Falls in People with Type 1 Diabetes: A Review of Prevalence, Risk Factors, and Preventive Strategies.

IF 5.3 2区医学

Current Osteoporosis Reports Pub Date : 2025-07-17 DOI:10.1007/s11914-025-00926-1

Asger Ahlmann Bech, Mia Daugaard Madsen, Nicklas Højgaard-Hessellund Rasmussen

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Abstract

Purpose of the review: This review aims to summarize recent literature on the prevalence, risk factors, and prevention strategies for falls in people with type 1 diabetes. It highlights current knowledge gaps and proposes directions for future research.

Recent findings: Emerging evidence suggests that adults with type 1 diabetes experience a significantly higher fall risk than the general population. Key risk factors include sarcopenia, dynapenia, impaired postural control and executive function, hypoglycemia, neuropathy, and polypharmacy. While exercise interventions are effective in reducing falls in type 2 diabetes, studies in type 1 diabetes remain sparse. High-intensity interval training shows early promise in improving balance and strength. Falls are an underrecognized yet significant complication in type 1 diabetes. Current evidence supports the need for multifaceted prevention strategies that target both physical deconditioning and diabetes-specific risk factors. More high-quality, type 1-specific studies are essential to develop effective interventions and improve patient outcomes.

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1型糖尿病患者跌倒：患病率、危险因素和预防策略综述

综述目的：本综述旨在总结最近关于1型糖尿病患者跌倒的患病率、危险因素和预防策略的文献。它强调了当前的知识差距，并提出了未来研究的方向。最新发现：新出现的证据表明，成人1型糖尿病患者的跌倒风险明显高于一般人群。主要危险因素包括肌肉减少症、运动障碍、姿势控制和执行功能受损、低血糖、神经病变和多药。虽然运动干预对降低2型糖尿病的发病率是有效的，但对1型糖尿病的研究仍然很少。高强度间歇训练在改善平衡和力量方面显示出早期的希望。跌倒是1型糖尿病中一种未被充分认识但重要的并发症。目前的证据支持需要采取多方面的预防策略，既针对身体状况的改善，也针对糖尿病特定的危险因素。更多高质量的1型特异性研究对于制定有效的干预措施和改善患者预后至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Osteoporosis Reports ENDOCRINOLOGY & METABOLISM-

CiteScore

8.40

自引率

2.30%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of osteoporosis. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as current and future therapeutics, epidemiology and pathophysiology, and evaluation and management. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.