Avaliação da funcionalidade em pacientes acometidos pelo Diabetes Mellitus tipo II utilizando o WHODAS 2.0

Abstract

Diabetes mellitus (DM) is defined as a functional alteration of the pancreas, in which insulin production is ineffective or when the body is unable to absorb the insulin produced. Since insulin is responsible for the absorption of glucose by cells through specific receptors, when this system fails, hyperglycemia occurs, which, in a chronic form, leads to the saturation of these receptors, generating consequences in the various organs and systems of the human body. Objectives: To investigate the possible correlations between the variables that make up the domains of functioning in people with type II DM. Methods: Quantitative descriptive study, carried out from October 2024 to May 2025, at the Outpatient Clinic of the Center for Technological Innovation in Human Rehabilitation (INOVAFISIO) of the Federal University of Ceará (UFC). The sample was non- probabilistic for convenience, composed of patients diagnosed with Type II Diabetes Mellitus. The research followed all the ethical precepts of Resolution 466/2012, with approval from the Research Ethics Committee involving human beings of the Federal University of Ceará (opinion no.: 6,954,148). Results: Eighty individuals with diabetes were evaluated, 51.5% of whom were male and 48.5% female, of whom 34.0% were retired and 54.2% of the sample were married. Correlations were found between the WHODAS 2.0 domains participation and mobility (rho = 0.552; p < 0.001), participation and self-care (rho = 0.527; p < 0.001), participation and household activities (rho = 0.660; p < 0.01). After a linear regression analysis, an association was observed between participation activities with mobility, self-care and life activities. Conclusion: In this study, we observed that there were significant correlations in functionality in the WHODAS 2.0 domains: participation, mobility and life activities, impacting the functionality of the studied population. These findings may contribute to a better understanding of the effects of chronic hyperglycemia on the human locomotor system.