Publication: Postural stability during quiet standing in obese and non-obese adults with type 2 diabetes mellitus
Loading...
Files
Date
2020-09-01
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
1. Introduction
Diabetes which is a major health problem is related to impaired
postural control due to peripheral neuropathy [1]. Obesity, another
common health problem, is also found to be inseparably connected with
postural instability. In particular, excessive body weight is demonstrated
to significantly influence postural stability by altering center of mass
position in the body. Impaired postural stability in T2DM and obesity
has been documented separately by recent evidence [2,3]. We hypothesized that obesity would worsen the postural stability especially in
adults who were diagnosed with T2DM. Therefore, the purpose of the
current study was to investigate the possible impact of obesity on
postural stability during quite standing in both obese and non-obese
adults with T2DM.
2. Research question
How does obesity influence the postural stability in adults with
T2DM by means of sway velocity of center of mass during quite
standing?
3. Methods
The study was conducted at Fatih Sultan Mehmet Hospital Diabetes
and Obesity Center in Istanbul, Turkey. Sixty-five adults (obese 37
adults with BMI ≥ 30 kg/m2
, non-obese 27 adults with BMI < 30 kg/
m2
) who had no any musculoskeletal and neurological disorder were
recruited. Modified Clinical Test of Sensory Interaction in Balance test
among Balance Master System (NeuroCom, USA) was used to evaluate
the postural stability. The sway velocity (degrees/second) of center of
mass was measured on firm surface on firm and foam surface with eyes
open (EO) and eyes closed (EC) conditions by the system. We created
binary outcome according to normative scores. We performed logistic
regression to estimate which groups has greater risk.
4. Results
Number of people who had under normative scores in obese adults
with diabetes; 14 (37,8%) in EO and 10 (27,0%) in EC on firm surface;
17 (45,9%) in EO and 34 (91,9%) in EC on foam surfaces; 26 (%70,3) in
composite score. For non-obese adults with diabetes; 2 (7,4%) in EO and
8 (29,6%) in EC on firm surface; 9 (33,3%) in EO and 22 (81,5%) in EC
on foam surfaces; 17 (%63,0) in composite score were determined.
Obesity was higher risk eyes open scores in firm surface EO (OR:1.49
CI:1.13-1.96) but not in firm surface EC (OR:0.96 CI:0.70-1.32), firm
surface with EO (OR:1.23 CI:0.82-1.84), firm surface with EC (OR:2.28
CI:0.60-8.75), composite score (OR: 1.26 CI:0.62-2.50).
5. Discussion
Findings of current study revealed that obesity in T2DM is an
important concern for deteriorating postural stability during quite
standing. Interestingly standing with more demanding conditions as
foam surface and/or eyes closed did not disturb postural sway of
remarkable distinct percentages.
It is noteworthy to pronounce that maintaining normal body weight
in T2DM would encourage better postural stability in quite standing. An
understanding of the obesity and its effect on postural stability in T2DM
would provide another aspect for future intervention approaches for this
population.
Description
Keywords
Sağlık Bilimleri, Fizyoterapi ve Rehabilitasyon, Health Sciences, Physical therapy and rehabilitation, Klinik Tıp (MED), Klinik Tıp, REHABİLİTASYON, Clinical Medicine (MED), CLINICAL MEDICINE, REHABILITATION, Fizik Tedavi, Spor Terapisi ve Rehabilitasyon, Kayropraktik, Rehabilitasyon, Physical Therapy, Sports Therapy and Rehabilitation, Chiropractics, Rehabilitation
Citation
TİMURTAŞ E., DEMİRBÜKEN İ., AVCI E. E., AKGÜN İ., POLAT M. G., \"Postural stability during quiet standing in obese and non-obese adults with type 2 diabetes mellitus\", The European Society for Movement Analysis in Adults and Children Congress, Odense, Danimarka, 14 Eylül 2020, cilt.81, ss.363