Comparison of Physical Performances with Cognitive Functions and Fear of Falls among Elderly with and without Diabetes Mellitus
Keywords:Diabetes, Elderly, Fear of falls, Physical performances
Diabetes elderly may experience fear of falls, poor balance and weaker lower limb strengths. The tasks to complete in their daily activities will become very challenging. Therefore, this study aims to compare the physical and cognitive functions towards fear of falls among 80 community-dwelling elders with and without diabetes mellitus. The findings revealed that diabetes elderly would affect their cognitive functions, high risk of falls and reduced their physical activities. Conclusion, the strengths and balances components need to be included in their daily exercise regime to reduce the risk of falls as well as improves cognitive functions.
Keywords: Diabetes; Elderly; Fear of falls; Physical performances
eISSN: 2398-4287 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
Adolphs, R. (2013). The biology of fear. Current Biology, 23(2), R79–R93.
Afridi, A. (2015). Relationship between fear, fall & balance in cummunity dwelling older adults relationship between fear, Fall & Balance In, 10(2).
Al-Yahya, E., Dawes, H., Smith, L., Dennis, A., Howells, K., & Cockburn, J. (2011). Cognitive motor interference while walking: A systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews.
Alvarenga, P. P., Pereira, D. S., & Anjos, D. M. C. (2010). Mobilidade funcional e função executiva em idosos diabéticos e não diabéticos. Brazilian Journal of Physical Therapy, 14(6), 491–496.
Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013). Risk factors for falls among older adults: A review of the literature. Maturitas, 75(1), 51–61.
Chang, H.-T., Chen, H.-C., & Chou, P. (2016). Factors Associated with Fear of Falling among Community-Dwelling Older Adults in the Shih-Pai Study in Taiwan. PLOS ONE, 11(3), e0150612.
Chiba, Y., Kimbara, Y., Kodera, R., Tsuboi, Y., Sato, K., Tamura, Y., … Araki, A. (2015). Risk factors associated with falls in elderly patients with type 2 diabetes. Journal of Diabetes and Its Complications, 29(7), 898–902.
Contro, N. C. for I. P. and, Protocol, H. C., Oliver, D., Daly, F., Martin, F. C., McMurdo, M. E. T., … Marra, C. a. (2012). The 30-Second Chair Stand Test. Age and Ageing, 33(5), 1952–1960.
Cukierman, T., Gerstein, H. C., & Williamson, J. D. (2005). Cognitive decline and dementia in diabetes - Systematic overview of prospective observational studies. Diabetologia.
De Villiers, L., & Kalula, S. Z. (2015). An approach to balance problems and falls in elderly persons. South African Medical Journal, 105(8), 695.
Dionyssiotis, Y. (2012a). Analyzing the problem of falls among older people. International Journal of General Medicine.
Dionyssiotis, Y. (2012b). Analyzing the problem of falls among older people. International Journal of General Medicine, 5, 805–813.
Ghanavati, T., Shaterzadeh Yazdi, M. J., Goharpey, S., & Arastoo, A. A. (2012). Functional balance in elderly with diabetic neuropathy. Diabetes Research and Clinical Practice, 96(1), 24–28.
Giacco, F., & Brownlee, M. (2010). Oxidative Stress and Diabetic Complications. Circulation Research, 107(9), 1058–1070.
Hastings, M. K., Mueller, M. J., Woodburn, J., Strube, M. J., Commean, P., Johnson, J. E., Cheuy, V., … Sinacore, D. R. (2015). Acquired midfoot deformity and function in individuals with diabetes and peripheral neuropathy. Clinical biomechanics (Bristol, Avon), 32, 261-7.
Hewston, P., & Deshpande, N. (2016). Falls and Balance Impairments in Older Adults with Type 2 Diabetes: Thinking Beyond Diabetic Peripheral Neuropathy. Canadian Journal of Diabetes, 40(1), 6–9.
Hewston, P., & Deshpande, N. (2018). Fear of Falling and Balance Confidence in Older Adults with Type 2 Diabetes Mellitus: a Scoping Review. Canadian Journal of Diabetes.
Hill, K. D., Schwarz, J. A., Kalogeropoulos, A. J., & Gibson, S. J. (1996). Fear of falling revisited. Archives of Physical Medicine and Rehabilitation, 77(10), 1025–1029.
IJzerman, T. H., Schaper, N. C., Melai, T., Meijer, K., Willems, P. J. B., & Savelberg, H. H. C. M. (2012). Lower extremity muscle strength is reduced in people with type 2 diabetes, with and without polyneuropathy, and is associated with impaired mobility and reduced quality of life. Diabetes Research and Clinical Practice, 95(3), 345–351.
Jung, D. (2008). Fear of Falling in Older Adults: Comprehensive Review. Asian Nursing Research, 2(4), 214–222.
