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Falls in older people with diabetes: Identification of simple screening measures and explanatory risk factors
- Source :
- Primary Care Diabetes. 14:723-728
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Aims To identify risk factors for falls in older people with diabetes mellitus (DM) and to develop a low-cost fall risk screening tool. Methods Older adults with DM (n = 103; age = 61.6 + 6.0 years) were recruited from diabetic clinics. Demographic, DM specific factors, lower limb strength and sensation, cognition, fear of falling, hand reaction time, balance, mobility and gait parameters were assessed using validated methods. Falls were prospectively recorded over six months. Results Past falls and female gender were identified as significant predictors of falls: history of falls and female gender increased fall rates by 4.62 (95% CI = 2.31–9.27) and 2.40 (95% CI = 1.04–5.54) respectively. Fall rates were significantly associated with Diabetic Neuropathy scores, HbA1c level, contrast sensitivity, quadriceps strength, postural sway, tandem balance, stride length and Timed Up and Go Test times. A multi-variable fall risk tool derived using five measures, revealed that absolute risk for multiple falls increased from 0% in participants with zero or one factor to 83% in participants with all five risk factors. Conclusions Simple screening items for fall risk in people with DM were identified, with parsimonious explanatory risk factors. These findings help guide tailored interventions for preventing falls in DM.
- Subjects :
- medicine.medical_specialty
Endocrinology, Diabetes and Metabolism
Poison control
030209 endocrinology & metabolism
Timed Up and Go test
Fear of falling
Occupational safety and health
03 medical and health sciences
0302 clinical medicine
Diabetic Neuropathies
Risk Factors
Injury prevention
Diabetes Mellitus
Internal Medicine
medicine
Humans
030212 general & internal medicine
Postural Balance
Aged
Balance (ability)
Nutrition and Dietetics
business.industry
Absolute risk reduction
Human factors and ergonomics
Fear
Middle Aged
Time and Motion Studies
Physical therapy
Female
medicine.symptom
Family Practice
business
Subjects
Details
- ISSN :
- 17519918
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Primary Care Diabetes
- Accession number :
- edsair.doi.dedup.....6ce3f28042fd56cbef48402a5b27c7f4