Relative hand grip strength and functional fitness among older adults with type II diabetes in Egypt: A cross-sectional study
Resumen
Population aging, diabetes, and insufficient physical activity have become pressing public health issues in Egypt. Addressing these challenges can enhance the quality of life for the aging population and reduce the overall public health burden. This study recruited 200 participants, divided into two groups: individuals with type 2 diabetes mellitus (T2DM) and healthy non-diabetic controls. Participants were assessed for relative handgrip strength (rHGS) using a hand dynamometer, and for functional fitness using the Timed Up and Go test (TUG), the 30-second chair stand, and the 2-minute walk test (2-MWT), all during the same visit. The mean relative hand grip strength (rHGS) and the functional assessment (TUG, 30-second chair stands and 2-MWT) were significantly lower in the diabetic group compared to the group with no diabetes (p<0.05). Both rHGS and functional level are significantly lower in elderly diabetics as compared with healthy elderly subjects in Egypt (p<0.05). Also, among the Egyptians, rHGS and functional level in elderly participants with type 2 diabetes are strongly correlated with their glycemic control (p<0.05). The study highlights the importance of monitoring physical function as part of diabetes management in older adults.
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Abdelbasset, W. (2021). Physical Exercise and Falling among Older Patients with Diabetes: A Narrative Review. International Journal of Biomedicine, 11(4), 473–479. https://doi.org/10.21103/article11(4)_ra3
Abouzid, M. R., Ali, K., Elkhawas, I., & Elshafei, S. M. (2022). An Overview of Diabetes Mellitus in Egypt and the Significance of Integrating Preventive Cardiology in Diabetes Management. Cureus, 14(7), 1-6. https://doi.org/10.7759/cureus.27066
Almurdhi, M. M., Reeves, N. D., Bowling, F. L., Boulton, A. J., Jeziorska, M., & Malik, R. A. (2016). Reduced Lower-Limb Muscle Strength and Volume in Patients with Type 2 Diabetes in Relation to Neuropathy, Intramuscular Fat, and Vitamin D Levels. Diabetes Care, 39(3), 441–447. https://doi.org/10.2337/dc15-0995
Bellary, S., Kyrou, I., Brown, J. E., & Bailey, C. J. (2021). Type 2 diabetes mellitus in older adults: clinical considerations and management. Nature reviews. Endocrinology, 17(9), 534–548. https://doi.org/10.1038/s41574-021-00512-2
Bilajac, L., Juraga, D., & Zuljevic, H. (2019). The influence of physical Activity on handgrip strength of elderly. Archive of Gerontology and Geriatrics Research, 4(1), 20–24. https://doi.org/10.17352/aggr.000011
Bursać, S. N., Jandrić, S., Talić, G., & Ljubojević, G. (2018). Complications of diabetes mellitus on muscles and joints of lower extremities. Scripta Medica, 49(2), 1-7. https://doi.org/10.7251/scmed1802105b
Chia, C. W., Egan, J. M., & Ferrucci, L. (2018). Age-Related Changes in Glucose Metabolism, Hyperglycemia, and Cardiovascular Risk. Circulation Research, 123(7), 886–904. https://doi.org/10.1161/CIRCRESAHA.118.312806
Elgayar, S. L, Hagag, A. A., & Ghazi, H. A. (2019). Active versus Passive Stretching Exercises on Blood Glucose and Functional Capacity in Elderly Diabetic Patients: Comparative Study. IOSR Journal of Nursing and Health Science, 8(2), 61-67.
Elhamrawy, M. Y., Mohamed, S., Bahnasy, W., Saif, M. Y., Elkholy, A., & Said, M. (2021). Effect of vestibular rehabilitation therapy on spatio-temporal gait parameters in elderly patients with post-stroke hemineglect. Advances in Rehabilitation, 35(3), 17–24. https://doi.org/10.5114/areh.2021.107421
Freire, L. B., Brasil-Neto, J. P., da Silva, M. L., Miranda, M. G. C., de Mattos Cruz, L., Martins, W. R., & da Silva Paz, L. P. (2024). Risk factors for falls in older adults with diabetes mellitus: systematic review and meta-analysis. BMC Geriatrics, 24(1), 1-12. https://doi.org/10.1186/s12877-024-04668-0
Gil-Calvo, M., de Paz, J. A., Herrero-Molleda, A., Zecchin, A., Gómez-Alonso, M. T., Alonso-Cortés, B., & Boullosa, D. (2024). The 2-Minutes Walking Test Is Not Correlated with Aerobic Fitness Indices but with the 5-Times Sit-to-Stand Test Performance in Apparently Healthy Older Adults. Geriatrics (Basel, Switzerland), 9(2), 1-8. https://doi.org/10.3390/geriatrics9020043
Haddad, C., Sacre, H., Obeid, S., Salameh, P., & Hallit, S. (2021). Validation of the Arabic version of the “12-item short-form health survey” (SF-12) in a sample of Lebanese adults. Archives of Public Health, 79(1), 1-8. https://doi.org/10.1186/s13690-021-00579-3.
