Decreased Ankle Brachial Index Score against Distance Covered During Six Minute Walk Test in Diabetes Mellitus Type 2 Patients

2020 ◽  
Vol 6 (1) ◽  
pp. 46-48
Author(s):  
Ni Made Elva Mayasari
Keyword(s):  
Diabetes Mellitus ◽  
Ankle Brachial Index ◽  
Primary Data ◽  
Diabetic Patients ◽  
Walking Ability ◽  
Walk Test ◽  
Cross Sectional ◽  
Six Minute Walk Test ◽  
Minute Walk

Diabetes mellitus (DM) is a metabolic disease with characteristics of hyperglycemia due to abnormalities of insulin secretion, insulin action or both. DM is a risk factor for Peripheral Artery Disease (PAD). PAD is a progressive narrowing process of peripheral arteries, especially in the inferior limb arteries. As a result, there is a reduction in blood flow to the affected limb. Most patients do not show symptoms, but many also experience intermittent claudication. PAD can be diagnosed and its severity assessed using the Ankle Brachial Index (ABI) Score. PAD can cause disturbances in muscle mass and strength so that it can cause limitations in walking ability including gait, walking speed, and balance which ultimately impair Six Minute Walk Test (SMWT). The purpose of this study was to see whether there is an effect of decreasing ABI Score on distance covered during SMWT in diabetic patients. This study was analytic observational with a cross sectional study design using primary data and secondary data from DM patients who have never been diagnosed with PAD in Polyclinic of Muhammadiyah Hospital in Palembang. The sample size in this study was 40 patients with type 2 DM who were selected using nonprobability sampling with consecutive sampling method. The subject have their ABI and SMWT measured. The collected data was analyzed by chi-square test. In this study, the significance value was p = 0.016 (p <0.05) which can be concluded that there was an effect of decreasing ABI score on distance during SMWT in DM patients

scholarly journals Vascular and Cardiorespiratory Factors are Associated with Functional Capacity in Patient with Type 2 Diabetes Mellitus

2020 ◽  
Vol 5 (1) ◽  
pp. 182-187
Author(s):  
Ni Made Elva Mayasari ◽  
Raden Ayu Tanzila ◽  
Namira Amanda ◽  
Woro Nurul Sandra Anindhita
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Functional Capacity ◽  
Walk Test ◽  
Cross Sectional ◽  
Six Minute Walk Test ◽  
Cross Sectional Design ◽  
Minute Walk

A B S T R A C TIntroduction Diabetes mellitus is a degenerative disease that has globally increasedprevalence annually 1 . Impaired functional capacity due to poor blood sugar controland presence of cardiovascular autonomic dysfunction. Six minute walk test is amethod that is widely used in the assessment of functional capacity in patients withType 2 Diabetes Mellitus.ObjectiveTo evaluate factors that are associated withfunctional capacity in Type 2 Diabetes Mellitus.Methods This is an analyticobservational study with a cross sectional design. Fourty patients who had beendiagnosed with diabetes mellitus was assessed by six minute walk test. Chi squareand logistic regression analysis was perform by using SPSS 25. Results Six minutewalk test correlated significantly with Ancle Brachial Index scores (p = 0.016) andBody Mass Index (p = 0.03) Conclusion Ancle Brachial Index Score and Body MassIndex are factors associated with functional capacity in Type 2 Diabetes Mellitus

scholarly journals Electrocardiogram abnormality and Distance Covered during Six Minute Walk Test on Diabetes Mellitus Type 2

2020 ◽  
Vol 4 (2) ◽  
pp. 203
Author(s):  
Ni Made Elva Mayasari ◽  
Adhi Permana ◽  
Yudi Fadilah ◽  
Namira Amanda
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Diseases ◽  
Early Detection ◽  
Diabetes Mellitus Type 2 ◽  
Diabetes Mellitus Type ◽  
Diagnostic Tools ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

AbstractDiabetes Mellitus (DM) is a metabolic disease that has the characteristics of hyperglycemia that occurs due to abnormalities of insulin secretion, insulin action, or both. Macrovascular complications are often also referred to as secondary atherosclerosis due to DM, which can cause cerebral vascular disease, coronary arterial disease, and peripheral atrial disease. Diagnostic tools are needed for early detection in cardiovascular diseases which is accurate, inexpensive, comfortable, and available in almost health center. One of the diagnostic tools for early detection of cardiovascular diseases is an electrocardiogram (ECG). Six Minute Walk Test (SMWT) is a simple, objective, inexpensive, and efficient test to assess functional capacity and prognosis. This study aims to [nmem1] see whether there is a correlation between abnormalities of ECG and distance covered during SMWT in DM patients. This study was a cross-sectional study design from DM patients in the Polyclinic of the Muhammadiyah Hospital in Palembang. Forty patients with type 2 DM who fulfilled inclusion and exclusion criteria were selected using a consecutive sampling method. Twenty-seven patients have abnormal ECG, and only thirteen patients had distance covered during SMWT >300m. There is a correlation between abnormalities of ECG and distance covered during SMWT in DM patients with a significance value p = 0.011.Keywords: Diabetes Mellitus type 2, Eelectrocardiogram, Six Minute WalkingCorrespondence author: [email protected]  

scholarly journals Correlation between 6-minute walk distance and spirometry parameters in stable chronic obstructive pulmonary disease patients

