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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Diabetes mellitus is associated with an increased risk of falls in elderly residents of a long-term care facility.
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Diabetes mellitus is associated with an increased risk of falls in elderly residents of a long-term care facility.

机译：糖尿病与长期护理机构中老年人的跌倒风险增加有关。

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BACKGROUND: Diabetes mellitus is common among elderly persons, with several potential complications that could contribute to falls. However, diabetes mellitus is not widely recognized as an important risk factor for falls among elderly persons. Accordingly, the purpose of the current study was to determine whether diabetes is an independent risk factor for falls in elderly residents of a long-term care facility. METHODS: Ours was a prospective cohort study of 139 elderly (88 +/- 7 years, range 70-105 years), Caucasian (97%) residents (women, 84%) of a long-term care facility. Inclusion criteria were age > or = 60 years, ability to rise from a seated position, informed consent obtained from participant or guardian. Multiple domains were assessed for the association with falls including: clinical diagnoses; medication use; orthostatic changes in blood pressure, gait, or balance; cognitive/mental status; general well being; activities of daily living; affect/behavior; range of motion and/or ambulation; and communication. Diabetes mellitus was determined by use of hypoglycemic agents. Time to first fall was determined by review of daily New York State mandated "Incident and Accident" reports. RESULTS: Over the follow-up period (mean 299 days), 49 participants (35%) experienced a fall. The fall incidence rate for the participants with and without diabetes mellitus was 78% and 30%, respectively (p <.001). The significant unadjusted hazard ratios of fall risk factors included diabetes mellitus, Berg Balance Scale score <45, number of medications, angiotensin-converting enzyme (ACE) inhibitors, hypertension, use of assistive device, inability to independently move a wheelchair, and use of antidepressants, with the latter two factors being protective. In multivariate analysis, only diabetes (adjusted hazard ratio 4.03; 95% confidence interval, 1.96-8.28) and gait and balance (adjusted hazard ratio 5.26; 95% confidence interval, 1.26-22.02) were significantly and independently associated with an increased risk of falls. CONCLUSIONS: Our results suggest that diabetes mellitus is an independent fall risk factor among elderly nursing home residents.
机译：背景：糖尿病在老年人中很常见，有几种可能导致跌倒的潜在并发症。但是，糖尿病尚未被广泛认为是老年人跌倒的重要危险因素。因此，本研究的目的是确定糖尿病是否是长期护理机构中老年人跌倒的独立危险因素。方法：我们对一项长期护理机构的139名老年人（88 +/- 7岁，范围70-105岁），白人（97％）居民（妇女，84％）进行前瞻性队列研究。入选标准为年龄≥60岁，能够从坐姿中升起，获得参与者或监护人的知情同意。评估了与跌倒相关的多个领域，包括：临床诊断;用药血压，步态或平衡的体位性变化;认知/心理状态;一般状况;日常生活活动;影响/行为;运动和/或移动范围;和沟通。通过使用降糖药来确定糖尿病。第一次摔倒的时间取决于对纽约州要求进行的“事件和事故”每日报告的审查。结果：在随访期间（平均299天），有49名参与者（35％）经历了跌倒。有和没有糖尿病的参与者的跌倒发生率分别为78％和30％（p <.001）。跌倒危险因素的重大未经调整的危险比包括糖尿病，Berg Balance Scale得分<45，药物数量，血管紧张素转换酶（ACE）抑制剂，高血压，使用辅助装置，无法独立移动轮椅和使用抗抑郁药，后两个因素具有保护作用。在多变量分析中，只有糖尿病（调整后的危险比为4.03; 95％的置信区间为1.96-8.28）和步态与平衡（调整后的危险比为5.26; 95％的置信区间为1.26-22.02）显着且独立地与罹患糖尿病的风险增加相关下降。结论：我们的结果表明，糖尿病是老年人疗养院居民中一个独立的跌倒危险因素。

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