Tamura Hiroshi, Miyamoto Toshiaki, Tamaki Akira, Nawa Gen, Konya Hiroyuki
Department of Rehabilitation, Ashiya Municipal Hospital: 39-1 Asahigaoka, Ashiya City, Hyogo 659-8502, Japan.
Department of Rehabilitation Science, Graduate School of Health Science, Hyogo University of Health Hospital, Japan.
J Phys Ther Sci. 2019 Aug;31(8):621-624. doi: 10.1589/jpts.31.621. Epub 2019 Aug 19.
[Purpose] This study aimed to examine the effect of osteoporosis complications on the physical function, frailty in patients with type 2 diabetes mellitus. [Participants and Methods] The participants were 27 female type 2 diabetes mellitus patients aged ≥65 years. Of these, 14 patients had osteoporosis. In order to evaluate the physical function, we measured the lower limb muscle strength, handgrip, gait speed, etc. We performed statistical comparison of both the groups and examined the applicable number of items on the Linda Fried Frailty scale and the correlation by evaluating the physical function. [Results] The lower limb muscle strength of patients with osteoporosis and type 2 diabetes mellitus was significantly lower than that of type 2 diabetes mellitus patients without osteoporosis. Factors of the osteoporosis group that inversely correlated to the Linda Fried Frailty scale included lower limb muscle strength, handgrip, and gait speed. [Conclusion] We found that osteoporosis reduced lower limb muscle strength in type 2 diabetes mellitus patients and was correlated with frailty.
[目的] 本研究旨在探讨骨质疏松并发症对2型糖尿病患者身体功能及虚弱状况的影响。[参与者与方法] 参与者为27名年龄≥65岁的女性2型糖尿病患者。其中,14名患者患有骨质疏松症。为评估身体功能,我们测量了下肢肌肉力量、握力、步速等。我们对两组进行了统计学比较,并通过评估身体功能来检查Linda Fried虚弱量表上适用项目的数量及相关性。[结果] 骨质疏松合并2型糖尿病患者的下肢肌肉力量显著低于无骨质疏松的2型糖尿病患者。骨质疏松组中与Linda Fried虚弱量表呈负相关的因素包括下肢肌肉力量、握力和步速。[结论] 我们发现骨质疏松会降低2型糖尿病患者的下肢肌肉力量,并与虚弱相关。