The Examination of the Patient Background and Physical Function in Muscle Strength and Quality of Patients With Type 2 Diabetes

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  • Kaihoko Yukiko
    Department of Rehabilitation, St Marianna University School of Medicine, Toyoko Hospital
  • Yagi Maiko
    Department of Rehabilitation, St Marianna University School of Medicine, Toyoko Hospital
  • Ishiyama Daisuke
    Department of Rehabilitation, St Marianna University School of Medicine, Toyoko Hospital
  • Watanabe Sato
    Department of Rehabilitation, St Marianna University School of Medicine, Toyoko Hospital
  • Akao Keigo
    Department of Rehabilitation, St Marianna University School of Medicine, Toyoko Hospital
  • Kuwamura Yuui
    Department of Rehabilitation, St Marianna University School of Medicine, Toyoko Hospital
  • Omori Shintaro
    Department of Internal Medicine, Division of Metabolism and Endocrinology, St Marianna University School of Medicine, Toyoko Hospital
  • Ohta Akio
    Department of Internal Medicine, Division of Metabolism and Endocrinology, St Marianna University School of Medicine, Toyoko Hospital

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  • 2型糖尿病患者の筋力および筋肉の質における患者背景および身体機能についての検討

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Abstract

<p>A decline in the muscle strength (MS) and muscle quality (MQ) has been noted in patients with type 2 diabetes. The aim of this study was to investigate the association between patient characteristics and the maintenance of or reduction in the MS and MQ in patients with type 2 diabetes. A total of 95 type 2 diabetes patients were eligible for this analysis from April 1, 2015, to December 31, 2017 (67 males, 28 females, age: 59.0±14.4 years, duration of diabetes: 6.9±8.6 years, HbA1c: 8.8 %±2.8 %). We compared the patient characteristic, body composition, and physical function between the groups with maintained and decreased MS and MQ values. A logistic regression analysis was used to examine the association between the patient characteristics and a maintained or decreased MS and MQ. Regarding the MS, the body fat percentage was independently related to a decreased MS (odds ratio [OR] 0.93, 95 % confidence interval [CI] 0.88-0.98, p=0.004). Regarding the MQ, the walking speed was independently associated with a maintained MQ (OR 5.86, 95 % CI 1.16-29.64, p=0.033). Our results suggested that the MQ reflects the walking ability more sensitively than the MS in patients with type 2 diabetics.</p>

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