scholarly journals RISK FACTORS FOR FALLS IN OLDER ADULTS WITH TYPE 2 DIABETES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S469-S470
Author(s):  
Edgar R Vieira ◽  
Fabieli Fontes ◽  
Bartolomeu Filho ◽  
Fabricia Cavalcanti ◽  
Juliana Gazzola
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Lower Limb ◽  
Functional Performance ◽  
Cognitive Status ◽  
Limb Pain ◽  
Falls Risk ◽  
Lower Limb Pain ◽  
Risk Factors For Falls

Abstract The objective of this study was to evaluate the probability of the risk of falls in the older adults with type 2 diabetes. One-hundred and eleven older adults (age: 69±7 years) with type 2 diabetes participated in this cross-sectional observational study. The participants sociodemographics, physical function, cognitive status (Mini Mental State Exam – MEEM and Geriatric Depression Scale – GDS), balance (Mini BEST test), functional performance (WHODAS 2.0) and falls risk (Quick Screen Clinical Falls Risk Assessment – QuickScreen) were evaluated. The data was analyzed using the Kruskall-Wallis, Chi-square, and Fisher’s exact tests (p<0.05). Thirty percent of the participants had fallen during the previous 12 months, and 80% of the participants reported fear of falling. The average number of falls risks was 3.5±2. Increased number of falls risks were associated with lower educational level (p=0.005), poorer general health (p=0.001), vision impairment (p=0.017), higher number of diseases (p<0.0001), higher number of medications (p<0.0001), longer diabetes duration (p<0.0001), lower limb pain (p<0.0001), depression (p<0.001), worse functional performance (p<0.0001), and worse balance (p<0.0001). Older adults with type 2 diabetes with lower education, worse health and vision, greater number of diseases and medications, longer diagnosis of diabetes, lower limb pain, depressive symptoms, worse functional performance and balance presented more risks for falls.

Falls Risk in Older Adults with Type 2 Diabetes

2015 ◽  
Vol 31 (1) ◽  
pp. 89-99 ◽  
Author(s):  
Aaron I. Vinik ◽  
Etta J. Vinik ◽  
Sheri R. Colberg ◽  
Steven Morrison
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Falls Risk

Supervised Balance Training and Wii Fit–Based Exercises Lower Falls Risk in Older Adults With Type 2 Diabetes

2018 ◽  
Vol 19 (2) ◽  
pp. 185.e7-185.e13 ◽  
Author(s):  
Steven Morrison ◽  
Rachel Simmons ◽  
Sheri R Colberg ◽  
Henri K Parson ◽  
Aaron I Vinik
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Balance Training ◽  
Falls Risk ◽  
Wii Fit

scholarly journals Effect of Sensory Impairment on Balance Performance and Lower Limb Muscle Strength in Older Adults With Type 2 Diabetes

2019 ◽  
Vol 43 (4) ◽  
pp. 497-508
Author(s):  
Ratchanok Kraiwong ◽  
Mantana Vongsirinavarat ◽  
Vimonwan Hiengkaew ◽  
Petra von Heideken Wågert
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Muscle Strength ◽  
Lower Limb ◽  
Sensory Impairment ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Balance Performance

scholarly journals Higher dementia incidence in older adults with type 2 diabetes and large reduction in HbA1c

2019 ◽  
Vol 48 (6) ◽  
pp. 838-844 ◽  
Author(s):  
Allen T C Lee ◽  
Marcus Richards ◽  
Wai C Chan ◽  
Helen F K Chiu ◽  
Ruby S Y Lee ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Severe Hypoglycemia ◽  
Cognitive Status ◽  
Sensitivity Analyses ◽  
Relative Reduction ◽  
Large Reduction ◽  
Clinical Dementia Rating ◽  
Incidence Of Dementia

Abstract Background although type 2 diabetes increases risk of dementia by 2-fold, whether optimizing glycemic level in late life can reduce risk of dementia remains uncertain. We examined if achieving the glycemic goal recommended by the American Diabetes Association (ADA) within a year was associated with lower risk of dementia in 6 years. Methods in this population-based observational study, we examined 2246 community-living dementia-free Chinese older adults with type 2 diabetes who attended the Elderly Health Centres in Hong Kong at baseline and followed their HbA1c level and cognitive status for 6 years. In line with the ADA recommendation, we defined the glycemic goal as HbA1c < 7.5%. The study outcome was incident dementia in 6 years, diagnosed according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) or Clinical Dementia Rating of 1–3. Results those with HbA1c ≥ 7.5% at baseline and HbA1c < 7.5% in 1 year were associated with higher rather than lower incidence of dementia, independent of severe hypoglycemia, glycemic variability and other health factors. Sensitivity analyses showed that a relative reduction of ≥10%, but not 5–10%, in HbA1c within a year was associated with higher incidence of dementia in those with high (≥8%) and moderate (6.5–7.9%) HbA1c at baseline. Conclusion a large reduction in HbA1c could be a potential predictor and possibly a risk factor for dementia in older adults with type 2 diabetes. Our findings suggest that optimizing or intensifying glycemic control in this population requires caution.

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