Key result
Type 2 diabetes linked to significantly lower cortical oxygenation during motor tasks in postmenopausal women.
Why the study?
Emerging evidence suggests impaired hemodynamic function contributes to sensory and motor deficits in persons with type II diabetes mellitus, motivating evaluation of functional cortical hemodynamic activity during sensorimotor tasks.
Does type II diabetes mellitus affect functional cortical hemodynamic activity during sensory and motor tasks in postmenopausal women?
Case-Control (n=37)
No
Does type II diabetes mellitus affect functional cortical hemodynamic activity during sensory and motor tasks in postmenopausal women?
Postmenopausal women with type II diabetes exhibit reduced cortical oxyhemoglobin during motor tasks, suggesting that impaired central hemodynamic function contributes to motor deficits.
Answers are grounded in this paper and cite their sources.
Reduced cortical HbO during motor tasks may underlie deficits in diabetic postmenopausal women; hypothesis-generating for prospective hemodynamic studies.
Significance: Deficits in sensorimotor function in persons with type II diabetes mellitus (PwDM) have traditionally been considered a result of peripheral nerve damage. Emerging evidence has suggested that factors outside of nerve damage due to type II diabetes mellitus, such as impaired hemodynamic function, contribute significantly to both sensory and motor deficits in PwDM. Aim: The focus of the current study was to evaluate functional cortical hemodynamic activity during sensory and motor tasks in PwDM. Approach: Functional near-infrared spectroscopy was used to monitor oxyhemoglobin (HbO) and deoxyhemoglobin (HbR) across the cortex during sensory and motor tasks involving the hands. Results: Decline in HbO across sensory and motor regions of interest was found in PwDM with simultaneous deficits in manual motor tasks, providing the first evidence of functional cortical hemodynamic activity deficits relating to motor dysfunction in PwDM. Similar deficits were neither specifically noted in HbR nor during evaluation of sensory function. Health state indices, such as A1c, blood pressure, body mass index, and cholesterol, were found to clarify group effects. Conclusions: Further work is needed to clarify potential sex-based differences in PwDM during motor tasks as well as the root of reduced cortical HbO indices but unchanged HbR indices in PwDM.
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Gorniak et al. (2020) conducted a case-control in Type II Diabetes Mellitus (n=37). Type II diabetes mellitus vs. Healthy age-matched controls without diabetes was evaluated on Cortical oxygenated hemoglobin (HbO) concentration changes during manual motor tasks (d = 0.951, p=<0.005). Postmenopausal women with type II diabetes exhibited reduced functional cortical oxygenated hemoglobin during manual motor tasks compared to healthy controls.
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