{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:51:52Z","timestamp":1791172312170,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Diabetes"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Driving is a complex task that requires efficient integration of sensorimotor, visual, and cognitive systems. Although diabetic peripheral neuropathy (DPN) is associated with reduced driving performance, the impact of this condition when combined with aging is still poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess braking time in older drivers with Type 2 diabetes mellitus (T2DM), with and without DPN, comparing them with a control group and investigating associations with motor, cognitive, and visual characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Cross\u2010sectional study involving individuals aged 60\u201379\u2009years, distributed into three groups: T2DM without DPN (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917), T2DM with DPN (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922), and control (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925). DPN was identified using the Michigan Neuropathy Screening Instrument, Brazilian version (MNSI\u2010Brazil), with a cutoff score \u2265\u20092.5. Cognitive (Montreal Cognitive Assessment\u2014MoCA, cognitive TUG), visual (acuity, stereopsis, color vision, and adaptometry), and motor assessments (handgrip strength and plantar flexor strength) were performed, along with a driving simulation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Older adults with T2DM showed longer braking times than the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), regardless of the presence of DPN. Participants with DPN presented lower upper\u2010limb strength (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and reduced strength of the right plantar flexor muscles (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Braking time was influenced by sex and plantar strength.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>T2DM is associated with increased braking time in older adults, and reduced plantar flexor muscle strength, particularly among women, highlights the need for monitoring and targeted muscle strengthening to preserve driving safety and autonomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1753-0407.70269","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:10:55Z","timestamp":1791169855000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Braking Time and Cognitive, Visual, and Motor Determinants in Older Drivers With Type 2 Diabetes Mellitus With and Without Diabetic Peripheral Neuropathy: A Controlled Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7433-5831","authenticated-orcid":false,"given":"Vivian Rodrigues","family":"de Matos Souza","sequence":"first","affiliation":[{"name":"Graduate Program in Aging Sciences at University S\u00e3o Judas Tadeu  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2384-3994","authenticated-orcid":false,"given":"Matheus Henrique","family":"dos Santos Lino","sequence":"additional","affiliation":[{"name":"Graduate Program in Aging Sciences at University S\u00e3o Judas Tadeu  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1778-0448","authenticated-orcid":false,"given":"Julia Maria","family":"D'Andr\u00e9a Greve","sequence":"additional","affiliation":[{"name":"Researcher at the Movement Study Laboratory of the Hospital das Cl\u00ednicas at the School of Medicine of the University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0403-0632","authenticated-orcid":false,"given":"Guilherme Carlos","family":"Brech","sequence":"additional","affiliation":[{"name":"Graduate Program in Aging Sciences at University S\u00e3o Judas Tadeu  S\u00e3o Paulo Brazil"},{"name":"Researcher at the Movement Study Laboratory of the Hospital das Cl\u00ednicas at the School of Medicine of the University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1595-1880","authenticated-orcid":false,"given":"Vanderlei Carneiro","family":"da Silva","sequence":"additional","affiliation":[{"name":"Graduate Program in Aging Sciences at University S\u00e3o Judas Tadeu  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9644-5068","authenticated-orcid":false,"given":"Angelica Castilho","family":"Alonso","sequence":"additional","affiliation":[{"name":"Graduate Program in Aging Sciences at University S\u00e3o Judas Tadeu  S\u00e3o Paulo Brazil"},{"name":"Researcher at the Movement Study Laboratory of the Hospital das Cl\u00ednicas at the School of Medicine of the University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"835","DOI":"10.5604\/12321966.1129943","article-title":"Biological Psychological and Social Determinants of Old Age: Bio\u2010Psycho\u2010Social Aspects of Human Aging","volume":"21","author":"Dziechcia\u017c M.","year":"2014","journal-title":"Annals of Agricultural and Environmental Medicine"},{"key":"e_1_2_11_3_1","volume-title":"Geriatria z Elementami Gerontologii Og\u00f3lnej","author":"Kocemba J. 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