Predictive factors for reduced functional mobility in elderly diabetics and non-diabetics
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ORIGINAL ARTICLE
Predictive factors for reduced functional mobility in elderly diabetics and non-diabetics Fernanda Thais Ferreira de Paiva 1 & Marina Morato Stival 2 & Luciano Ramos de Lima 2 & Alessandro de Oliveira Silva 3 & Yuri Gustavo de Sousa Barbalho 4 & Manoela Vieira Gomes da Costa 4 Izabel Cristina Rodrigues da Silva 2 & Silvana Schwerz Funghetto 2
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Received: 21 May 2020 / Accepted: 15 September 2020 # Research Society for Study of Diabetes in India 2020
Abstract Objective The aim of this study was to evaluate the mobility of older adults treated in primary health care units in Brazil, as well as to investigate the association between reduced mobility, sociodemographic characteristics, and health conditions in the diabetic and non-diabetic elderly. Methods This is a cross-sectional study carried out in two primary health care units with 205 elderly individuals. The “TimedUp-and-Go” test was used to evaluate the mobility. The variables related to reduced mobility were verified by multivariate logistic regression. Results A total of 80% were women, 52.2% had diabetes mellitus, and the prevalence of reduced mobility was 81.0%. The following factors were significantly associated with reduced mobility in diabetics: occupation (p = 0.040), alcoholism (p = 0.019), smoking (p = 0.039), sedentary lifestyle (p = 0.033), high blood pressure (p = 0.018), and the percentage of body fat (p = 0.001). The variables that were found to be predictive factors for diabetes were as follows: triglyceride ((odds ratio [OR], 1.61; 95% confidence interval [95% CI], 1.05–2.34; p = 0.038)), sedentary lifestyle (OR, 2.50; 95% CI, 1.06–5.57; p = 0.018), and high blood pressure (OR, 2.03; 95% CI, 1.09–4.02; p = 0.040). Conclusion The prevalence of reduced mobility among the diabetic older adults in the study is extremely high when compared with results from other studies conducted in Brazil and worldwide. Moreover, a decrease in mobility is one of the main risk factors for falls in older people. Therefore, intervention and health promotion actions should be proposed to maintain and improve the mobility and autonomy of the elderly. Keywords Diabetes mellitus . Elderly . Mobility
* Fernanda Thais Ferreira de Paiva [email protected]
Izabel Cristina Rodrigues da Silva [email protected]
Marina Morato Stival [email protected] Luciano Ramos de Lima [email protected]
Silvana Schwerz Funghetto [email protected] 1
Unieuro University Center Brasília, Avenida das Nações, Trecho 0, Conjunto 05, Brasilia, Distrito Federal 70.200-001, Brazil
2
University of Brasília, Brasilia, Distrito Federal, Brazil
3
Center University of Brasilia, Brasilia, Distrito Federal, Brazil
4
University of Brasilia, Brasilia, Distrito Federal, Brazil
Alessandro de Oliveira Silva [email protected] Yuri Gustavo de Sousa Barbalho [email protected] Manoela Vieira Gomes da Costa [email protected]
Int J Diabetes Dev Ctries
Introduction Aging is a natural and inevitable process. Over the years, changes in
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