1C entre 5,7% e 6,4%, idade: 67±6 anos) e 82
sem diabetes (grupo controle, HbA1C<5,7%, idade: 67±5 anos)
realizaram três tentativas de 30 s do teste de apoio unipodal
sobre uma plataforma de força. Idosos com diabetes tipo 2
tiveram pior controle postural (área do centro de pressão e
oscilações de velocidade) do que o grupo controle (p<0,05;
d:0,39-0,62). Não houve diferenças significativas no equilíbrio
postural entre aqueles com pré-diabetes e controle (p>0,05;
d=0,14-0,37). Idosos com diabetes tipo 2 tiveram pior controle
postural do que aqueles sem diabetes no equilíbrio de apoio
unipodal usando os parâmetros do centro de pressão.
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Referências
1. Bittar RSM, Santos MD, Mezzalira R. Glucose metabolism
disorders and vestibular manifestations: evaluation through
computerized dynamic posturography. Braz J Otorhinolaryngol.
2016;82(4):372-6. doi: 10.1016/j.bjorl.2015.10.005
2. Hewston P, Deshpande N. Falls and Balance Impairments in
Older Adults with Type 2 Diabetes: Thinking Beyond Diabetic
Peripheral Neuropathy. Can J Diabetes. 2016;40(1):6-9. doi:
10.1016/j.jcjd.2015.08.005
3. Mozetic V, Daou JP, Martimbianco ALC, Riera R. What
do Cochrane systematic reviews say about diabetic
retinopathy? Sao Paulo Med J. 2017;135(1):79-87. doi:
10.1590/1516-3180.2016.0356040117
4. Khan KS, Andersen, H. The impact of diabetic neuropathy on
activities of daily living, postural balance and risk of falls-a
systematic review. J Diabetes Sci Technol. 2022;16(2):289-94.
doi: 10.1177/1932296821997921
5. Gorniak SL, Lu FY, Lee BC, Massman PJ, Wang J. Cognitive
impairment and postural control deficit in adults with Type
2 diabetes. Diabetes Metab Res Rev. 2019;35(2):e3089. doi:
10.1002/dmrr.3089
6. Carlos AG, Dias VN, Perracini MR, Doná F, Sousa AGP, et al.
Postural balance and associated factors with the fall risk
assessed in older adults with type 2 diabetes mellitus. Rev
Bras Geriatr Gerontol. 2024;27:e230161. doi: 10.1590/1981-
22562023026.230161.en
7. Mohajan D, Mohajan HK. Prevention and management strategies
of pre-diabetes. Front Manag Sci. 2023;2(5):32-6. doi: 10.56397/
fms.2023.10.04
8. Dixon CJ, Knight T, Binns E, Ihaka B, O’Brien D. Clinical measures
of balance in people with type two diabetes: A systematic
literature review. Gait Posture. 2017;58:325-32. doi: 10.1016/j.
gaitpost.2017.08.022
9. Lopatin T, Ko M, Brown E, Goble D, Haworth J. Balance Testing
for Patients with Type 2 Diabetes. J Diabetes Sci Technol.
2022;16(6):1582-3. doi: 10.1177/19322968221121679
10. Almeida IA, Terra MB, Oliveira MR, Silva Júnior RA, Ferraz
HB, et al. Comparing postural balance among older adults
and Parkinson’s disease patients. Mot Rev Educ Física.
2016;22(4):261-5. doi: 10.1590/S1980-6574201600040007
11. Castro LA, Felcar JM, Carvalho DR, Vidotto LS, Silva RA, et
al. Effects of land- and water-based exercise programmes on
postural balance in individuals with COPD: additional results
from a randomised clinical trial. Physiotherapy. 2020;107:58-65.
doi: 10.1016/j.physio.2019.08.001
12. Oliveira MR, Vieira ER, Gil AWO, Fernandes KBP, Teixeira DC, et
al. One-legged stance sway of older adults with and without
falls. PloS One. 2018;13(9):e0203887. doi: 10.1371/journal.
pone.0203887
13. Spirduso WW, Asplund LA. Physical Activity and Cognitive
Function in the Elderly. Quest. 1995;47(3):395-410. doi:
10.1080/00336297.1995.10484166
14. Silva RA, Bilodeau M, Parreira RB, Teixeira DC, Amorim CF.
Age-related differences in time-limit performance and force
platform-based balance measures during one-leg stance.