2018 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Ruchita B. Hajare ◽  
Raziya Nagarwala ◽  
Ashok Shyam ◽  
Parag Sancheti
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Strong Positive Correlation ◽  
Walk Test ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Six Minute Walk Test ◽  
Tertiary Center ◽  
Minute Walk

Background: Six minute walk test (6MWT) is a sub-maximal exercise test, used as a clinical indicator of the functional capacity, in patients with cardiopulmonary diseases. It is simple, objective and reproducible test. The present study was designed to assess correlation of six minute walk test with spirometry parameters, in patients with chronic obstructive pulmonary disease.Methods: In this cross sectional study, fifty patients diagnosed with chronic obstructive pulmonary disease (GOLD criteria) coming to tertiary center were recruited according to inclusion and exclusion criteria. All patients underwent spirometric measurement. Spirometric indices including FEV1, FVC, FEV1/FVC and MVV were tested using computerized spirometer. 6MWT was performed following American Thoracic Society (ATS) guidelines. Percent (%) predicted 6MWD was calculated. Correlation between spirometry and 6MWT was assessed.Results: It was found that correlation between 6MWT and spirometry is statistically significant. There is significant strong positive correlation between percent predicted 6MWD and FEV1 (r=0.850 and p= <0.001), whereas there is significant moderate correlation between percent predicted 6MWD and FVC (r=0.554 and p= <0.001), FEV1/FVC (r=0.509 and p= <0.001) and MVV (r=0.615 and p= <0.001).Conclusions: In chronic obstructive pulmonary disease, percent predicted 6mwd significantly correlated with the spirometry parameters (FEV1, FVC, FEV1/FVC, and MVV). 6MWD decreases as there is decline in the pulmonary function. 6MWT can be a useful replacement of spirometry in assessment of severity of COPD.

scholarly journals The result of treadmill test in asymptomatic type 2 diabetes mellitus

2017 ◽  
Vol 3 (6) ◽  
pp. 166 ◽  
Author(s):  
Anil Shrinivasrao Joshi ◽  
Chandrakant Gunaji Lahane ◽  
Akshay Arvind Kashid
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Early Detection ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Duration Of Diabetes ◽  
Asymptomatic Patients ◽  
Cardiovascular Morbidity And Mortality

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">To study the prevalence of silent myocardial ischaemia in asymptomatic patients with type 2 DM</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The present study was conducted in the Govt. Medical College and Hospital Aurangabad. During December 2012 to November 2014 with 50 patients. It was two year cross sectional study with the patients of asymptomatic type 2 diabetes mellitus without clinical and electrocardiographic evidence of coronary artery disease. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">12 (24%) out of 50 subjects had positive TMT. It correlated with years of duration of diabetes (9 positive TMT cases with duration of diabetes more than 10 years). 5 (25%) out of 20 had serum cholesterol levels &gt;240, Number of positive TMT were higher in patients with LDL &gt;160 [5 (25%) out of 20]</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Diabetic patients are at very high risk for cardiovascular morbidity and mortality. Early detection of IHD is very important so that pharmacological therapy, which may improve outcome, can be established. Tread mill exercise TMT being a non-invasive test with high safety, has an important role in early detection of IHD. It is recommended that TMT should be a part of routine management in asymptomatic patients with type II DM. </span></p>

scholarly journals Study of thyroid dysfunction in type 2 diabetes mellitus

2020 ◽  
Vol 7 (12) ◽  
pp. 1815
Author(s):  
Mausam Jain ◽  
Pramod R. Jha ◽  
Gaurang Patel
Keyword(s):  
Diabetes Mellitus ◽  
Glycaemic Control ◽  
Thyroid Dysfunction ◽  
Tertiary Care ◽  
Type Ii Diabetes Mellitus ◽  
Diabetic Patients ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Long Duration

