2型糖尿病患者的握力与糖尿病多发性神经病变相关一项针对日本患者的单中心回顾性观察研究。

IF 1.3 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Endocrine journal Pub Date : 2025-01-07 DOI:10.1507/endocrj.EJ24-0397
Yuichiro Iwamoto, Shuhei Nakanishi, Masahiro Komi, Yuto Kimura, Yuki Watanabe, Taku Sasaki, Erina Nakao, Masato Kubo, Toshitomo Sugisaki, Kazunori Dan, Yui Okamoto, Hideyuki Iwamoto, Junpei Sanada, Yoshiro Fushimi, Yukino Katakura, Tomohiko Kimura, Masashi Shimoda, Tomoatsu Mune, Kohei Kaku, Hideaki Kaneto
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引用次数: 0

摘要

神经传导研究(NCS)是诊断糖尿病多发性神经病的标准方法。由于握力与糖尿病神经病变之间的明确联系可以作为一种筛查工具,因此本研究评估了握力与NCS和糖尿病相关并发症之间的关系。纳入2018年4月1日至2023年3月31日在我院住院的436例2型糖尿病(T2D)患者,采用Baba的糖尿病神经病变分类(BDC)进行评估。参与者按性别分组,采用握力分值法评估高握力组(HG)、中握力组(MG)和低握力组(LG)与糖尿病微血管并发症患病率的相关性。BDC-0在HG组为65%,MG组为54%,LG组为36%。此外,HG组没有参与者患有BDC-3/4,而MG组和LG组分别有4%和15%的参与者患有BDC-3/4。糖尿病神经病变的发病进展按LG、MG、HG的顺序排列(p < 0.001)。T2D和晚期糖尿病神经病变患者的握力下降。如果握力明显下降,应考虑早期评估BDC和其他NCS。
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Handgrip strength in patients with type 2 diabetes correlates with diabetic polyneuropathy. A single-center, retrospective observational study in Japanese patients.

Nerve conduction studies (NCS) are the standard method for diagnosing diabetic polyneuropathy. Because a clear association between handgrip strength and diabetic neuropathy can serve as a screening tool, the present study evaluated the association between handgrip strength and NCS and diabetes-related complications. A total of 436 patients with type 2 diabetes (T2D) who were admitted to our hospital between April 1, 2018 and March 31, 2023, and evaluated using Baba's diabetic neuropathy classification (BDC) were included. The participants were grouped by sex using the grip strength tertile method to assess correlations with the prevalence of diabetic microvascular complications in the high-handgrip group (HG), middle-handgrip group (MG), and low-handgrip group (LG). The percentage of BDC-0 was 65% in the HG, 54% in the MG, and 36% in the LG. Furthermore, none of the participants in the HG had BDC-3/4, whereas 4% in the MG and 15% in the LG had BDC-3/4. The morbidity progression of diabetic neuropathy was seen in the order of LG, MG, and HG (p < 0.001). Patients with T2D and advanced diabetic neuropathy had decreased handgrip strength. Early evaluation of BDC and other NCS should be considered if decreased handgrip strength is evident.

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来源期刊
Endocrine journal
Endocrine journal 医学-内分泌学与代谢
CiteScore
4.30
自引率
5.00%
发文量
224
审稿时长
1.5 months
期刊介绍: Endocrine Journal is an open access, peer-reviewed online journal with a long history. This journal publishes peer-reviewed research articles in multifaceted fields of basic, translational and clinical endocrinology. Endocrine Journal provides a chance to exchange your ideas, concepts and scientific observations in any area of recent endocrinology. Manuscripts may be submitted as Original Articles, Notes, Rapid Communications or Review Articles. We have a rapid reviewing and editorial decision system and pay a special attention to our quick, truly scientific and frequently-citable publication. Please go through the link for author guideline.
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