Azidah A K, Hasniza H, Zunaina E
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Malaysia.
Curr Gerontol Geriatr Res. 2012;2012:539073. doi: 10.1155/2012/539073. Epub 2012 May 30.
The purpose of this study is to determine the prevalence of falls and its associated factors among elderly diabetes type 2 patients attending a tertiary center in Malaysia. We conducted a cross-sectional study among 288 elderly diabetes type 2. The data collected includes data on sociodemographic, diabetes history, comorbid diseases, drug use, and activity of daily living (Barthel's index). The patient also was examined physically, and balance and gait assessment was carried out. Prevalence of falls among elderly diabetes was 18.8%. Female gender (OR: 2.54, P < 0.05), age group more than 75 (OR: 2.97, P < 0.05), retinopathy (OR: 2.19, P < 0.05), and orthostatic hypotension (OR: 2.87, P < 0.05) were associated with higher risk for falls. High balance and gait score was associated with reduced risk of fall in elderly diabetes (OR: 0.89, P < 0.05). In conclusion, the factors that are associated with higher risk for falls among elderly diabetes were female sex, age group more than 75, presence of retinopathy, and orthostatic hypotension. Those who had higher balance and gait score were found to be less likely to fall compared with those with lower score.
本研究的目的是确定马来西亚一家三级中心的老年2型糖尿病患者的跌倒患病率及其相关因素。我们对288名老年2型糖尿病患者进行了一项横断面研究。收集的数据包括社会人口统计学、糖尿病病史、合并疾病、药物使用以及日常生活活动（巴氏指数）等方面的数据。还对患者进行了体格检查，并进行了平衡和步态评估。老年糖尿病患者的跌倒患病率为18.8%。女性（比值比：2.54，P<0.05）、年龄超过75岁的年龄组（比值比：2.97，P<0.05）、视网膜病变（比值比：2.19，P<0.05）和体位性低血压（比值比：2.87，P<0.05）与跌倒风险较高相关。较高的平衡和步态评分与老年糖尿病患者跌倒风险降低相关（比值比：0.89，P<0.05）。总之，老年糖尿病患者中与跌倒风险较高相关的因素是女性、年龄超过75岁、存在视网膜病变和体位性低血压。与得分较低者相比，平衡和步态评分较高者跌倒的可能性较小。
