02109nas a2200157   4500000000100000008004100001653001100042653002100053100001400074700001600088700001400104245007700118856012800195300001000323520161800333       2009                            d10aGlobal10aFull text online1 aFenley JC1 aSantiago LN1 aNardi SMT00a[Activity Limitation and social participation of patients with diabetes]  uhttp://www.producao.usp.br/bitstream/handle/BDPI/13494/art_FENLEY_Limitacao_de_atividades_e_participacao_social_em_2009.pdf  a14-183 a<p>Objectives: to evaluate the activity limitation and the social participation in individuals with type 2 diabetes mellitus. Methodology: 79 diabetic patients were evaluated through SALSA scale (Screening of Activity Limitation and Safety Awareness) and Social Participation scale of the International Classificationof Functioning, Disability and Health (ICF). Results: the average age of the participants was 61.6±9.8 years, 55.7% were female, 68.4% had a marital status, 32.9% had a low income (up to three minimum wages) and 13.9% had left work due to health reasons. The average time of illness was 10.3±8.9 years. 39.3% of the participants were treated with insulin, 70.9% with oral medication, 51.9% with diet and 45.6% with physical exercises. 48.1%presented some disease complication. The average in SALSA score was 26.5±11.6 and higher scores were associated with more than 10 years of disease. With diabetes evolution there may be a need for insulin therapy and diabetes complications can appear and interfere with the individual?s occupations. These factors can contribute to activity limitation. The average in Social Participation scale was 9.8±10.9, with higher scores when the patients considered their physical health impaired in the last year and when they were under insulin therapy. Conclusion: the activity limitation in type 2 diabetes mellitus was associated to the duration of the disease with possible contribution of factors related to the disease?s evolution. The auto-evaluation of impaired physical health and insulin therapy seem to interfere with social participation.(AU)</p>