The Influence of Peripheral Neuropathy, Gender, and Obesity on the Postural Stability of Patients with Type 2 Diabetes Mellitus

Aim. To assess the influence of peripheral neuropathy, gender, and obesity on the postural stability of patients with type 2 diabetes mellitus. Methods. 151 patients with no history of otology, neurology, or orthopaedic or balance disorders accepted to participate in the study. After a clinical inte...

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Bibliographic Details
Published in:Journal of diabetes research 2014-01, Vol.2014 (2014), p.1-7
Main Authors: Zainos-Saucedo, Lylia, Mantilla-Ochoa, Teresa, Aranda-Moreno, Catalina, Herrera-Rangel, Aline, Jáuregui-Renaud, Kathrine
Format: Article
Language:English
Subjects:
Adult
Age
Aged
Aged, 80 and over
Body mass index
Cross-Sectional Studies
Diabetes
Diabetes Complications - physiopathology
Diabetes Mellitus, Type 2 - physiopathology
Diabetic neuropathy
Female
Gender
Health care
Humans
Male
Middle Aged
Obesity
Obesity - physiopathology
Otology
Peripheral Nervous System Diseases - complications
Peripheral Nervous System Diseases - physiopathology
Peripheral neuropathy
Postural Balance
Posture
Primary care
Sex Factors
Standard deviation
Weight control
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Summary:Aim. To assess the influence of peripheral neuropathy, gender, and obesity on the postural stability of patients with type 2 diabetes mellitus. Methods. 151 patients with no history of otology, neurology, or orthopaedic or balance disorders accepted to participate in the study. After a clinical interview and neuropathy assessment, postural stability was evaluated by static posturography (eyes open/closed on hard/soft surface) and the “Up & Go” test. Results. During static posturography, on hard surface, the length of sway was related to peripheral neuropathy, gender, age, and obesity; on soft surface, the length of sway was related to peripheral neuropathy, gender, and age, the influence of neuropathy was larger in males than in females, and closing the eyes increased further the difference between genders. The mean time to perform the “Up & Go” test was 11.6 ± 2.2 sec, with influence of peripheral neuropathy, gender, and age. Conclusion. In order to preserve the control of static upright posture during conditions with deficient sensory input, male patients with type 2 diabetes mellitus with no history of balance disorders may be more vulnerable than females, and obesity may decrease the static postural control in both males and females.
ISSN:2314-6745
2314-6753
DOI:10.1155/2014/787202