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Ethnic disparities in glycemic control among rural older adults with type 2 diabetes.2型糖尿病农村老年人群血糖控制的种族差异
Ethn Dis. 2005 Autumn;15(4):656-63.
2
Diabetes mellitus is associated with an increased risk of falls in elderly residents of a long-term care facility.糖尿病与长期护理机构老年居民跌倒风险增加有关。
J Gerontol A Biol Sci Med Sci. 2005 Sep;60(9):1157-62. doi: 10.1093/gerona/60.9.1157.
3
Psychotropic medications and risk for falls among community-dwelling frail older people: an observational study.精神药物与社区居住体弱老年人跌倒风险：一项观察性研究。
J Gerontol A Biol Sci Med Sci. 2005 May;60(5):622-6. doi: 10.1093/gerona/60.5.622.
4
Osteoporosis and atherosclerosis: biological linkages and the emergence of dual-purpose therapies.骨质疏松症与动脉粥样硬化：生物学联系及双重用途疗法的出现
QJM. 2005 Jul;98(7):467-84. doi: 10.1093/qjmed/hci077. Epub 2005 Jun 13.
5
Prevalence and correlates of depressive symptoms among rural older African Americans, Native Americans, and whites with diabetes.患有糖尿病的非裔美国农村老年人、美国原住民和白人中抑郁症状的患病率及其相关因素
Diabetes Care. 2005 Apr;28(4):823-9. doi: 10.2337/diacare.28.4.823.
6
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7
Diabetes is associated independently of body composition with BMD and bone volume in older white and black men and women: The Health, Aging, and Body Composition Study.糖尿病与老年白人和黑人男性及女性的骨密度和骨体积独立相关，与身体组成无关：健康、衰老和身体组成研究。
J Bone Miner Res. 2004 Jul;19(7):1084-91. doi: 10.1359/JBMR.040311. Epub 2004 Mar 15.
8
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9
Zones of prevention: the geography of fall injuries in the elderly.预防区域：老年人跌倒伤害的地理分布
Soc Sci Med. 2003 Dec;57(11):2065-73. doi: 10.1016/s0277-9536(03)00081-9.
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Is a fall just a fall: correlates of falling in healthy older persons. The Health, Aging and Body Composition Study.跌倒仅仅只是跌倒吗：健康老年人跌倒的相关因素。健康、衰老和身体成分研究。
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患有糖尿病的多民族农村老年人群体中跌倒的预测因素

Predictors of falls in a multiethnic population of older rural adults with diabetes.

作者信息

Quandt Sara A, Stafford Jeanette M, Bell Ronny A, Smith Shannon L, Snively Beverly M, Arcury Thomas A

机构信息

Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1063, USA.

出版信息

J Gerontol A Biol Sci Med Sci. 2006 Apr;61(4):394-8. doi: 10.1093/gerona/61.4.394.

DOI:10.1093/gerona/61.4.394
PMID:16611707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1592639/
Abstract

BACKGROUND

Falls are a recognized danger for older adults with diabetes. Persons in rural communities with diabetes may face additional risks from falling due to environmental and activity differences.

METHODS

Data were obtained in a cross-sectional survey of a stratified random sample of 691 community-dwelling adults (42.7% white, 31.4% African American, and 25.9% Native American) at least 65 years old with two or more Medicare claims for diabetes in 1998-2000, living in two rural counties in North Carolina. Falls data were self-reported for the previous year. Demographic data, foot-related symptoms, diabetes medications, and other health characteristics were reported.

RESULTS

Three hundred two persons (43.7%) reported falling at least once, including 171 (26.2%) who experienced two or more (frequent) falls. Frequent fallers were more likely to be male (odds ratio [OR] = 1.76; 95% confidence interval [CI] = 1.17, 2.66), report tingling or numbness in feet (OR = 1.75; 95% CI = 1.13, 2.70), have had a stroke (OR = 1.81; 95% CI = 1.19, 2.76), have longer duration of diabetes (OR = 1.21; 95% CI = 1.00, 1.47), have lower physical functioning (OR = 0.97; 95% CI = 0.96, 0.99) and mobility (OR = 0.89; 95% CI = 0.82, 0.96), and take a greater number of prescription medications (OR = 1.07; 95% CI = 1.01, 1.13).

CONCLUSIONS

For rural older adults with diabetes, falls history should be screened to identify those at risk. Further research should investigate unique environmental factors contributing to falls for rural elderly persons.

摘要

背景

跌倒对于老年糖尿病患者来说是一种公认的危险。由于环境和活动差异，农村社区的糖尿病患者可能面临额外的跌倒风险。

方法

数据来自对691名至少65岁的社区居住成年人进行的分层随机抽样横断面调查，这些成年人在1998 - 2000年有两项或更多糖尿病医疗保险理赔记录，居住在北卡罗来纳州的两个农村县。跌倒数据是前一年的自我报告。报告了人口统计学数据、足部相关症状、糖尿病药物治疗及其他健康特征。

结果

302人（43.7%）报告至少跌倒过一次，其中171人（26.2%）经历过两次或更多次（频繁）跌倒。频繁跌倒者更可能为男性（优势比[OR]=1.76；95%置信区间[CI]=1.17，2.66），报告足部有刺痛或麻木感（OR = 1.75；95% CI = 1.13，2.70），有过中风（OR = 1.81；95% CI = 1.19，2.76），糖尿病病程更长（OR = 1.21；95% CI = 1.00，1.47），身体功能较低（OR = 0.97；95% CI = 0.96，0.99）和活动能力较低（OR = 0.89；95% CI = 0.82，0.96），并且服用的处方药数量更多（OR = 1.07；95% CI = 1.01，1.13）。

结论

对于农村老年糖尿病患者，应筛查跌倒史以识别高危人群。进一步的研究应调查导致农村老年人跌倒的独特环境因素。