Rashedi Vahid, Iranpour Abedin, Mohseni Mohabbat, Borhaninejad Vahidreza
School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran; Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Diabetes Metab Syndr. 2019 Jul-Aug;13(4):2347-2351. doi: 10.1016/j.dsx.2019.06.001. Epub 2019 Jun 8.
Diabetes mellitus type 2 (DMT2) is a major chronic condition that also common in older people, and associated with an increased risk of falling. This study aimed to determine the risk factor of fall in elderly with DMT2.
In this cross-sectional study, 220 elderly diabetic patients who had referred to diabetes center in Kerman were chosen via convenience sampling method. To collect data, Semi-structured Fall Risk questionnaire and the Pittsburgh Sleep Quality Index (PSQI) were used.
The mean age was estimated to be 69.82 (SD: 9.9) years. Among the participants, 38.5% suffered falls in the past one year. Good sleep quality (OR = 0.45, 95% CI = 0.1-0.85) and appropriate environment (OR = 0.6, 95% CI = 0.1-0.77) were significantly associated with a lesser odd of having recurrent falls. Gait problem (OR = 1.8, 95% CI = 1.1-4.9), balance difficulties (OR = 2.1, 95% CI = 1.24-7.12), hypotension (OR = 1.7, 95% CI = 1.2-5.6), and medication above three medicine (OR = 1.55, 95% CI = 1.12-6.34) were significantly associated with a greater odd of having recurrent falls.
It would therefore appear that older diabetic patients would be a suitable target group for a strategy aimed at preventing falls. Early recognition of the multiple causes of falls in the older diabetic patient and prompt referral of this group of patients to a specialist falls clinic is recommend.
2型糖尿病（DMT2）是一种主要的慢性疾病，在老年人中也很常见，并且与跌倒风险增加有关。本研究旨在确定2型糖尿病老年患者跌倒的危险因素。
在这项横断面研究中，通过便利抽样法选取了220名转诊至克尔曼糖尿病中心的老年糖尿病患者。为收集数据，使用了半结构化跌倒风险问卷和匹兹堡睡眠质量指数（PSQI）。
平均年龄估计为69.82岁（标准差：9.9）。在参与者中，38.5%在过去一年中曾跌倒。良好的睡眠质量（比值比[OR] = 0.45，95%置信区间[CI] = 0.1 - 0.85）和适宜的环境（OR = 0.6，95% CI = 0.1 - 0.77）与跌倒复发几率较低显著相关。步态问题（OR = 1.8，95% CI = 1.1 - 4.9）、平衡困难（OR = 2.1，95% CI = 1.24 - 7.12）、低血压（OR = 1.7，95% CI = 1.2 - 5.6）以及服用三种以上药物（OR = 1.55，95% CI = 1.12 - 6.34）与跌倒复发几率较高显著相关。
因此，老年糖尿病患者似乎是旨在预防跌倒策略的合适目标群体。建议早期识别老年糖尿病患者跌倒的多种原因，并及时将这类患者转诊至专科跌倒诊所。
