Physical Therapy Rehabilitation Science

  • 제7권4호
  • /
  • Pages.197-203
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  • 2018
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Fall prevention strategies in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review and meta-analysis

  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Woo, Youngkeun (Department of Physical Therapy, College of Medical Science, Jeonju University)
  • 투고 : 2018.10.23
  • 심사 : 2018.11.21
  • 발행 : 2018.12.31
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초록

Objective: Independent walking is the most essential prerequisite to maintain quality of life in older persons. The purpose of this review was to investigate the effect of fall prevention strategies on fall risk for type 2 diabetes mellitus (T2DM) within community-dwelling older adults aged 65 and over. Design: A systematic review and meta-analysis. Methods: PubMed and three other databases were searched up to October 31st, 2018 and randomized controlled trials (RCTs) evaluating fall prevention strategies for fall risk in persons who were 65 years of age or above with T2DM were included. The review extracted the following information from each study selected: first author's surname, published year, country, study population, type of intervention, intensity of intervention, comparison, measurement variables, additional therapy, summary of results, and mean and standard deviation from selected studies. Results: This review selected fourteen RCTs with 460 older adults with diabetes mellitus. Of the 14 studies, the types of intervention used to improve the risk of falls were strengthening (5), aerobic exercises (2), multimodal exercises (4), one virtual reality exercise (1), whole body vibration with balance exercise (1), and Tai Chi exercise (1). Seven RCTs were eligible for the meta-analysis. Therapeutic interventions were more effective than the control group for the Timed Up-and-Go test (-1.11; 95% CI, -1.82 to -0.41) and the 6-minute Walk Test (-1.89; 95% CI, -8.33 to 4.54). Conclusions: The results of the review suggest that interventions to prevent fall risk in older adults with T2DM should focus on strengthening, balance, aerobic, and multimodal exercises.

