Current status of functional physical fitness in elderly patients with type 2 diabetes mellitus
10.3760/cma.j.cn115682-20240514-02698
- VernacularTitle:老年2型糖尿病患者功能性体适能的调查分析
- Author:
Jing WANG
1
;
Xiaoling QU
1
;
Jinyu CHEN
1
Author Information
1. 首都医科大学附属北京友谊医院通州医疗保健中心内科，北京 101125
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Aged;
Functional physical fitness
- From:
Chinese Journal of Modern Nursing
2025;31(4):545-549
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the functional physical fitness of elderly patients with type 2 diabetes mellitus and to understand its current status and characteristics, with a view to provid a basis for nursing interventions for elderly patients with diabetes mellitus.Methods:Convenience sampling was used to select 460 elderly patients with type 2 diabetes mellitus who visited the Department of Endocrinology at Beijing Friendship Hospital of Capital Medical University from January to December 2023. Basic information of gender, age, duration of diabetes, and chronic co-morbidities was collected, and their functional physical fitness was assessed using the Senior Fitness Test. Functional physical fitness was compared across age groups, gender, disease duration and chronic co-morbidities using t-tests and analysis of variance. Results:Among the functional physical fitness of 460 elderly patients with type 2 diabetes mellitus, the body mass index (BMI) was (22.97±1.52) kg/m 2, the number of 2-minute Step Test steps was (88.42±11.90), the grip strength was (25.73±2.44) kg, the number of 30-second Chair Stand Test was (17.64±1.70), the Back Scratch Test distance was (-5.04±1.64) cm, the Chair Sit and Reach Test distance was (-2.77±1.30) cm, and the time taken for the 8-foot Up-and-Go Test was (10.76±2.14) s. Patients≥70 years of age had a smaller body mass index than patients<70 years of age. Among patients≥70 years old, female, and≥3 types of co-morbidities, the number of 2-minute Step Test steps and the number of 30-second Chair Stand Test were less than in patients <70 years old, male, and≤2 types of co-morbidities, grip strength was smaller than in patients <70 years old, male, and ≤2 types of co-morbidities, the Back Scratch Test distance and the Chair Sit and Reach Test distance were shorter than in patients <70 years old, male, and ≤2 types of co-morbidities, and the 8-foot Up-and-Go Test time was longer than that of <70 years old, male, patients with ≤2 types of co-morbidities, and the differences were statistically significant ( P<0.05). Among patients with a disease duration of>10 years, the number of 2-minute Step Test steps and the number of 30-second Chair Stand Test were less than those of patients with a disease duration of <5 years and patients with a disease duration of 5-10 years, grip strength was shorter than those of patients with a disease duration of <5 years and patients with a disease duration of 5-10 years, the Back Scratch Test distance and the Chair Sit and Reach Test distance were shorter than those of patients with a disease duration of <5 years and patients with a disease duration of 5-10 years, and the 8-foot Up-and-Go Test took longer than those of patients with a disease duration of <5 years and patients with a disease duration of 5-10 years, and the differences were statistically significant ( P<0.05) . Conclusions:Functional physical fitness in older adults with diabetes is moderately low. Functional physical fitness varies by age group, gender, disease duration, and chronic co-morbidities. Clinical nursing interventions need to adequately assess the level of functional physical fitness and develop individualized strategies based on patient characteristics and assessment results.