Herman, T., Giladi, N., & Hausdorff, J. M. (2011). Properties of the 'timed up and go' test: more than meets the eye. Gerontology, 57(3), 203–210. https://doi.org/10.1159/000314963
Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Reliability and validity of two hand dynamometers when used by community-dwelling adults aged over 50 years. BMC Geriatrics, 22(1), 1-8. https://doi.org/10.1186/s12877-022-03270-6
IJzerman, T. H., Schaper, N. C., Melai, T., Meijer, K., Willems, P. J., & Savelberg, H. H. (2011). 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. https://doi.org/10.1016/j.diabres.2011.10.026
İmre, E., Koçakgöl, N., & İmre, E. (2022). Low handgrip strength is associated with diabetic foot disease in geriatric patients with type 2 diabetes. Turkish Journal of Medical Sciences, 52(6), 1854–1862. https://doi.org/10.55730/1300-0144.5532
Jang, H. C. (2019). Diabetes and Muscle Dysfunction in Older Adults. Annals of Geriatric Medicine and Research, 23(4), 160–164. https://doi.org/10.4235/agmr.19.0038
Kaur, P., Bansal, R., Bhargava, B., Mishra, S., Gill, H., & Mithal, A. (2021). Decreased handgrip strength in patients with type 2 diabetes: A cross-sectional study in a tertiary care hospital in North India. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 15(1), 325–329. https://doi.org/10.1016/j.dsx.2021.01.007
Langhammer, B., & Stanghelle, J. K. (2015). The Senior Fitness Test. Journal of Physiotherapy, 61(3), 1-2. https://doi.org/10.1016/j.jphys.2015.04.001
Lee, P. G., & Halter, J. B. (2017). The Pathophysiology of Hyperglycemia in Older Adults: Clinical Considerations. Diabetes Care, 40(4), 444–452. https://doi.org/10.2337/dc16-1732
Li, K., Wei, N., Cheng, M., Hou, X., & Song, J. (2018). Dynamical coordination of hand intrinsic muscles for precision grip in diabetes mellitus. Scientific Reports, 8(1), 1-14. https://doi.org/10.1038/s41598-018-22588-z
Lien, A. S., Hwang, J. S., & Jiang, Y. D. (2018). Diabetes related fatigue sarcopenia, frailty. Journal of Diabetes Investigation, 9(1), 3–4. https://doi.org/10.1111/jdi.12752
Munshi, M. N., Meneilly, G. S., Rodríguez-Mañas, L., Close, K. L., Conlin, P. R., Cukierman-Yaffe, T., Forbes, A., Ganda, O. P., Kahn, C. R., Huang, E., Laffel, L. M., Lee, C. G., Lee, S., Nathan, D. M., Pandya, N., Pratley, R., Gabbay, R., & Sinclair, A. J. (2020). Diabetes in ageing: pathways for developing the evidence base for clinical guidance. The Lancet. Diabetes & Endocrinology, 8(10), 855–867. https://doi.org/10.1016/S2213-8587(20)30230-8
Naushin, Q., Shweta, M., & Annamma, V. (2017, June 1). Physical Fitness in Community Dwelling Elderly and Institutionalized Elderly Using Senior Fitness Test (SFT). International Journal of Physiotherapy, 4(3), 152-159. https://doi.org/10.15621/ijphy/2017/v4i3/149066
Nesti, L., Pugliese, N. R., Sciuto, P., & Natali, A. (2020). Type 2 diabetes and reduced exercise tolerance: a review of the literature through an integrated physiology approach. Cardiovascular Diabetology, 19(1), 1-17. https://doi.org/10.1186/s12933-020-01109-1
Nomura, T., Kawae, T., Kataoka, H., & Ikeda, Y. (2018). Aging, physical activity, and diabetic complications related to loss of muscle strength in patients with type 2 diabetes. Physical Therapy Research, 21(2), 33–38. https://doi.org/10.1298/ptr.R0002
