Balance Training Reduces Falls Risk in Older Individuals With Type 2 Diabetes

被引:140
作者
Morrison, Steven [1 ]
Colberg, Sheri R. [2 ]
Mariano, Mira [1 ]
Parson, Henri K. [3 ]
Vinik, Arthur I. [3 ]
机构
[1] Old Dominion Univ, Sch Phys Therapy, Norfolk, VA 23529 USA
[2] Old Dominion Univ, Dept Human Movement Sci, Norfolk, VA USA
[3] Eastern Virginia Med Sch, Strelitz Diabet Ctr, Norfolk, VA 23501 USA
关键词
PERIPHERAL NEUROPATHY; ADULTS;
D O I
10.2337/dc09-1699
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - This study assessed the effects of balance/strength training on falls risk and posture in older individuals with type 2 diabetes. RESEARCH DESIGN AND METHODS - Sixteen individuals with type 2 diabetes and 21 age-matched control subjects (aged 50-75 years) participated. Postural stability and falls risk was assessed before and after a 6-week exercise program. RESULTS - Diabetic individuals had significantly higher falls risk score compared with control subjects. The diabetic group also exhibited evidence of mild-to-moderate neuropathy, slower reaction times, and increased postural sway. Following exercise, the diabetic group showed significant improvements in leg strength, faster reaction times, decreased sway, and, consequently, reduced falls risk. CONCLUSIONS - Older individuals with diabetes had impaired balance, slower reactions, and consequently a higher falls risk than age-matched control subjects. However, all these variables improved after resistance/balance training. Together these results demonstrate that structured exercise has wide-spread positive effects on physiological function for older individuals with type 2 diabetes.
引用
收藏
页码:748 / 750
页数:3
相关论文
共 15 条
[1]   Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial [J].
Barnett, A ;
Smith, B ;
Lord, SR ;
Williams, M ;
Baumand, A .
AGE AND AGEING, 2003, 32 (04) :407-414
[2]   Hypoglycemia Unawareness in Older Compared With Middle-Aged Patients With Type 2 Diabetes [J].
Bremer, Jan P. ;
Jauch-Chara, Kamila ;
Hallschmid, Manfred ;
Schmid, Sebastian ;
Schultes, Bernd .
DIABETES CARE, 2009, 32 (08) :1513-1517
[3]   The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults [J].
Buchner, DM ;
Cress, ME ;
deLateur, BJ ;
Esselman, PC ;
Margherita, AJ ;
Price, R ;
Wagner, EH .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1997, 52 (04) :M218-M224
[4]   What is the role of falls? [J].
Close, JCT ;
Lord, SL ;
Menz, HB ;
Sherrington, C .
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2005, 19 (06) :913-935
[5]   Neuromuscular and psychomotor function in elderly subjects who fall and the relationship with vitamin D status [J].
Dhesi, JK ;
Bearne, LM ;
Moniz, C ;
Hurley, MV ;
Jackson, SHD ;
Swift, CG ;
Allain, TJ .
JOURNAL OF BONE AND MINERAL RESEARCH, 2002, 17 (05) :891-897
[6]  
Fukagawa NK, 1995, J GERONTOL A-BIOL, V50A, P64, DOI DOI 10.1093/GER0NA/50A.SPECIAL
[7]  
Lord SR, 2007, FALLS IN OLDER PEOPLE: RISK FACTORS AND STRATEGIES FOR PREVENTION, 2ND EDITION, P1, DOI 10.1017/CBO9780511722233
[8]   A physiological profile approach to falls risk assessment and prevention [J].
Lord, SR ;
Menz, HB ;
Tiedemann, A .
PHYSICAL THERAPY, 2003, 83 (03) :237-252
[9]   Diabetes mellitus is associated with an increased risk of falls in elderly residents of a long-term care facility [J].
Maurer, MS ;
Burcham, J ;
Cheng, H .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2005, 60 (09) :1157-1162
[10]   PERIPHERAL NEUROPATHY - A TRUE RISK FACTOR FOR FALLS [J].
RICHARDSON, JK ;
HURVITZ, EA .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1995, 50 (04) :M211-M215