Yıl: 2019 Cilt: 3 Sayı: 2 Sayfa Aralığı: 81 - 91 Metin Dili: Türkçe DOI: 10.25048/tjdo.2019.45 İndeks Tarihi: 15-05-2020

Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi

Öz:
Amaç: Çalışmanın amacı, tip 2 diyabetik olgularda glisemik kontrol düzeyinin, açlık plazma glikozunun ve diyabet süresinin fonksiyonelmobiliteye ve ayak fonksiyonuna etkisinin incelenmesidir.Gereç ve Yöntemler: Çalışmamıza ardışık 138 tip 2 diabetes mellitus tanılı olgu alındı. Olguların demografik özellikleri, diyabet süresi,açlık plazma glikozu ve HbA1c değeri kaydedildi ve olgular HbA1c değerlerine göre iki gruba ayrıldı. HbA1c değeri <%7 olanlar, iyiglisemik kontrollü grubu ve ≥%7 olanlar, kötü glisemik kontrollü grubu oluşturdu. Gruplardaki her bir olgunun “Süreli Kalk YürüTesti” ile fonksiyonel mobilite düzeyleri, “Ayak Fonksiyon İndeksi” ile de ayak fonksiyonları değerlendirildi ve gruplar karşılaştırıldı.Bulgular: Çalışma örnekleminde iyi glisemik kontrol düzeyine sahip 65 olgunun yaş ortalaması 53,91±9,28 yıl, kötü glisemik kontroldüzeyine sahip 73 olgunun yaş ortalaması 54,90±8,60 yıl olarak bulundu. İyi ve kötü glisemik kontrollü gruplar arasında Süreli KalkYürü Testi, Ayak Fonksiyon İndeksi ağrı, yetersizlik, kısıtlılık ve toplam skorları açısından anlamlı bir fark olmadığı bulundu (p>0,05).Olguların diyabet süresi ile Süreli Kalk Yürü Testi arasında anlamlı ancak zayıf pozitif korelasyon olduğu (r=0,172, p=0,040), olgularınaçlık plazma glikozu ve HbA1c değerleri ile Ayak Fonksiyon İndeksi ağrı, yetersizlik, kısıtlılık ve toplam skorları arasında anlamlı birkorelasyon olmadığı görüldü (p>0,05). Süreli Kalk Yürü Testi sonucu ile Ayak Fonksiyon İndeksi ağrı, yetersizlik, kısıtlılık ve toplamskoru arasında anlamlı, orta şiddette pozitif korelasyon olduğu saptandı (r=0,336, r=0,393, r=0,357, r=0,413, p<0,001).Sonuç: Çalışmamız, tip 2 diyabetik olgularda glisemik kontrol düzeyinin fonksiyonel mobilite ve ayak fonksiyonunu etkilemediğini,fonksiyonel mobilite düzeyinin diyabet süresiyle ilişkili olduğunu ortaya koymaktadır. Bununla birlikte, diyabetik olguların fonksiyonelmobiliteleri ile ağrı, yetersizlik, kısıtlılık açısından ayak fonksiyonları ilişkili bulundu. Diyabetik olguların, iyi bir fonksiyonel mobiliteiçin, ayak fonksiyonlarını erken dönemde korumalarının önemi göz önünde bulundurulmalıdır.
Anahtar Kelime:

Konular: Endokrinoloji ve Metabolizma Genel ve Dahili Tıp Rehabilitasyon Pediatri

The Effect of Glycemic Control Level on Functional Mobility and Foot Function in Type 2 Diabetic Individuals

