Association between attentional function and postural instability in Japanese elderly patients with diabetes.
Association between attentional function and postural instability in Japanese elderly patients with diabetes.
复制标题
日本老年糖尿病患者注意力功能与姿势不稳定的关系。
DOI：
10.1007/s13340-015-0231-1
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Miyamatsu N.
中科院分区：
文献类型：
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作者：
Morimoto A;Sonoda N;Ugi S;Morino K;Sekine O;Nemoto K;Ogita M; Tatsumi Y;Murata S;Maegawa H;Miyamatsu N.
目的本研究评估了日本老年糖尿病患者注意功能与姿势不稳定的关系。方法这项横断面研究包括168名老年糖尿病患者，他们在2013年6月至7月期间到一家糖尿病门诊就诊。采用连线测验A(TMT-A)评定注意功能。姿势图被用来评估姿势摆动。体位摆动的指标为全长和包络面积。结果在对年龄、性别、定期运动、糖尿病视网膜病变、双侧麻木和/或双足感觉异常、血红蛋白A1c水平、股四头肌力量和Mini-Mini-State检查评分进行调整后，注意功能较低的患者的姿势摆动长度(三分位数比一分位数，p=0.010)和包络面积(三分位数与一分位数，p=0.030)水平高于注意功能较高的患者。结论老年糖尿病患者无痴呆，注意功能较差的患者姿势摆动长度(三分位数与四分位数1)和包络面积(三分位数与一分位数，p=0.030)高于注意功能较高的患者注意功能较低的患者可能比注意功能较高的患者有更多的姿势不稳定。
AimsThis study assessed the association between attentional function and postural instability in older Japanese patients with diabetes.MethodsThis cross-sectional study included 168 older patients with diabetes who were referred to an outpatient diabetic clinic between June and July 2013. The Trail Making Test-A (TMT-A) was used to evaluate attentional function. Posturography was used to evaluate postural sway. Indices of postural sway were the total length and the enveloped area. Analysis of covariance was used to estimate the multivariable-adjusted means of indices of postural sway according to tertile of TMT-A.ResultsAfter adjustment for age, sex, regular exercise, diabetic retinopathy, bilateral numbness and/or paresthesia in the feet, hemoglobin A1c level, quadriceps strength, and Mini-Mental State Examination score, patients with lower attentional function had higher postural sway length (tertile 3 vs. tertile 1,p= 0.010) and enveloped area (tertile 3 vs. tertile 1,p= 0.030) levels than those with higher attentional function.ConclusionsAmong older patients with diabetes who did not have dementia, patients with lower attentional function may have more postural instability than those with higher attentional function.