Aizawa Fumiya, Kawae Toshihiro, Kakuda Akihiro, Ishiguro Tomoyasu, Kuribayashi Nobuichi, Kobayashi Junji
Department of Exercise Consultation Room, Misaki Internal Medicine Clinic, 6-44-9, Futawahigashi, Funabashi, Chiba 274-0805 Japan.
Misaki Internal Medicine Clinic, 6-44-9, Futawahigashi, Funabashi, Chiba, 274-0805 Japan.
Diabetol Int. 2025 Mar 25;16(3):513-519. doi: 10.1007/s13340-025-00813-1. eCollection 2025 Jul.
Older adults with diabetes often experience a decline in locomotor functions, such as stair climbing and walking, which are important for activities of daily living (ADL). Furthermore, individuals with low Self-Efficacy for Locomotor Function (SELF) are at a higher risk of requiring locomotor assistance. This study explored the relationship between diabetes and SELF in older females.
This study included 45 females (15 non-diabetes, 30 diabetes) aged 65 years and over without ADL impairment in our clinic. SELF was measured by walking and stair climbing. Physical function was measured by hand grip strength, knee extension force (KEF), and KEF divided by bodyweight (%KEF).
The SELF of stair climbing was significantly lower in the diabetes mellitus group than in the non-diabetes mellitus group (0.009), whereas the SELF of walking was not significantly different (0.351). Diabetes status remained a significant factor in the SELF of stair climbing after adjusting for body mass index, orthopedic disease, and %KEF.
Stair climbing is one of the most vigorous ADLs performed by older adults, and this result may be due to the fact that stair climbing is a more vigorous activity than walking. Furthermore, the results of this study suggest that other factors (physical function other than %KEF and handgrip strength, psychological factors) related to diabetes may be more important than %KEF in older females.
SELF for stair climbing in older females was lower in those with diabetes, indicating that diabetes status significantly influenced their perceived ability to perform this task.
The online version contains supplementary material available at 10.1007/s13340-025-00813-1.
患有糖尿病的老年人经常会出现运动功能下降，如爬楼梯和行走能力，而这些功能对于日常生活活动（ADL）至关重要。此外，运动功能自我效能感（SELF）较低的个体需要运动辅助的风险更高。本研究探讨了老年女性糖尿病与SELF之间的关系。
本研究纳入了45名年龄在65岁及以上、在我们诊所无ADL障碍的女性（15名非糖尿病患者，30名糖尿病患者）。通过行走和爬楼梯来测量SELF。通过握力、膝关节伸展力（KEF）以及KEF除以体重（%KEF）来测量身体功能。
糖尿病组爬楼梯的SELF显著低于非糖尿病组（0.009），而行走的SELF无显著差异（0.351）。在调整体重指数、骨科疾病和%KEF后，糖尿病状态仍是爬楼梯SELF的一个显著因素。
爬楼梯是老年人进行的最剧烈的ADL之一，这一结果可能是由于爬楼梯比行走更剧烈。此外，本研究结果表明，在老年女性中，与糖尿病相关的其他因素（除%KEF和握力外的身体功能、心理因素）可能比%KEF更重要。
糖尿病老年女性爬楼梯的SELF较低，表明糖尿病状态显著影响了她们对完成这项任务的感知能力。
在线版本包含可在10.1007/s13340-025-00813-1获取的补充材料。
