Abstract
ABSTRACT Purpose: to identify, in the literature, the factors associated with the development of vestibular dysfunctions in individuals with type 2 diabetes mellitus (DM2). Methods: an integrative review of the literature, whose survey was conducted in the databases ISI, SciELO, LILACS and PubMed, using the following descriptors: “type 2 diabetes mellitus”, “vertigo”, “dizziness”, and “vestibular diseases". Articles published in the last 10 years that answered the research question (“What factors are associated with the development of vestibular disorders in individuals with DM2?”) were included in the study. Results: the search returned 426 articles, 10 of which met the eligibility criteria. Most of the participants of the selected studies who had vestibular dysfunctions were women over 40 years old and had more than one comorbidity related to DM2, the main one being the systemic arterial hypertension (SAH). According to the literature, the physiology of the inner ear allows small glucose alterations to influence its normal functioning, which makes diabetic individuals more susceptible to developing vestibular dysfunctions. Conclusion: according to this study, DM2 can trigger or contribute to the manifestation of vestibular dysfunction, whose main associated factors are advanced age, female gender, and various comorbidities, as dyslipidemia, SAH and metabolic syndrome.
Highlights
Diabetes mellitus is one of the most prevalent chronic diseases in the population worldwide, with Brazil as the fourth country most affected by it
According to the International Diabetes Federation, in 2017 approximately 425 million people were diagnosed with diabetes, and it is believed that until 2045 there will be about 629 million diabetics in the world[1]
The research was guided by the following question: What factors are associated with the development of vestibular dysfunctions in individuals with DM2? The articles were surveyed in the ISI Web of Science, SciELO, LILACS and PubMed databases, with the following terms: “type 2 diabetes mellitus”, “vertigo”, “dizziness”, and “vestibular diseases”, according to the Health Sciences Descriptors (DeCS), in these combinations: “type 2 diabetes mellitus AND vertigo”, “type 2 diabetes mellitus AND dizziness”, “type 2 diabetes mellitus AND vestibular diseases”
Summary
Diabetes mellitus is one of the most prevalent chronic diseases in the population worldwide, with Brazil as the fourth country most affected by it. According to the International Diabetes Federation, in 2017 approximately 425 million people were diagnosed with diabetes, and it is believed that until 2045 there will be about 629 million diabetics in the world[1]. Type 2 diabetes mellitus (DM2) corresponds to 90% of the cases and occurs more frequently in obese people over 40 years old. It is characterized as a heterogeneous syndrome resulting from the deficiency in insulin secretion or the interference in its function, and its most common clinical manifestation is chronic hyperglycemia[2]. It is estimated that 80% of the people with DM2 are overweight and do not practice physical exercise[3]
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