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참고문헌

  1. Gravesande J, Richardson J. Identifying non-pharmacological risk factors for falling in older adults with type 2 diabetes mellitus: a systematic review. Disabil Rehabil 2017;39:1459-65. https://doi.org/10.1080/09638288.2016.1199741
  2. El-Menyar A, Mekkodathil A, Al-Thani H. Traumatic injuries in patients with diabetes mellitus. J Emerg Trauma Shock 2016;9:64-72. https://doi.org/10.4103/0974-2700.179461
  3. Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ, et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet 2011;378:31-40. https://doi.org/10.1016/S0140-6736(11)60679-X
  4. Ites KI, Anderson EJ, Cahill ML, Kearney JA, Post EC, Gilchrist LS. Balance interventions for diabetic peripheral neuropathy: a systematic review. J Geriatr Phys Ther 2011;34:109-16. https://doi.org/10.1519/JPT.0b013e318212659a
  5. Hwang S. Risk of falls in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review. Korean Acad Phys Ther Rehab Sci 2018;7:139-45.
  6. Chapman A, Meyer C, Renehan E, Hill KD, Browning CJ. Exercise interventions for the improvement of falls-related outcomes among older adults with diabetes mellitus: a systematic review and meta-analyses. J Diabetes Complications 2017;31:631-45. https://doi.org/10.1016/j.jdiacomp.2016.09.015
  7. Asa C, Maria S, Katharina SS, Bert A. Aquatic exercise is effective in improving exercise performance in patients with heart failure and type 2 diabetes mellitus. Evid Based Complement Alternat Med 2012. doi:10.1155/2012/349209.
  8. Brandon LJ, Gaasch DA, Boyette LW, Lloyd AM. Effects of long-term resistive training on mobility and strength in older adults with diabetes. J Gerontol A Biol Sci Med Sci 2003;58:740-5. https://doi.org/10.1093/gerona/58.8.M740
  9. Brooks N, Layne JE, Gordon PL, Roubenoff R, Nelson ME, Castaneda-Sceppa C. Strength training improves muscle quality and insulin sensitivity in Hispanic older adults with type 2 diabetes. Int J Med Sci 2006;4:19-27.
  10. Dunstan DW, Daly RM, Owen N, Jolley D, De Courten M, Shaw J, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care 2002;25:1729-36.
  11. Hsieh PL, Tseng CH, Tseng YJ, Yang WS. Resistance training improves muscle function and cardiometabolic risks but not quality of life in older people with type 2 diabetes mellitus: a randomized controlled trial. J Geriatr Phys Ther 2018;41:65-76. https://doi.org/10.1519/JPT.0000000000000107
  12. Kruse RL, Lemaster JW, Madsen RW. Fall and balance outcomes after an intervention to promote leg strength, balance, and walking in people with diabetic peripheral neuropathy: "feet first" randomized controlled trial. Phys Ther 2010;90:1568-79. https://doi.org/10.2522/ptj.20090362
  13. Kutty NA, Majida NAL. Effects of multisensory training on balance and gait in persons with type 2 diabetes: a randomised controlled trial. Diabil CBR Inclu Develop 2013;24:79-91. https://doi.org/10.5463/dcid.v24i2.206
  14. Lee S, Shin S. Effectiveness of virtual reality using video gaming technology in elderly adults with diabetes mellitus. Diabetes Technol Ther 2013;15:489-96.
  15. Lee K, Lee S, Song C. Whole-body vibration training improves balance, muscle strength and glycosylated hemoglobin in elderly patients with diabetic neuropathy. Tohoku J Exp Med 2013;231:305-14. https://doi.org/10.1620/tjem.231.305
  16. Ng TK, Kwan RLC, Lo SK, Cheing GL. A tailor-made exercise program for improving balance and mobility in older adults with type 2 diabetes. J Gerontol Nurs 2018;44:41-8.
  17. Tan S, Li W, Wang J. Effects of six months of combined aerobic and resistance training for elderly patients with a long history of type 2 diabetes. J Sports Sci Med 2012;11:495-501.
  18. Taveggia G, Villafane JH, Vavassori F, Lecchi C, Borboni A, Negrini S. Multimodal treatment of distal sensorimotor polyneuropathy in diabetic patients: a randomized clinical trial. J Manipulative Physiol Ther 2014;37:242-52. https://doi.org/10.1016/j.jmpt.2013.09.007
  19. Tessier D, Menard J, Fulop T, Ardilouze J, Roy M, Dubuc N, et al. Effects of aerobic physical exercise in the elderly with type 2 diabetes mellitus. Arch Gerontol Geriatr 2000;31:121-32. https://doi.org/10.1016/S0167-4943(00)00076-5
  20. Tsang T, Orr R, Lam P, Comino E, Singh MF. Effects of Tai Chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: a randomised double-blind sham-exercise-controlled trial. Age Ageing 2008;37:64-71.
  21. Grewal GS, Schwenk M, Lee-Eng J, Parvaneh S, Bharara M, Menzies RA, et al. Sensor-based interactive balance training with visual joint movement feedback for improving postural stability in diabetics with peripheral neuropathy: a randomized controlled trial. Gerontology 2015;61:567-74. https://doi.org/10.1159/000371846
  22. Geirsdottir OG, Arnarson A, Briem K, Ramel A, Jonsson PV, Thorsdottir I. Effect of 12-week resistance exercise program on body composition, muscle strength, physical function, and glucose metabolism in healthy, insulin-resistant, and diabetic elderly Icelanders. J Gerontol A Biol Sci Med Sci 2012;67:1259-65. https://doi.org/10.1093/gerona/gls096
  23. Callisaya M, Nosaka K. Effects of exercise on type 2 diabetes mellitus-related cognitive impairment and dementia. J Alzheimers Dis 2017;59:503-13. https://doi.org/10.3233/JAD-161154

피인용 문헌

  1. Effect of aquatic exercise on gait in persons with chronic stroke: a meta-analysis study in Korea vol.8, pp.2, 2018, https://doi.org/10.14474/ptrs.2019.8.2.112