Falls in older people with diabetes : identification of simple screening measures and explanatory risk factors

Wettasinghe, Asha H. (University of Colombo, Sri Lanka) ; Dissanayake, Dilshani W. N. (University of Colombo, Sri Lanka) ; Allet, Lara (University Hospitals and University of Geneva, Geneva, Switzerland ; Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Katulanda, Prasad (University of Colombo, Sri Lanka) ; Lord, Stephen R. (UNSW, Randwick, Sydney, Australia)

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.


Keywords:
Article Type:
scientifique
Faculty:
Santé
School:
HEdS - Genève
Institute:
Aucun institut
Date:
2020-12
Pagination:
6 p.
Published in:
Primary care diabetes
Numeration (vol. no.):
2020, vol. 14, no. 6, pp. 723-728
DOI:
ISSN:
1751-9918
Appears in Collection:

Note: The file is under embargo until: 2021-06-01


 Record created 2020-11-04, last modified 2021-03-01

Fulltext:
Download fulltext
PDF

Rate this document:

Rate this document:
1
2
3
 
(Not yet reviewed)