Identifying non-pharmacological risk factors for falling in older adults with type 2 diabetes mellitus: a systematic review

Gravesande, Janelle; Richardson, Julie

doi:10.1080/09638288.2016.1199741

Cited by 21 publications

(16 citation statements)

References 22 publications

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“…Falling is well acknowledged to be a major health concern for older adults, and is associated with disability, institutionalization and lower QOL . Diabetes has been found to be associated with an increased risk of falling in Western countries . The present study, however, found that the rates of falling and injurious falls were similar to those reported for general populations of Chinese older adults .…”

Section: Discussioncontrasting

confidence: 67%

Geriatric syndromes and quality of life in older adults with diabetes

Yang

Lin

Wang

et al. 2019

Geriatrics Gerontology Int

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Aim: To describe geriatric syndromes and their relationships with quality of life in older adults with diabetes.Methods: Community-dwelling older adults (aged >60 years) with diabetes (n = 316) participated in the present study. Eight geriatric syndromes, including polypharmacy (number of medications), pain (Brief Pain Inventory), urinary incontinence (International Consultation on Incontinence Questionnaire), sleep disturbance (hours of sleep), lower cognitive level (Mini-Mental State Examination), falls, depressive symptoms (Geriatric Depression Scale short form) and functional limitation (Barthel Index and Instrumental Activity of Daily Living), were assessed. The WHOQOL-BREF Taiwan version was used to measure physical, psychological, social and environmental domains of quality of life.Results: Polypharmacy was the most common geriatric syndrome (46.6%), followed by pain (41.5%). Participants with any of the geriatric syndromes, except for polypharmacy and sleep disturbance, had significantly poorer quality of life than those without. The Geriatric Depression Scale score was the only common and significant contributor to all four domains of quality of life, explaining 16~29% of the variance. Number of medications, pain level and cognitive level were also significant contributors, although they explained a small amount (<5%) of the variance. The number of geriatric syndromes (mode = 2) was significantly correlated with all four domains of quality of life (partial correlation r = −0.278~0.460, all P < 0.001).Conclusions: Geriatric syndromes, especially polypharmacy and pain, were common among older adults with diabetes. A greater number of geriatric syndromes or a higher Geriatric Depression Scale score were associated with poorer quality of life. Further studies focusing on combinations of different geriatric syndromes or comorbidities are required.

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Section: Discussioncontrasting

confidence: 67%

Geriatric syndromes and quality of life in older adults with diabetes

Yang

Lin

Wang

et al. 2019

Geriatrics Gerontology Int

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“…Physical impairments that were identified included severity of impaired physical activities, muscle strength, balance and walking velocity, and diabetes-related complications including peripheral nerve dysfunction and visual impairment. Gravesande and Richardson reviewed the non-pharmacological risk factors for falling in older adults who were 50 years of age or over, with type 2 DM [17]. They reported that the most common risk factors were impaired balance, reduced walking velocity, peripheral neuropathy, and comorbid conditions, such as osteoarthritis and heart disease [17].…”

Section: Discussionmentioning

confidence: 99%

Risk of falls in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review

Hwang

2018

PTRS

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Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

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“…Less often considered are complications related to participation in everyday life that occur as a result of T2DM. Falls associated with diabetes are an example of one complication that could greatly impact quality of life, secondary to potential injury (Gravesande and Richardson, 2017) or fear avoidance of meaningful activities (Delbaere et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…The diagnosis of diabetes is an independent fall risk factor, and physiological, psychological, and behavioral complications are also associated with increased fall risk in those with diabetes (Roman de Mettelinge et al, 2013). Physiologically, diabetes-related visual comorbidities, lower extremity somatosensory changes, and being overweight are fall risk factors for individuals with T2DM (Gravesande and Richardson, 2017). Visual co-morbidities and lower extremity sensory changes can occur when diabetes is poorly controlled and the lack of control results in damaged blood vessels or peripheral nerves (WHO, 2016).…”

Section: Introductionmentioning

confidence: 99%

Fall risk factors for individuals under the age of 65 years with type 2 diabetes mellitus

Swink

Schmid

Atler

et al. 2019

British Journal of Occupational Therapy

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Introduction The purpose of this study was to examine self-reported falls and fall risk factors in people with type 2 diabetes mellitus aged under 65 years. Methods This study was a cross-sectional analysis of 64 participants at a primary care facility in the western United States of America. The following fall risk factors were examined for differences between groups (fallers vs. non-fallers): age, body mass index, depression, fear of falling, neuropathy, number of medications, sedentary behavior, and visual co-morbidities. Multivariate logistic regression was used to determine relationships with self-reported falls (yes/no recent fall as defined by the participant). Results Forty-five percent of participants reported a recent fall. The following fall risk factors produced significant differences between fallers and non-fallers: depression scores ( p = .01), fear of falling ( p < .01), and number of medications currently being taken ( p = .04). Through multivariate logistic regression, the fear of falling score ( p < .01) was the only significant relationship with self-reported falls in the model that included age, body mass index, depression, fear of falling, neuropathy, number of medications, sedentary behavior, and visual co-morbidities. Conclusion Psychological fall risk factors such as fear of falling are factors that should be considered early on in a diagnosis of type 2 diabetes mellitus because they may have an effect on falls, as evidenced in this sample of adults with type 2 diabetes mellitus aged under 65 years.

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Identifying non-pharmacological risk factors for falling in older adults with type 2 diabetes mellitus: a systematic review

Cited by 21 publications

References 22 publications

Geriatric syndromes and quality of life in older adults with diabetes

Geriatric syndromes and quality of life in older adults with diabetes

Risk of falls in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review

Fall risk factors for individuals under the age of 65 years with type 2 diabetes mellitus

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