Öz:
Aim: The purpose of the study was to investigate the effect of glycemic control, fasting blood glucose level and duration of diabetes on functional mobility and foot function in type 2 diabetic cases. Material and Methods: The study was conducted among 138 consecutive cases with type 2 diabetes mellitus such that 65 of them had a good glycemic control and a mean age of 53.91 ± 9.28 years and 73 of them had poor glycemic control and a mean age of 54.90±8.60 years. Demographic characteristics, duration of diabetes, fasting blood glucose levels and HbA1c values of the subjects were recorded and the subjects were divided into two groups according to their HbA1C valuues. Subjects with HbA1c value below 7% were put into good glycemic control group and subjects with HbA1c values above were put into poor glycemic control. Functional mobility levels of each case in the groups were evaluated with “Timed Up and Go Test” and foot functions were evaluated with “Foot Function Index” and the groups were compared. Results: It was found that among groups with good and poor glycemic control, there was no significant difference between the Time Up and Go Test and the Foot Function Index, in terms of pain, disability, activity limitation and total scores (p>0.05). There was a significant but minor positive correlation between the duration of diabetes and the Timed Up and Go Test (r=0.172, p=0.040), and no significant correlation was seen between the fasting blood sugar and the HbA1c values and Foot Function Index scores (p>0.05). It was found that there was a significant mediocre positive correlation between the Timed Up and Go Test and the Foot Function Index scores (r=0.336, r=0.393, r=0.357, r=0.413, p<0.001). Conclusion: The results of our study indicates that glycemic control does not affect functional mobility and foot function, whereas functional mobility level is associated with diabetes duration in type 2 diabetic cases. Besides, functional mobility of diabetic individuals was found to be related to foot functions in terms of pain, disability and limitation. The importance of conserving foot functions in the early stages for diabetic individuals should be taken into consideration for good functional mobility.
Anahtar Kelime:

Konular: Endokrinoloji ve Metabolizma Genel ve Dahili Tıp Rehabilitasyon Pediatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ALARÇİN G, ÜNVER B, ESERLER T, BAYRAKTAROĞLU T (2019). Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. , 81 - 91. 10.25048/tjdo.2019.45
Chicago ALARÇİN Gizem,ÜNVER BANU,ESERLER Tuba,BAYRAKTAROĞLU TANER Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. (2019): 81 - 91. 10.25048/tjdo.2019.45
MLA ALARÇİN Gizem,ÜNVER BANU,ESERLER Tuba,BAYRAKTAROĞLU TANER Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. , 2019, ss.81 - 91. 10.25048/tjdo.2019.45
AMA ALARÇİN G,ÜNVER B,ESERLER T,BAYRAKTAROĞLU T Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. . 2019; 81 - 91. 10.25048/tjdo.2019.45
Vancouver ALARÇİN G,ÜNVER B,ESERLER T,BAYRAKTAROĞLU T Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. . 2019; 81 - 91. 10.25048/tjdo.2019.45
IEEE ALARÇİN G,ÜNVER B,ESERLER T,BAYRAKTAROĞLU T "Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi." , ss.81 - 91, 2019. 10.25048/tjdo.2019.45
ISNAD ALARÇİN, Gizem vd. "Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi". (2019), 81-91. https://doi.org/10.25048/tjdo.2019.45
APA ALARÇİN G, ÜNVER B, ESERLER T, BAYRAKTAROĞLU T (2019). Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. Türkiye Diyabet ve Obezite Dergisi , 3(2), 81 - 91. 10.25048/tjdo.2019.45
Chicago ALARÇİN Gizem,ÜNVER BANU,ESERLER Tuba,BAYRAKTAROĞLU TANER Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. Türkiye Diyabet ve Obezite Dergisi 3, no.2 (2019): 81 - 91. 10.25048/tjdo.2019.45
MLA ALARÇİN Gizem,ÜNVER BANU,ESERLER Tuba,BAYRAKTAROĞLU TANER Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. Türkiye Diyabet ve Obezite Dergisi , vol.3, no.2, 2019, ss.81 - 91. 10.25048/tjdo.2019.45
AMA ALARÇİN G,ÜNVER B,ESERLER T,BAYRAKTAROĞLU T Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. Türkiye Diyabet ve Obezite Dergisi . 2019; 3(2): 81 - 91. 10.25048/tjdo.2019.45
Vancouver ALARÇİN G,ÜNVER B,ESERLER T,BAYRAKTAROĞLU T Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi. Türkiye Diyabet ve Obezite Dergisi . 2019; 3(2): 81 - 91. 10.25048/tjdo.2019.45
IEEE ALARÇİN G,ÜNVER B,ESERLER T,BAYRAKTAROĞLU T "Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi." Türkiye Diyabet ve Obezite Dergisi , 3, ss.81 - 91, 2019. 10.25048/tjdo.2019.45
ISNAD ALARÇİN, Gizem vd. "Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi". Türkiye Diyabet ve Obezite Dergisi 3/2 (2019), 81-91. https://doi.org/10.25048/tjdo.2019.45