|
KMID : 1135520160120060581
|
|
Korean Journal of Exercise Rehabilitation
2016 Volume.12 No. 6 p.581 ~ p.588
|
|
|
Relationships among exercise capacity, dynamic balance and gait characteristics of Nigerian patients with type-2 diabetes: an indication for fall prevention
|
|
Awotidebe Taofeek O.
Ativie Rita N.
Oke Kayode I.
Akindele Mukadas O.
Adedoyin Rufus A.
Olaogun Mathew O. B.
Olubayode Temitope E.
Kolawole Babatope A.
|
|
|
Abstract
|
|
|
|
This study investigated the relationships among exercise capacity (EC), dynamic balance (DB), and gait characteristics (GCs) of patients with type-2 diabetes (T2D) and healthy controls (HCs). This observational controlled study involved 125 patients with T2D receiving treatment at a Nigerian university teaching hospital and 125 apparently healthy patients’ relatives and hospital staff recruited as controls. EC maximum oxygen consumption (VO2max) was estimated following a 6-min walk test. DB and GC were assessed using the Time Up to Go Test and an accelerometer (BTS G-Walk) assessing gait speed, step length, stride length, and cadence respectively during a self-selected walk. Data were analyzed using descriptive and inferential statistics. Alpha level was set at P<0.05. The mean ages of patients with T2D and HCs were 57.6±6.6 and 60.0±7.0 years, respectively. All physical characteristics were comparable (P>0.05). There were significant differences in the VO2max and DB between patients with T2D and HCs; 7.6±0.6 mL/kg/min vs. 9.6±0.6 mL/kg/min (t=?16.6, P=0.001) and 14.2±2.1 sec vs. 10.4±1.5 sec (t=?6.37, P=0.001), respectively. Furthermore, significant differences were found in GC between patients with T2D and HCs; gait speed: 0.7±0.1 m/sec vs. 1.2±0.1 m/sec (t=?16.60, P=0.001), step length: 0.6±0.2 m vs. 0.9±0.3 m (t=?7.56, P=0.001) and stride length: 0.9±0.1 m vs. 1.1±0.5 m (t=?6.09, P=0.001). There were significant correlations between EC and gait speed in both groups (T2D: r=?0.26, P=0.032 and HCs: r=0.51, P=0.003). In conclusion, patients with T2D demonstrated lower EC, unstable DB, and altered GCs compared with HCs. Exercise interventions to improve EC and gait balance are recommended.
|
|
|
KEYWORD
|
|
|
Type-2 diabetes, Exercise capacity, Stability, Gait parameters, Fall prevention
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|