Decreased Muscle Strength and Quality in Diabetes-Related Dementia

Background/Aims: Diabetes-related dementia (DrD), a dementia subgroup associated with specific diabetes mellitus (DM)-related metabolic abnormalities, is clinically and pathophysiologically different from Alzheimer disease (AD) and vascular dementia. We determined whether skeletal muscle strength, q...

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Main Authors: Akito Tsugawa, Yusuke Ogawa, Naoto Takenoshita, Yoshitsugu Kaneko, Hirokuni Hatanaka, Eriko Jaime, Raita Fukasawa, Haruo Hanyu
Format: Article
Language:English
Published: Karger Publishers 2017-12-01
Series:Dementia and Geriatric Cognitive Disorders Extra
Subjects:
Online Access:https://www.karger.com/Article/FullText/485177
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author Akito Tsugawa
Yusuke Ogawa
Naoto Takenoshita
Yoshitsugu Kaneko
Hirokuni Hatanaka
Eriko Jaime
Raita Fukasawa
Haruo Hanyu
author_facet Akito Tsugawa
Yusuke Ogawa
Naoto Takenoshita
Yoshitsugu Kaneko
Hirokuni Hatanaka
Eriko Jaime
Raita Fukasawa
Haruo Hanyu
author_sort Akito Tsugawa
collection DOAJ
description Background/Aims: Diabetes-related dementia (DrD), a dementia subgroup associated with specific diabetes mellitus (DM)-related metabolic abnormalities, is clinically and pathophysiologically different from Alzheimer disease (AD) and vascular dementia. We determined whether skeletal muscle strength, quality, and mass decrease in individuals with DrD. Methods: We evaluated grip and knee extension strength, muscle mass, and gait speed in 106 patients with probable AD and without type 2 DM (AD[–DM] group), 74 patients with probable AD and with DM (AD[+DM] group), and 36 patients with DrD (DrD group). Muscle quality was defined as the ratio of muscle strength to muscle mass. Results: Both female and male subjects with DrD showed significantly decreased muscle strength and quality in the upper extremities compared with the subjects with AD[–DM] or AD[+DM]. Female subjects with DrD showed significantly decreased muscle quality in the lower extremities compared with the subjects with AD[–DM]. Both female and male subjects with DrD had a significantly lower gait speed compared with the subjects with AD[–DM]. However, there were no significant differences in muscle mass and the prevalence of sarcopenia between the groups. Conclusion: Subjects with DrD showed decreased muscle strength and quality, but not muscle mass, and had a low gait speed.
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spelling doaj.art-9d88d939f6694046bc635d1757ef0d5d2022-12-22T00:40:13ZengKarger PublishersDementia and Geriatric Cognitive Disorders Extra1664-54642017-12-017345446210.1159/000485177485177Decreased Muscle Strength and Quality in Diabetes-Related DementiaAkito TsugawaYusuke OgawaNaoto TakenoshitaYoshitsugu KanekoHirokuni HatanakaEriko JaimeRaita FukasawaHaruo HanyuBackground/Aims: Diabetes-related dementia (DrD), a dementia subgroup associated with specific diabetes mellitus (DM)-related metabolic abnormalities, is clinically and pathophysiologically different from Alzheimer disease (AD) and vascular dementia. We determined whether skeletal muscle strength, quality, and mass decrease in individuals with DrD. Methods: We evaluated grip and knee extension strength, muscle mass, and gait speed in 106 patients with probable AD and without type 2 DM (AD[–DM] group), 74 patients with probable AD and with DM (AD[+DM] group), and 36 patients with DrD (DrD group). Muscle quality was defined as the ratio of muscle strength to muscle mass. Results: Both female and male subjects with DrD showed significantly decreased muscle strength and quality in the upper extremities compared with the subjects with AD[–DM] or AD[+DM]. Female subjects with DrD showed significantly decreased muscle quality in the lower extremities compared with the subjects with AD[–DM]. Both female and male subjects with DrD had a significantly lower gait speed compared with the subjects with AD[–DM]. However, there were no significant differences in muscle mass and the prevalence of sarcopenia between the groups. Conclusion: Subjects with DrD showed decreased muscle strength and quality, but not muscle mass, and had a low gait speed.https://www.karger.com/Article/FullText/485177DementiaAlzheimer diseaseDiabetes mellitusMuscleSarcopeniaDynapenia
spellingShingle Akito Tsugawa
Yusuke Ogawa
Naoto Takenoshita
Yoshitsugu Kaneko
Hirokuni Hatanaka
Eriko Jaime
Raita Fukasawa
Haruo Hanyu
Decreased Muscle Strength and Quality in Diabetes-Related Dementia
Dementia and Geriatric Cognitive Disorders Extra
Dementia
Alzheimer disease
Diabetes mellitus
Muscle
Sarcopenia
Dynapenia
title Decreased Muscle Strength and Quality in Diabetes-Related Dementia
title_full Decreased Muscle Strength and Quality in Diabetes-Related Dementia
title_fullStr Decreased Muscle Strength and Quality in Diabetes-Related Dementia
title_full_unstemmed Decreased Muscle Strength and Quality in Diabetes-Related Dementia
title_short Decreased Muscle Strength and Quality in Diabetes-Related Dementia
title_sort decreased muscle strength and quality in diabetes related dementia
topic Dementia
Alzheimer disease
Diabetes mellitus
Muscle
Sarcopenia
Dynapenia
url https://www.karger.com/Article/FullText/485177
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