J Electromyogr Kinesiol. 2013;23(3):634-9. doi: 10.1016/j.
jelekin.2013.01.008
15. Bauer C, Gröger I, Rupprecht R, Gassmann KG. Intrasession
reliability of force platform parameters in community-dwelling
older adults. Arch Phys Med Rehabil. 2008;89(10):1977-82. doi:
10.1016/j.apmr.2008.02.033
16. Pinsault N, Vuillerme N. Test-retest reliability of centre of
foot pressure measures to assess postural control during
unperturbed stance. Med Eng Phys. 2009;31(2):276-86. doi:
10.1016/j.medengphy.2008.08.003
17. Faludi AA, Izar MCO, Saraiva JFK, Bianco HT, Chacra APM, et
al. Diretriz brasileira baseada em evidências sobre prevenção
de doenças cardiovasculares em pacientes com diabetes:
posicionamento da Sociedade Brasileira de Diabetes (SBD), da Sociedade Brasileira de Cardiologia (SBC) e da Sociedade
Brasileira de Endocrinologia e Metabologia (SBEM). Arq Bras
Cardiol. 2017;109(6 suppl 1):1-31. doi: 10.5935/abc.20170188
18. Tudor-Locke C, Craig CL, Aoyagi Y, Bell RC, Croteau KA, et
al. How many steps/day are enough? For older adults and
special populations. Int J Behav Nutr Phys Act. 2011;8(1):80.
doi: 10.1186/1479-5868-8-80
19. Brydges CR. Effect size guidelines, sample size calculations,
and statistical power in gerontology. Innov Aging. 2019;3(4):
igz036. doi: 10.1093/geroni/igz036
20. Sreekumar R, Nair KS. Skeletal muscle mitochondrial dysfunction
& diabetes. Indian J Med Res. 2007;125(3):399-410.
21. Lim KB, Kim DJ, Noh J-H, Yoo J, Moon JW. Comparison of
balance ability between patients with type 2 diabetes and with
and without peripheral neuropathy. PM R. 2014;6(3):209-14;
doi: 10.1016/j.pmrj.2013.11.007
22. Rosario MG, Hyder A, Orozco E, Bartolomei JGV, Quiñones CL, et
al. Evaluating static postural control in subjects with controlleddiabetes
mellitus II. J Hum Sport Exerc. 2020;15(2):344-54. doi:
10.14198/jhse.2020.152.09
23. Gorniak SL, Khan A, Ochoa N, Sharma MD, Phan CL. Detecting
subtle fingertip sensory and motor dysfunction in adults with
type II diabetes. Exp Brain Res. 2014;232(4):1283-91. doi: 10.1007/
s00221-014-3844-x
24. Ochoa N, Gorniak SL. Changes in sensory function and force
production in adults with type II diabetes. Muscle Nerve.
2014;50(6):984-90. doi: 10.1002/mus.24261
25. Cimbiz A, Cakir O. Evaluation of balance and physical fitness
in diabetic neuropathic patients. J Diabetes Complications.
2005;19(3):160-4. doi: 10.1016/j.jdiacomp.2004.06.005
26. Hurvitz EA, Richardson JK, Werner RA. Unipedal stance testing
in the assessment of peripheral neuropathy. Arch Phys Med
Rehabil. 2001;82(2):198-204. doi: 10.1053/apmr.2001.17830
27. Winter D. Human balance and posture control during
standing and walking. Gait Posture. 1995;3(4):193-214. doi:
10.1016/0966-6362(96)82849-9
28. Nguyen U-SDT, Kiel DP, Li W, Galica AM, Kang HG, et al.
Correlations of Clinical and Laboratory Measures of Balance
in Older Men and Women. Arthritis Care Res. 2012;64(12):1895-
902. doi: 10.1002/acr.21783
29. Gray DS, Bray GA, Gemayel N, Kaplan K. Effect of obesity on
bioelectrical impedance. Am J Clin Nutr. 1989;50(2):255-60.
doi: 10.1093/ajcn/50.2.255
30. Pereira C, Silva RA, Oliveira MR, Souza RDN, Borges RJ, et
al. Effect of body mass index and fat mass on balance force
platform measurements during a one-legged stance in older
adults. Aging Clin Exp Res. 2018;30(5):441-7. doi: 10.1007/
s40520-017-0796-6
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Direitos autorais (c) 2026 Amanda Santiago da Rocha, Rubens Alexandre da Silva, Fernanda Borges de Oliveira Vasconcelos, Audrey de Souza Marquez, Márcio Rogerio de Oliveira
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
