Cemali Mustafa, Öztürk Demet, Sarı Mustafa, Karaduman A Ayşe
Department of Occupational Therapy, Faculty of Health Sciences, Trakya University, Edirne, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey.
J Aging Phys Act. 2025 Jun 23:1-10. doi: 10.1123/japa.2024-0134.
To compare older adults without Type 2 diabetes mellitus (DM) on levels of pain, frailty, fear of falling, and kinesiophobia, and to examine the relationship between these parameters in older adults with Type 2 DM.
The study population included 120 older adults aged 65-88 years (mean: 70.98 ± 6.53), divided into two groups: 60 with and 60 without Type 2 DM. Pain, frailty, fear of falling, and kinesiophobia were assessed using the Visual Analog Scale, the Edmonton Frail Scale, the Tinetti Fall Efficacy Scale, and the Tampa Kinesiophobia Scale.
There was a statistically significant difference between the groups in terms of pain severity, frailty, fear of falling, and kinesiophobia (p < .05). A significant association was observed between pain severity, frailty, fear of falling, and kinesiophobia in older adults with Type 2 DM (p < .05).
Higher levels of pain, frailty, fear of falling, and kinesiophobia were observed in participants with Type 2 DM compared with those without. The levels of frailty, fear of falling, higher levels of pain, and kinesiophobia were increased in those with Type 2 DM. An increase in fear of falling and kinesiophobia was associated with increased frailty. Furthermore, kinesiophobia was associated with an elevated fear of falling, and that fear of falling was associated with an increased likelihood of kinesiophobia.
Health care professionals, public agencies, and nongovernmental organizations should work together to develop and implement policies, plans, and environmental regulations aimed at increasing physical activity levels and promoting independence in older adults with Type 2 DM.
比较无2型糖尿病（DM）的老年人在疼痛、虚弱、跌倒恐惧和运动恐惧方面的水平，并研究这些参数在2型糖尿病老年人中的关系。
研究人群包括120名65 - 88岁的老年人（平均年龄：70.98±6.53岁），分为两组：60名患有2型糖尿病和60名未患2型糖尿病。使用视觉模拟量表、埃德蒙顿虚弱量表、Tinetti跌倒效能量表和坦帕运动恐惧量表评估疼痛、虚弱、跌倒恐惧和运动恐惧。
两组在疼痛严重程度、虚弱、跌倒恐惧和运动恐惧方面存在统计学显著差异（p < 0. )。在2型糖尿病老年人中，疼痛严重程度、虚弱、跌倒恐惧和运动恐惧之间存在显著关联（p < 0. )。
与未患2型糖尿病的参与者相比，2型糖尿病参与者的疼痛、虚弱、跌倒恐惧和运动恐惧水平更高。2型糖尿病患者的虚弱、跌倒恐惧、更高水平的疼痛和运动恐惧程度增加。跌倒恐惧和运动恐惧的增加与虚弱增加有关。此外，运动恐惧与跌倒恐惧增加有关，而跌倒恐惧与运动恐惧增加的可能性有关。
医疗保健专业人员、公共机构和非政府组织应共同努力制定和实施旨在提高2型糖尿病老年人身体活动水平和促进其独立性的政策、计划和环境法规。
