Control postural en personas mayores con y sin diabetes tipo 2 y prediabetes
DOI:
https://doi.org/10.1590/Palabras clave:
Ancianos, Diabetes, Equilibrio Postural, Evolución de la Salud, Atención Primaria de SaludResumen
La literatura todavía no especifica si las personas
con prediabetes tienen déficits en el control postural. Ante esto,
el objetivo de este estudio fue comparar el control postural de
adultos mayores con diabetes tipo 2 y sin esta enfermedad y
aquellos con prediabetes. Un total de 178 personas mayores
(n=117 mujeres), incluidos 41 con diabetes tipo 2 (HbA1C≥6,5%,
edad: 68±6 años), 55 con prediabetes (HbA1C entre 5,7%
y 6,4%, edad: 67±6 años) y 82 sin diabetes (grupo control,
HbA1C<5,7%, edad: 67±5 años) realizaron tres intentos de
30 s en la prueba de estabilidad unipodal en una plataforma
Force. Los adultos mayores con diabetes tipo 2 tuvieron peor
control postural (área del centro de presión y oscilaciones de
velocidad) que el grupo control (P<0,05; d:0,39-0,62). No hubo
diferencias significativas en el equilibrio postural entre aquellos
con prediabetes y el control (P>0,05; d=0,14-0,37). Los adultos
mayores con diabetes tipo 2 tuvieron un peor control postural
que aquellos sin diabetes en equilibrio de estabilidad unipodal
utilizando parámetros de centro de presión.
Descargas
Referencias
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
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2026 Amanda Santiago da Rocha, Rubens Alexandre da Silva, Fernanda Borges de Oliveira Vasconcelos, Audrey de Souza Marquez, Márcio Rogerio de Oliveira

Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.