Exploring the exercise for enhancing postural control, gait, and muscle strength in older adults with diabetic peripheral neuropathy: a systematic review and meta-analysis.

IF 3.3 Q2 GERIATRICS & GERONTOLOGY

Frontiers in aging Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI:10.3389/fragi.2025.1507232

Xiangsheng Pang, Dongmei Wang, Fei Zhang, Bin Guo, Wenming Liu

{"title":"Exploring the exercise for enhancing postural control, gait, and muscle strength in older adults with diabetic peripheral neuropathy: a systematic review and meta-analysis.","authors":"Xiangsheng Pang, Dongmei Wang, Fei Zhang, Bin Guo, Wenming Liu","doi":"10.3389/fragi.2025.1507232","DOIUrl":null,"url":null,"abstract":"Objective: The purpose of this study was to conduct a systematic review and meta-analysis to evaluate the effects of exercise on postural control, gait, and muscle strength in older adults with diabetic peripheral neuropathy (DPN).Research design: Systematic review and meta-analysis.Methods: An extensive literature search was performed in PubMed, EBSCO, Web of Science and Cochrane Library from database inception to 30 September 2023. The inclusion criteria were exercise intervention on postural control, gait characteristics, and muscle strength in older adults with DPN. Two reviewers independently extracted data and assessed the quality of studies by Cochrane Risk of Bias.Results: The literature search elicited a total of 523 references, 23 articles were included in this systematic review and meta-analyses. Exercise could effectively decrease the Centre of Pressure (COP) path (SMD = -0.38, 95%CI = -0.77 <math><mrow><mo>∼</mo></mrow> </math> 0.01), increase gait speed (MD = 0.08, 95%CI = 0.05 <math><mrow><mo>∼</mo></mrow> </math> 0.11), but did not change stride length (MD = 0.04, 95%CI = -0.01 <math><mrow><mo>∼</mo></mrow> </math> 0.09), and enhance muscle strength (SMD = 0.76, 95%CI = 0.19 <math><mrow><mo>∼</mo></mrow> </math> 1.33).Conclusion: Exercise improves postural control, gait speed, and muscle strength in older adults with DPN, reducing fall risk and enhancing lower limb strength, though evidence on stride length improvement is limited.Systematic review registration: identifier CRD42023436799.","PeriodicalId":73061,"journal":{"name":"Frontiers in aging","volume":"6 ","pages":"1507232"},"PeriodicalIF":3.3000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069999/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in aging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fragi.2025.1507232","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The purpose of this study was to conduct a systematic review and meta-analysis to evaluate the effects of exercise on postural control, gait, and muscle strength in older adults with diabetic peripheral neuropathy (DPN).

Research design: Systematic review and meta-analysis.

Methods: An extensive literature search was performed in PubMed, EBSCO, Web of Science and Cochrane Library from database inception to 30 September 2023. The inclusion criteria were exercise intervention on postural control, gait characteristics, and muscle strength in older adults with DPN. Two reviewers independently extracted data and assessed the quality of studies by Cochrane Risk of Bias.

Results: The literature search elicited a total of 523 references, 23 articles were included in this systematic review and meta-analyses. Exercise could effectively decrease the Centre of Pressure (COP) path (SMD = -0.38, 95%CI = -0.77 $\sim$ 0.01), increase gait speed (MD = 0.08, 95%CI = 0.05 $\sim$ 0.11), but did not change stride length (MD = 0.04, 95%CI = -0.01 $\sim$ 0.09), and enhance muscle strength (SMD = 0.76, 95%CI = 0.19 $\sim$ 1.33).

Conclusion: Exercise improves postural control, gait speed, and muscle strength in older adults with DPN, reducing fall risk and enhancing lower limb strength, though evidence on stride length improvement is limited.

Systematic review registration: identifier CRD42023436799.

查看原文本刊更多论文

探索锻炼增强老年糖尿病周围神经病变患者的姿势控制、步态和肌肉力量：一项系统回顾和荟萃分析。

目的：本研究的目的是进行系统回顾和荟萃分析，以评估运动对老年糖尿病周围神经病变（DPN）患者的姿势控制、步态和肌肉力量的影响。研究设计：系统回顾和荟萃分析。方法：广泛检索PubMed、EBSCO、Web of Science和Cochrane Library自数据库建立至2023年9月30日的文献。纳入标准是运动干预对老年DPN患者的姿势控制、步态特征和肌肉力量的影响。两位审稿人独立提取数据，并通过Cochrane偏倚风险评估研究质量。结果：文献检索共检索到523篇参考文献，23篇文章被纳入本系统评价和meta分析。运动可以有效减少压力中心（COP）路径（SMD = -0.38, 95%CI = -0.77 ~ 0.01），增加步态速度（MD = 0.08, 95%CI = 0.05 ~ 0.11），但不改变步幅（MD = 0.04, 95%CI = -0.01 ~ 0.09），增强肌肉力量（SMD = 0.76, 95%CI = 0.19 ~ 1.33）。结论：运动可以改善DPN老年人的姿势控制、步态速度和肌肉力量，减少跌倒风险并增强下肢力量，尽管关于步幅改善的证据有限。系统评价注册：标识符CRD42023436799。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