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

Diabetes Care ◽  
2010 ◽  
Vol 33 (4) ◽  
pp. 748-750 ◽  
Author(s):  
S. Morrison ◽  
S. R. Colberg ◽  
M. Mariano ◽  
H. K. Parson ◽  
A. I. Vinik
Keyword(s):  
Type 2 Diabetes ◽  
Balance Training ◽  
Older Individuals ◽  
Falls Risk

Supervised Balance Training and Wii Fit–Based Exercises Lower Falls Risk in Older Adults With Type 2 Diabetes

2018 ◽  
Vol 19 (2) ◽  
pp. 185.e7-185.e13 ◽  
Author(s):  
Steven Morrison ◽  
Rachel Simmons ◽  
Sheri R Colberg ◽  
Henri K Parson ◽  
Aaron I Vinik
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Balance Training ◽  
Falls Risk ◽  
Wii Fit

scholarly journals Balance and motion coordination parameters can be improved in patients with type 2 diabetes with physical balance training: non-randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Artur Stolarczyk ◽  
Igor Jarzemski ◽  
Bartosz M. Maciąg ◽  
Kuba Radzimowski ◽  
Maciej Świercz ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Peripheral Neuropathy ◽  
Balance Control ◽  
Balance Training ◽  
Control Group ◽  
Study Group ◽  
Muscle Coordination ◽  
Risk Of Falling ◽  
Increased Risk

Abstract Background Type 2 diabetes (T2D) is a cause of multiple complications, including retinopathy and peripheral neuropathy. These complications are well understood and believed to contribute to gait instability. Poor balance control and increased falling risk have also been reported in people with diabetic peripheral neuropathy (DPN). Patients with DPN have increased risk of falling due to decreased proprioceptive feedback. Effective balance training should improve postural control in patients with DPN. For this purpose further evaluation was conducted and balance training was designed. Methods The goal of our study was to determine values of proprioception, balance, muscle coordination and strength in patients with T2D and analyze whether biofeedback balance training with use of the Biodex Balance System could improve these parameters. To assess the fall risk the general stability index (GSI), the index of frontal-posterior (FPI) and medial–lateral (MLI) stability were evaluated. 37 patients with diagnosed type 2 diabetes mellitus were recruited to this study. Their results were compared with control group consisting of 41 healthy participants who were homogenic to the study group in terms of age and body mass index (BMI). Results There were statistically significant differences between patients with diabetes compared to healthy subjects in GSI (2.79 vs 1.1), FPI (1.66 vs 0.7), MLI (0.88 vs 0.52) and risk of falling (5.18 vs 2.72) p < 0.05. There were also statistically significant changes before and after training in all stability indices (GSI: 2.79 vs 1.26, FPI: 1.66 vs 0.77, MLI: 0.88 vs 0.54 accordingly) p < 0.05 and risk of falling (5.18 vs 3.87) p < 0.05 in the study group who had undergone training with biofeedback. Conclusions This study found that there is a decreased balance and motor coordination and an increased risk of falling in patients with type 2 diabetes. These parameters improved in patients who have undergone training programme with biofeedback. Furthermore, an age-dependent deprivation of static balance was observed along with an increased risk of falling as a result of increasing BMI.

Falls Risk in Older Adults with Type 2 Diabetes

2015 ◽  
Vol 31 (1) ◽  
pp. 89-99 ◽  
Author(s):  
Aaron I. Vinik ◽  
Etta J. Vinik ◽  
Sheri R. Colberg ◽  
Steven Morrison
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Falls Risk

scholarly journals The relationship between dietary exposure to persistent organic pollutants from fish consumption and type 2 diabetes among First Nations in Canada

2021 ◽  
Vol 112 (S1) ◽  
pp. 168-182 ◽  
Author(s):  
Lesya Marushka ◽  
Xuefeng Hu ◽  
Malek Batal ◽  
Constantine Tikhonov ◽  
Tonio Sadik ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
First Nations ◽  
Fish Consumption ◽  
Dietary Exposure ◽  
Older Individuals ◽  
Geographical Differences ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Relationship