Kalyani, R. R., Tra, Y., Yeh, H. C., Egan, J. M., Ferrucci, L., & Brancati, F. L. (2013). Quadriceps strength, quadriceps power, and gait speed in older U.S. adults with diabetes mellitus: results from the National Health and Nutrition Examination Survey, 1999-2002. Journal of the American Geriatrics Society, 61(5), 769–775.
Kear, B. M., Guck, T. P., & McGaha, A. L. (2017). Timed Up and Go (TUG) Test. Journal of Primary Care & Community Health, 8(1), 9–13.
Kelly, C., Fleischer, A., Yalla, S., Grewal, G. S., Albright, R., Berns, D., … Najafi, B. (2013). Fear of falling is prevalent in older adults with diabetes mellitus but is unrelated to level of neuropathy. Journal of the American Podiatric Medical Association, 103(6), 480–488.
Kenny, R. A., Romero-Ortuno, R., & Kumar, P. (2017). Falls in older adults. Medicine (United Kingdom), 45(1), 28–33.
Kim, B., & Feldman, E. L. (2012). Insulin resistance in the nervous system. Trends in Endocrinology and Metabolism.
Kirkman, M. S., Briscoe, V. J., Clark, N., Florez, H., Haas, L. B., Halter, J. B., … Swift, C. S. (2012). Diabetes in older adults. Diabetes Care, 35(12), 2650–2664.
Kumar, A., Carpenter, H., Morris, R., Iliffe, S., & Kendrick, D. (2014). Which factors are associated with fear of falling in community-dwelling older people? Age and Ageing, 43(1), 76–84.
Lavedán, A., Viladrosa, M., Jürschik, P., Botigué, T., Nuín, C., Masot, O., & Lavedán, R. (2018). Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both? PLOS ONE, 13(3), e0194967.
Lee, A. (2013). Preventing Falls in the Geriatric Population. The Permanente Journal, 17(4), 37–39.
Leenders, M., Verdijk, L. B., van der Hoeven, L., Adam, J. J., van Kranenburg, J., Nilwik, R., & Van Loon, L. J. C. (2013). Patients with type 2 diabetes show a greater decline in muscle mass, muscle strength, and functional capacity with aging. Journal of the American Medical Directors Association, 14(8), 585–592.
Lim, K. B., Kim, D. J., Noh, J. hyun, Yoo, J., & Moon, J. W. (2014). Comparison of balance ability between patients with type 2 diabetes and with and without peripheral neuropathy. PM and R, 6(3), 209–214.
MacGilchrist, C., Paul, L., Ellis, B. M., Howe, T. E., Kennon, B., & Godwin, J. (2010). Lower-limb risk factors for falls in people with diabetes mellitus. Diabetic Medicine, 27(2), 162–168.
Malini, F. M., Lourenço, R. A., & Lopes, C. S. (2016). Prevalence of fear of falling in older adults, and its associations with clinical, functional and psychosocial factors: The Frailty in Brazilian Older People-Rio de Janeiro Study. Geriatrics & Gerontology International, 16(3), 336–344.
Morcelli, M. H., LaRoche, D. P., Crozara, L. F., Marques, N. R., Hallal, C. Z., Rossi, D. M., … Navega, M. T. (2016). Neuromuscular performance in the hip joint of elderly fallers and non-fallers. Aging Clinical and Experimental Research, 28(3), 443–450.
Moreira, B. de S., Sampaio, R. F., Diz, J. B. M., Bastone, A. de C., Ferriolli, E., Neri, A. L., … Kirkwood, R. N. (2017). Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: Findings from the Frailty in Brazilian Older People Study (FIBRA-BR). Experimental Gerontology, 89, 103–111.
Nisar, M. U., Asad, A., Waqas, A., Ali, N., Nisar, A., Qayyum, M. A., Maryam, H., Javaid, M., … Jamil, M. (2015). Association of Diabetic Neuropathy with Duration of Type 2 Diabetes and Glycemic Control. Cureus, 7(8), e302.
P, S., & S, G. (2017). Association between Physical Functioning and Fear of Falling with Balance in Elderly Diabetic Individuals. Journal of Physiotherapy & Physical Rehabilitation, 2(3).
Paneni, F., Beckman, J. A., Creager, M. A., & Cosentino, F. (2013). Diabetes and vascular disease: pathophysiology, clinical consequences, and medical therapy: part I. European heart journal, 34(31), 2436-43.
Papa, E. V., Dong, X., & Hassan, M. (2017). Skeletal Muscle Function Deficits in the Elderly: Current Perspectives on Resistance Training. Journal of Nature and Science, 3(1), e272.
Park, S. W., Goodpaster, B. H., Strotmeyer, E. S., De Rekeneire, N., Harris, T. B., Schwartz, A. V., … Newman, A. B. (2006). Decreased muscle strength and quality in older adults with type 2 diabetes: The health, aging, and body composition study. Diabetes, 55(6), 1813–1818.
