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Azmon M1
1Ariel University, Physiotherapy, Ariel, Israel
Background: Diabetes may be viewed as a disease of accelerated aging as it is a risk factor for physical disability, impairment in simple and complex activities and a higher risk for falls and fractures. Data from the last several years suggests that this increased risk is due not only to recognized diabetes complications but also due to an accelerated decline in physical capacity due to lower muscle quality and a more rapid decline in muscle mass and lower extremity strength over time.
Purpose: To find the relationship between glucose control & functional indices.
Methods: A cross-sectional study conducted at the Center for Successful Aging with Diabetes at the Sheba Medical Center. Individuals with a diagnosis of type 2 diabetes over the age of 60 were included. Functional status was assessed using tools that assess aerobic, strength and balance capacities. Medical assessment was conducted through interview, physical examination and collection of information from medical records. The association between physical indices and A1C was assessed using linear regression.
Results: 159 consecutive individuals were evaluated. There was an inverse association between A1C and score achieved on the 6-minute walk; with increasing meters walked on the 6-minute walk test there was a reduction in A1C (p=0.003). There was also an inverse association with the 10 meter-walk (p=0.007), BERG balance test (p=0.0006), Time Up & Go (p=0.01).
Conclusion(s): In this cohort of older people with diabetes there was an association between A1C and measures of functional indices.
Implications: finding a relationship between glucose control and functional indices will allow prevention of functional decline and better intervantion plan in older people with diabetes .
Keywords: diabetes, functional indices, glucose control
Funding acknowledgements: Israeli Association for the Study of Diabetes, Israeli Ministry of Health, The Israeli Diabetes Association & OTZMA diabetes care initiative
Purpose: To find the relationship between glucose control & functional indices.
Methods: A cross-sectional study conducted at the Center for Successful Aging with Diabetes at the Sheba Medical Center. Individuals with a diagnosis of type 2 diabetes over the age of 60 were included. Functional status was assessed using tools that assess aerobic, strength and balance capacities. Medical assessment was conducted through interview, physical examination and collection of information from medical records. The association between physical indices and A1C was assessed using linear regression.
Results: 159 consecutive individuals were evaluated. There was an inverse association between A1C and score achieved on the 6-minute walk; with increasing meters walked on the 6-minute walk test there was a reduction in A1C (p=0.003). There was also an inverse association with the 10 meter-walk (p=0.007), BERG balance test (p=0.0006), Time Up & Go (p=0.01).
Conclusion(s): In this cohort of older people with diabetes there was an association between A1C and measures of functional indices.
Implications: finding a relationship between glucose control and functional indices will allow prevention of functional decline and better intervantion plan in older people with diabetes .
Keywords: diabetes, functional indices, glucose control
Funding acknowledgements: Israeli Association for the Study of Diabetes, Israeli Ministry of Health, The Israeli Diabetes Association & OTZMA diabetes care initiative
Topic: Older people; Health promotion & wellbeing/healthy ageing
Ethics approval required: Yes
Institution: sheba medical center
Ethics committee: sheba ethics committee
Ethics number: 0109-12-SMC
All authors, affiliations and abstracts have been published as submitted.
