Data/hora: 02/06/2024 15:38:47

Provedor de dados: | Brazilian Journal of Medical and Biological Research
País: | Brazil
Título: | Unsteady walking as a symptom in type 2 diabetes mellitus: independent association with depression and sedentary lifestyle and no association with diabetic neuropathy
Autores: | Dias,L.S.; Nienov,O.H.; Goelzer Neto,C.F.; Schmid,H.
Data: | 2018-01-01
Ano: | 2018
Palavras-chave: | Diabetic neuropathy; Depression; Unsteady walking; Lifestyle.
Resumo: | The purpose of this study was to look at the determinants of the unsteady walking (UW) symptom in patients with type 2 diabetes mellitus (T2DM) by defining if UW and/or the Diabetic Neuropathy Symptoms Score (DNSS) are associated with positive scores in Beck's Depression Inventory (BDI) and with a positive Michigan Neuropathy Screening Instrument score (MNSI). We evaluated 203 T2DM patients without visible gait disturbances. They were divided into UW (+) and UW (−) or DNSS (+) and DNSS (−) according to symptoms. We found a prevalence of 48.3% for UW (+) and of 63% for DNSS (+) in our sample. In univariate analysis, the presence of UW was significantly associated with waist circumference (P=0.024), number of comorbidities (P=0.012), not practicing physical exercise (P=0.011), positive BDI score (P=0.003), presence of neuropathic symptoms by the MNSI questionnaire (P&lt;0.001), and positive diabetic neuropathy screening by MNSI (P=0.021). In multivariate analysis, UW (used as a dependent variable) was independently associated with a positive BDI score (P&lt;0.001; 95%CI=1.01-1.03), T2DM duration (P=0.023; 95%CI=1.00–1.03), number of co-morbidities (P=0.032; 95%CI=1.01–1.37), and a sedentary lifestyle (P=0.025; 95%CI=1.06–2.5). The UW symptom and a positive DNSS are more closely related to a positive score for depression than to presence of neuropathy in T2DM.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000500613
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/1414-431x20186605
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.51 n.5 2018
Fonte: | info:eu-repo/semantics/openAccess