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年龄对 2 型糖尿病成年人静态姿势控制的影响:一项横断面研究。

Influence of age on static postural control in adults with type 2 diabetes mellitus: a cross-sectional study.

机构信息

Department of Outpatient, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.

Department of Endocrinology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.

出版信息

Front Endocrinol (Lausanne). 2023 Sep 19;14:1242700. doi: 10.3389/fendo.2023.1242700. eCollection 2023.

Abstract

AIM

It was the aim of this study to assess static postural control characteristics in people with type 2 diabetes mellitus (T2D) of different ages using a force platform. A relationship was also established between static postural control parameters and age in this study.

METHODS

A total of 706 participants with T2D were included in this study. The participants were stratified into three age groups: Group 1 (<60 years old), Group 2 (60-70 years old), and Group 3 (>70 years old). Static postural control assessment during two-leg stance was performed on a force platform by all participants. The center of pressure (CoP)-related parameters were measured under two stance conditions (eyes open and closed). Kruskal-Wallis tests were applied to explore the difference among the different age groups. Multivariate regression analysis was performed to determine the relation between age and static postural control parameters.

RESULTS

Group 1 (<60 years old) had significantly less CoP total tracking length (TTL), sway area (SA), and CoP velocity along the direction (V-Y) under both eyes-open and eyes-closed conditions compared with Group 2 (60-70 years old) and Group 3 (>70 years old). Group 1 (<60 years old) had significantly less CoP maximum sway length along the direction (MSL_X) and longer tracking length each area unit (TTL/SA) under the eyes-open condition compared with Group 2 (60-70 years old) and Group 3 (>70 years old). There was a significantly positive correlation between age and the most static postural parameters such as CoP TTL, SA, MSL-X, MSL-Y, and V-Y. There was a significantly negative correlation between age and TTL/SA.

CONCLUSION

This study suggested that older T2D participants had worse static postural control ability than younger ones. Most static postural parameters presented a significant correlation with age; the higher the age, the worse the static postural control.

摘要

目的

本研究旨在使用力台评估不同年龄 2 型糖尿病(T2D)患者的静态姿势控制特征。本研究还建立了静态姿势控制参数与年龄之间的关系。

方法

本研究共纳入 706 名 T2D 患者。参与者分为三组:第 1 组(<60 岁)、第 2 组(60-70 岁)和第 3 组(>70 岁)。所有参与者均在力台上进行双腿站立时的静态姿势控制评估。在睁眼和闭眼两种姿势下测量了压力中心(CoP)相关参数。应用 Kruskal-Wallis 检验探讨不同年龄组之间的差异。进行多元回归分析以确定年龄与静态姿势控制参数之间的关系。

结果

第 1 组(<60 岁)在睁眼和闭眼两种情况下的 CoP 总跟踪长度(TTL)、摆动面积(SA)和 CoP 沿 Y 方向速度(V-Y)明显小于第 2 组(60-70 岁)和第 3 组(>70 岁)。第 1 组(<60 岁)在睁眼条件下的 CoP 沿 X 方向最大摆动长度(MSL_X)明显小于第 2 组(60-70 岁)和第 3 组(>70 岁),每个区域的跟踪长度更长(TTL/SA)。年龄与 CoP TTL、SA、MSL-X、MSL-Y 和 V-Y 等最静态姿势参数呈显著正相关。年龄与 TTL/SA 呈显著负相关。

结论

本研究表明,老年 T2D 患者的静态姿势控制能力比年轻患者差。大多数静态姿势参数与年龄呈显著相关;年龄越高,静态姿势控制越差。

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