Abstract Objective We previously examined the associations between dietary dichlorodiphenyldichloroethylene (DDE) and polychlorinated biphenyls (PCBs) intake from fish consumption and type 2 diabetes (T2D) prevalence in Ontario and Manitoba. This study aims to further explore the relationship in a regionally representative sample of First Nations adults living on-reserve across Canada. Methods Dietary, health and lifestyle data collected by the cross-sectional First Nations Food, Nutrition and Environment Study (2008–2018) were analyzed. This participatory study included 6091 First Nations adult participants who answered questions on T2D. The consumption of locally caught fish was estimated with a food frequency questionnaire. A total of 551 samples from 96 fish species were collected and analyzed for the presence of DDE and PCBs. The associations between fish and dietary DDE/PCBs intake with self-reported T2D were investigated using multiple logistic regression models adjusted for confounders. Results Dietary exposure to DDE (>2.11 ng/kg/bw) and PCBs (>1.47 ng/kg/bw) vs no exposure was positively associated with T2D with ORs of 2.33 (95% CI: 1.24–4.35) for DDE and 1.43 (95% CI: 1.01–3.59) for PCBs. The associations were stronger among females (DDE OR = 3.11 (1.41–6.88); PCBs OR = 1.76 (1.10–3.65)) and older individuals (DDE OR = 2.64 (1.12–6.20); PCBs OR = 1.44 (1.01–3.91)) as compared with males and younger participants. Also, significant dose-response relationships were found for fish consumption in females only. Conclusion This study confirms our previous findings that dietary DDE/PCBs exposure may increase the risk of T2D. The effect of DDE/PCBs from fish consumption is driven by geographical differences in DDE/PCBs concentrations in fish and by the amount of fish consumed, and is more prominent in females than in males.

Effect of exercise-heat acclimation on cardiac autonomic modulation in Type 2 Diabetes: a pilot study

2020 ◽  
Author(s):  
Michael J. Macartney ◽  
Sean R. Notley ◽  
Christophe Herry ◽  
Ronald J Sigal ◽  
Pierre Boulay ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Heart Rate ◽  
Heat Acclimation ◽  
Cardiac Risk ◽  
Autonomic Modulation ◽  
Older Individuals ◽  
Cardiac Autonomic Modulation ◽  
Before And After ◽  
Bullet Point

The effects of exercise-heat acclimation (HA), in individuals with type 2 diabetes (T2D), on heart rate variability (HRV) remains unclear. We assessed electrocardiogram recordings during exercise-heat stress, in middle-aged-to-older individuals (50-70 years) with (n=6) and without (n=8; CON) T2D, before and after 7-days exercise HA. Exercising heart rate was reduced (CON, -9 ±5 bpm; T2D, -14 ±9 bpm) yet HRV was unresponsive. Given the negative correlations between diminished HRV and cardiac risk, further research is warranted. <b>Novelty bullet point:</b> Our observations indicate that exercise-heat acclimation may not effectively attenuate the deviation toward reduced overall HRV and unfavourable cardiac autonomic modulation in individuals with T2D.

scholarly journals Peripheral Inflammation and Cognitive Performance in Middle-Aged Adults With and Without Type 2 Diabetes: Results From the ENBIND Study

2020 ◽  
Vol 12 ◽  
Author(s):  
Adam H. Dyer ◽  
Louise McKenna ◽  
Isabella Batten ◽  
Karen Jones ◽  
Matthew Widdowson ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cognitive Decline ◽  
Cognitive Performance ◽  
Interaction Analysis ◽  
Peripheral Inflammation ◽  
Older Individuals ◽  
Middle Aged ◽  
Tnf Α ◽  
Middle Aged Adults

Midlife Type 2 Diabetes Mellitus (T2DM) is associated with a greater risk of dementia in later life. Peripheral inflammation and its impact on cognition is proposed as one of the pathological mechanisms mediating this link. However, studies have primarily focused on older individuals with established cognitive impairment and a long duration of T2DM. Importantly, knowledge of which individuals with midlife T2DM who are at greatest risk of later cognitive decline is lacking. We examined the cross-sectional relationship between serum levels of 8 pro-inflammatory markers (IL-1β, IL-6, TNF-α, IL-8, MCP-1, CXCL10, IL-12p70, CRP) and performance on a detailed neuropsychological assessment battery in middle-aged adults with uncomplicated T2DM (N = 89; 52 ± 8.1 years, 47% female) and matched healthy controls (N = 50; 52 ± 8.3 years, 59% female). Linear regression was used to analyze associations between serum markers and cognitive performance in the overall cohort, followed by a T2DM∗protein concentration interaction analysis to identify any T2DM-specific effects. We observed a significant T2DM-specific association between serum TNF-α levels and scores on the Paired Associates Learning (PAL) task (β: −3.16, SE: 1.32, p = 0.01, Std. Beta: −0.94), a task with significant working memory demands previously implicated in T2DM-related cognitive dysfunction. However, this did not persist on controlling for multiple testing. We provide exploratory evidence for a significant T2DM-specific relationship between serum TNF-α and memory performance. These findings require further replication and longitudinal analysis with the aim of selecting-out individuals with midlife T2DM at risk of future cognitive decline for potential preventative interventions.

Sign in / Sign up

Export Citation Format

Share Document