Pinheiro, H. A., Vilaça, K. H. C., & Carvalho, G. de A. (2014). Postural stability, risk of falls and fear of falling in elderly with diabetic neuropathy who do therapeutic exercises. Fisioterapia E Pesquisa, 21(2), 127–132.
Power, G. A., Dalton, B. H., & Rice, C. L. (2013). Human neuromuscular structure and function in old age: A brief review. Journal of Sport and Health Science.
Reelick, M. F., van Iersel, M. B., Kessels, R. P. C., & Olde Rikkert, M. G. M. (2009). The influence of fear of falling on gait and balance in older people. Age and Ageing, 38(4), 435–440.
Roman de Mettelinge, T., Cambier, D., Calders, P., Van Den Noortgate, N., & Delbaere, K. (2013). Understanding the Relationship between Type 2 Diabetes Mellitus and Falls in Older Adults: A Prospective Cohort Study. PLoS ONE, 8(6), e67055.
Rucker, J. L., Jernigan, S. D., McDowd, J. M., & Kluding, P. M. (2014). Adults with diabetic peripheral neuropathy exhibit impairments in multitasking and other executive functions. Journal of Neurologic Physical Therapy : JNPT, 38(2), 104–110.
Schaap, L. A., Koster, A., & Visser, M. (2013). Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons. Epidemiologic Reviews, 35(1), 51–65.
Schinkel-Ivy, A., Inness, E. L., & Mansfield, A. (2015). Relationships between fear of falling, balance confidence, and control of balance, gait, and reactive stepping in individuals with sub-acute stroke. Gait & posture, 43, 154-9.
Sertel, M., Sakızlı, E., Bezgin, S., Savcun Demirci, C., Yıldırım Şahan, T., & Kurtoğlu, F. (2017). The effect of single-tasks and dual-tasks on balance in older adults. Cogent Social Sciences, 3(1).
Shumway-Cook, Brauer, S., & Woollacott, M. (2000). Timed Up & Go Test (TUG). Missouri.Edu, 80(1991), 9–10.
Sims-Robinson, C., Kim, B., & Feldman, E. L. (2014). Diabetes and Cognitive Dysfunction. In Neurobiology of Brain Disorders: Biological Basis of Neurological and Psychiatric Disorders (pp. 189–201).
Singh, A., & Misra, N. (2009). Loneliness, depression and sociability in old age. Industrial Psychiatry Journal, 18(1), 51–55.
Tander, B., Atmaca, A., Ulus, Y., Tura, Ç., Akyol, Y., & Kuru, Ö. (2016). Diyabetli yaşlılarda denge ve düşme korkusu: Diyabetli olmayan yaşlılarla karşılaştırmalı bir çalışma. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 62(4), 314–322.
Tee, E.-S., & Yap, R. W. K. (2017). Type 2 diabetes mellitus in Malaysia: current trends and risk factors. European Journal of Clinical Nutrition, 71(7), 844–849.
Thiamwong, L., & Suwanno, J. (2017). Fear of Falling and Related Factors in a Community-based Study of People 60 Years and Older in Thailand. International Journal of Gerontology, 11(2), 80–84.
Tilling, L. M., Darawil, K., & Britton, M. (2006). Falls as a complication of diabetes mellitus in older people. Journal of Diabetes and Its Complications, 20(3), 158–162.
Timar, B., Timar, R., Gai????, L., Oancea, C., Levai, C., & Lungeanu, D. (2016). The Impact of Diabetic Neuropathy on Balance and on the Risk of Falls in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study. PloS One, 11(4), e0154654.
Toebes, M. J. P., Hoozemans, M. J. M., Furrer, R., Dekker, J., & Van Dieën, J. H. (2015). Associations between measures of gait stability, leg strength and fear of falling. Gait and Posture, 41(1), 76–80.
Van Sloten, T. T., Savelberg, H. H. C. M., Duimel-Peeters, I. G. P., Meijer, K., Henry, R. M. A., Stehouwer, C. D. A., & Schaper, N. C. (2011). Peripheral neuropathy, decreased muscle strength and obesity are strongly associated with walking in persons with type 2 diabetes without manifest mobility limitations. Diabetes Research and Clinical Practice, 91(1), 32–39
Vinik, A. I., Vinik, E. J., Colberg, S. R., & Morrison, S. (2015). Falls Risk in Older Adults with Type 2 Diabetes. Clinics in Geriatric Medicine, 31(1), 89–99.
Yeong, U. Y., Tan, S. Y., Yap, J. F., & Choo, W. Y. (2016). Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia. Malaysian Family Physician, 11(1), 7–14.
Yogev-Seligmann, G., Hausdorff, J. M., & Giladi, N. (2008). The role of executive function and attention in gait. Movement Disorders.
Young, W. R., & Mark Williams, A. (2015). How fear of falling can increase fall-risk in older adults: Applying psychological theory to practical observations. Gait & Posture, 41(1), 7–12.
How to Cite
eISSN: 2398-4287 © Year. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.