Background: Aim was to study prevalence of thyroid dysfunction in type II diabetes mellitus (T2DM) patients.Methods: The present study was a cross sectional observational study, which focused on cases of diabetes mellitus. Study was conducted in Departments of Medicine, SBKS MI & RC, a tertiary care centre for a period of 6 months. All the patients of T2DM were included. Total of 263 patients were enrolled which involved indoor, outpatient and diabetic clinic attending patients. A detailed history taking, clinical examination and relevant investigations (Hb%, Total count, platelet count, serum creatinine, FBS, PP2BS, HbA1C, S.TSH, F.T3 and F.T4). Appropriate statistical analytics were used and important correlations and conclusions were drawn.Results: A study of thyroid dysfunction (TD) in T2DM patients which included 263 diabetic patients, out of them 67 had thyroid dysfunction. Out of these 67 patients 43 were female and 24 were male. This suggests that female was more prone to thyroid dysfunction than males. Out of 67 TD patients, 42 were above the age of 50 year. So, as the age increases the prevalence of TD also increases thyroid dysfunction also depends on the glycaemic control of the patients. Out of 67 patients 22 patients had>8.0 HbA1C level. In our study we found that as the glycaemic control became poorer the prevalence of TD increase in hypothyroid but not in hyperthyroidism.Conclusions: Following conclusions were drawn from this study TD is more common in female than male, more after the age of 50 year, in T2DM patients. Hypothyroidism is more common with poor glycaemic control and long duration of T2DM patients. But for hyperthyroidism data which we evaluated was not significant and further conclusion bigger study is needed.

Demographic/anthropometric factors and physiological performance-related parameters associated with the six-minute walk test in bariatric surgery candidates, from Valdivia, Chile

2021 ◽  
Vol 28 (3) ◽  
pp. 267-275
Author(s):  
Mariana Kalazich-Rosales ◽  
Camila Mautner-Molina ◽  
Cecilia König-Araya ◽  
Francisca Fuentes-Leal ◽  
Carlos Cárcamo-Ibaceta ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Heart Rate ◽  
Perceived Exertion ◽  
Cross Sectional Study ◽  
Walk Test ◽  
Cross Sectional ◽  
Physiological Factors ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Minute Walk

ABSTRACT The six-minute walk test (6MWT) is widely used to measure functional capacity in special populations. However, the factors associated with its performance in candidates for bariatric surgery are unclear. Therefore, this study aimed to investigate the influence of anthropometric and physiological factors in the 6MWT performance in bariatric surgery candidates. This cross-sectional study included 107 candidates for bariatric surgery. Anthropometric factors considered: gender, weight, height, body mass index (BMI), waist-to-hip, and waist-to-height ratios. Along with distance covered during 6MWT, physiological factors such as ratings of perceived exertion (RPE) and heart rate reserve percentage used (%HRR) were recorded. Among the 107 patients (mean age: 39.6 years), 83 volunteers were accepted to perform the 6MWT. No gender differences were observed in terms of distance covered, %HRR, and RPE during the 6MWT. Moreover, BMI and %HRR explained 21% of the 6MWT distance covered. Furthermore, participants with BMI ≤41.5 kg/m2 walked ~50 meters more than their peers above this level (p=0.05). Interestingly, heart rate increase during the 6MWT was lower than described for healthy populations. BMI and %HRR partially explain the variability of the 6MWT performance in bariatric surgery candidates.

scholarly journals IDENTIFICATION AND ASSESSMENT OF PREDIABETES-A RURAL INDIAN STUDY (A CORRELATIVE STUDY BETWEEN QUESTIONNAIRE AND BIOCHEMICAL ANALYSIS)

2020 ◽  
pp. 36-40
Author(s):  
VENKATESAN S. ◽  
SUSILA S. ◽  
SUTHANTHIRAN S. ◽  
MADHUSUDHAN S. ◽  
PAARI N.
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Risk Score ◽  
Predictive Value ◽  
Screening Tool ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Family History Of Diabetes

Objective: To identify and prevent the vulnerable prediabetic population becoming diabetic patients in the future using the Indian Diabetic Risk Score (IDRS) and to evaluate the performance of the IDRS questionnaire for detecting prediabetes and predicting the risk of Type 2 Diabetes Mellitus in Chidambaram rural Indian population. Methods: A cross-sectional descriptive study was carried out among patients attending a master health check-up of RMMCH hospital located at Chidambaram. The IDRS was calculated by using four simple measures of age, family history of diabetes, physical activity, and waist measurement. The relevant blood test, like Fasting plasma glucose (FBS), Glycated hemoglobin (HbA1C) test, were observed for identifying prediabetes. Subjects were classified as Normoglycemic, prediabetics, and diabetics based on the questionnaire and diagnostic criteria of the Indian Council of Medical Research (ICMR) guidelines. Results: In the study, sensitivity and specificity of IDRS score were found to be 84.21% and 63.4% respectively for detecting prediabetes in community with the positive predictive value of 51.6% and negative predictive value of 89.6% and prevalence of prediabetes in the Chidambaram rural population is 31.6% among the 60 participants. Conclusion: The Indian diabetic risk score questionnaire designed by Ma­dras diabetic research federation is a useful screening tool to identify unknown type 2 diabetes mellitus. The question­naire is a reliable, valuable, and easy to use screening tool which can be used in a primary care setup. 

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