Functional Living in Older Adults With Type 2 Diabetes: Executive Functioning, Dual Task Performance, and the Impact on Postural Stability and Motor Control

J Aging Health. 2014 Aug;26(5):841-859. doi: 10.1177/0898264314534896. Epub 2014 Jun 4.

Abstract

Objective: Older adults with type 2 diabetes mellitus (DM2) experience accelerated age-related decline in some domains of cognition. The present study sought to investigate executive functioning and dual tasking capacities in this group.

Method: Older adults with DM2 and age-matched controls completed self-report measures assessing everyday activities, a comprehensive cognitive battery and more specific tasks assessing executive functioning, dual tasking, postural stability, and motor control.

Results: Executive abilities were particularly compromised in the participants with DM2. Furthermore, the DM2 group exhibited reduced postural stability under dual task conditions.

Discussion: These findings suggest that deficits in more complex cognitive activities underlie the decline in everyday function in DM2.

Keywords: dual tasking; executive functioning; functional living; postural stability; type 2 diabetes.