Nugraha M. H. S. (2024). Balance Problems in the Elderly with Diabetes Mellitus: A Literature Review. Journal of Mid-life Health, 15(2), 55–61. https://doi.org/10.4103/jmh.jmh_29_23
Nylen, E. S., Kokkinos, P., Myers, J., & Faselis, C. (2010). Prognostic effect of exercise capacity on mortality in older adults with diabetes mellitus. Journal of the American Geriatrics Society, 58(10), 1850–1854. https://doi.org/10.1111/j.1532-5415.2010.03068.x
Pettersson-Pablo, P., Nilsson, T. K., & Hurtig-Wennlöf, A. (2024). Relative handgrip strength correlates inversely with increased body fat, inflammatory markers and increased serum lipids in young, healthy adults - The LBA study. Diabetes Research and Clinical Practice, 207, 1-4. https://doi.org/10.1016/j.diabres.2023.111057
Shao, L., Shi, Y., Xie, X. Y., Wang, Z., Wang, Z. A., & Zhang, J. E. (2023). Incidence and risk factors of falls among older people in nursing homes: Systematic review and meta-analysis. Journal of the American Medical Directors Association, 24(11), 1708-1717. https://doi.org/10.1016/j.jamda.2023.06.002
Sinclair, A. J., Conroy, S. P., & Bayer, A. J. (2008). Impact of diabetes on physical function in older people. Diabetes Care, 31(2), 233–235. https://doi.org/10.2337/dc07-1784
United Nations, Department of Economic and Social Affairs, Population Division. (2022). World population prospects 2022: Summary of results (UN DESA/POP/2022/TR/NO. 3). https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/wpp2022_summary_of_results.pdf
Vagetti, G. C., Gomes, F. R. H., Silva, M. P. da, Gasparotto, G. da S., Oliveira, V. de, & Campos, W. de. (2020). Association between functional fitness and quality of life of elderly participants of a program of physical activity of Curitiba, Brazil. Journal of Physical Education, 31(1), 1-15. https://doi.org/10.4025/jphyseduc.v31i1.3115
Valenzuela, P. L., Saco-Ledo, G., Morales, J. S., Gallardo-Gómez, D., Morales-Palomo, F., López-Ortiz, S., Rivas-Baeza, B., Castillo-García, A., Jiménez-Pavón, D., Santos-Lozano, A., Del Pozo Cruz, B., & Lucia, A. (2023). Effects of physical exercise on physical function in older adults in residential care: a systematic review and network meta-analysis of randomised controlled trials. The Lancet. Healthy Longevity, 4(6), 247–256. https://doi.org/10.1016/S2666-7568(23)00057-0
Volpato, S., Bianchi, L., Lauretani, F., Lauretani, F., Bandinelli, S., Guralnik, J. M., Zuliani, G., & Ferrucci, L. (2012). Role of muscle mass and muscle quality in the association between diabetes and GAIT speed. Diabetes Care, 35(8), 1672–1679. https://doi.org/10.2337/dc11-2202
Wen, C. Y., Lien, A. S., & Jiang, Y. D. (2022). Sarcopenia in elderly diabetes. Journal of Diabetes Investigation, 13(6), 944–946. https://doi.org/10.1111/jdi.13752
Wiśniowska-Szurlej, A., Ćwirlej-Sozańska, A., Kilian, J., Wołoszyn, N., Sozański, B., & Wilmowska-Pietruszyńska, A. (2021). Reference values and factors associated with hand grip strength among older adults living in southeastern Poland. Scientific Reports, 11(1), 1-8. https://doi.org/10.1038/s41598-021-89408-9
Кovalchuk, A., Zinych, О., Кushnarova, N., Prybyla, О., & Shyshkan-Shyshova, K. (2022). Pathophysiological basis of sarcopenia— a chronic complication of diabetes. International Journal of Endocrinology, 18(6), 343–350. https://doi.org/10.22141/2224-0721.18.6.2022.1205
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