Artículos de revistas
Can a simple test of functional capacity add to the clinical assessment of diabetes?
AIM: To identify impairment in functional capacity associated with complicated and non-complicated diabetes using the 6-min walk distance test. METHODS: We enrolled 111 adults, aged >/=40 years, with Type 2 diabetes from a hospital facility and 150 healthy control subjects of similar age and sex from a community site in Lima, Peru. All participants completed a 6-min walk test. RESULTS: The mean age of the 261 participants was 58.3 years, and 43.3% were male. Among those with diabetes, 67 (60%) had non-complicated diabetes and 44 (40%) had complications such as peripheral neuropathy, retinopathy or nephropathy. The mean unadjusted 6-min walk distances were 376 m and 394 m in adults with and without diabetes complications, respectively, vs 469 m in control subjects (P<0.001). In multivariable regression, the subjects with diabetes complications walked 84 m less far (95% CI -104 to -63 m) and those without complications walked 60 m less far (-77 to -42 m) than did control subjects. When using HbA1c level as a covariate in multivariable regression, participants walked 13 m less far (-16.9 to -9.9 m) for each % increase in HbA1c . CONCLUSIONS: The subjects with diabetes had lower functional capacity compared with healthy control subjects with similar characteristics. Differences in 6-min walk distance were even apparent in the subjects without diabetes complications. Potential mechanisms that could explain this finding are early cardiovascular disease or deconditioning.
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Relación entre el apoyo social y las complicaciones agudas de la diabetes tipo 2: un estudio de corte transversal Teherán Valderrama, Aníbal Alfonso; Mejía Guatibonza, María Camila; Álvarez Meza, Luz; Muñoz Ramírez, Yenny José; Barrera Céspedes, María; Cadavid González, Vanessa (Universidad del Rosario, 2017)Objective: To evaluate the relationship between social support and the frequency of patients with acute complications of type 2diabetes. Materials and methods: A cross-sectional study was carried out on type 2 diabetic ...
Negrato, Carlos Antonio; Montenegro Junior, Renan Magalhães; Von Kostrisch, Lilia Maria; Guedes, Maria Fatima; Mattar, Rosiane; Gomes, Marilia de Brito (Sociedade Brasileira de Endocrinologia e Metabologia, 2012-10-01)Pregnancy affects both maternal and fetal metabolism, and even in non-diabetic women, it exerts a diabetogenic effect. Among pregnant women, 2% to 14% develop gestational diabetes. Pregnancy can also occur in women with ...
Negrato, Carlos Antonio; Montenegro Junior, Renan Magalhães; Von Kostrisch, Lilia Maria; Guedes, Maria Fatima; Mattar, Rosiane; Gomes, Marilia B. (Sociedade Brasileira de Endocrinologia e Metabologia, 2012)Pregnancy affects both maternal and fetal metabolism, and even in non-diabetic women, it exerts a diabetogenic effect. Among pregnant women, 2% to 14% develop gestational diabetes. Pregnancy can also occur in women with ...