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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Cirugía bariátrica en mujeres en edad fértil: recomendaciones de los Comités de Trabajo de “Diabetes y Embarazo” y “Diabetes y Obesidad” de la Sociedad Argentina de Diabetes Gutt, Susana; Rovira, Gabriela; Jawerbaum, Alicia Sandra; Espinoza, Frank; Mociulsky, Juliana; Sucani, Stella; Kojdamanian, Verónica; Aguirre Ackermann, Marianela; Álvarez, María Graciela; Camaño, Alejandro; Glatstein, Liliana; Lifszyc, Paula; Gómez Martin, Carolina; Mendes, Patricio; Menéndez, Estrella; Yuma, María; Bertona, Celina; Cafaro, Lilia; Fuentes, Susana; Salzberg, Susana; Basualdo, Natalia; González, Sandra; Villarroel Parra, Beatriz; Musso, Carla (Sociedad Argentina de Diabetes, 2015-12)El incremento de la obesidad en el mundo, a edades más tempranas, ha tenido un impacto negativo especialmente en las mujeres en edad reproductiva. Se ven afectadas tanto la fertilidad como la tasa de embarazos de riesgo, ...
Characterization of adults without risk and with risk for type 2 diabetes, and adults with type 2 diabetes in Northern Mexico Ramírez-Girón, Natalia; Gallegos-Cabriales, Esther