影响老年2型糖尿病患者跌倒风险的危险因素：一项综合分析

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Aging Male Pub Date : 2025-12-01 Epub Date: 2025-03-01 DOI:10.1080/13685538.2025.2469614

Muharrem Bayrak, Kamber Kaşali, Merve Güner, Kenan Cadirci, Adil Furkan Kılıç, Dogan Nasır Binici

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引用次数: 0

摘要

背景与目的：2型糖尿病（T2DM）是老年人常见的慢性疾病。合并症，尤其是神经病变和视网膜病变，显著增加了该组患者跌倒的风险。本研究旨在确定老年2型糖尿病患者跌倒的危险因素。材料与方法：对2024年1 - 6月在内科门诊就诊的65岁及以上T2DM患者242例进行随访。采用活动能力评估（POMA）、Hendrich II跌倒风险模型（HIIFRM）、Barthel日常生活活动指数和临床虚弱量表（CFS）评估跌倒风险。结果：中位年龄70岁的患者中，41.3%的患者在过去一年中至少经历过一次跌倒。年龄和糖尿病病程等因素与跌倒有关。值得注意的是，低血糖（aPR: 1.90, p = 0.017）、多药（aPR: 2.39, p = 0.004）、骨关节炎（aPR: 2.48, p = 0.017）、（aPR: 1.70, p = 0.025）和营养不良（aPR: 1.90, p = 0.007）与跌倒风险独立相关。结论：老年T2DM门诊患者的跌倒风险与多种因素有关，包括住院、营养不良、骨关节炎、多种药物、神经病变和低血糖。为了减轻这种风险，建议制定针对患者的护理计划。

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Risk factors influencing fall risk in geriatric patients with type 2 diabetes: a comprehensive analysis.

Background and objectives: Type 2 diabetes mellitus (T2DM) is a common chronic disease in the elderly. Comorbidities, especially neuropathy and retinopathy, significantly increase fall risk in this group. This study aimed to identify fall risk factors in older adults with T2DM.

Materials and methods: From January to June 2024, 242 T2DM patients aged 65 and older were followed at the internal medicine outpatient clinic. Fall risk was assessed using the Performance Oriented Mobility Assessment (POMA), Hendrich II Fall Risk Model (HIIFRM), Barthel Activities of Daily Living Index, and Clinical Frailty Scale (CFS).

Results: Among the patients (median age = 70 years), 41.3% had experienced at least one fall in the previous year. Factors, such as age and diabetes duration were associated with falls. Notably, hypoglycemia (aPR: 1.90, p = 0.017), polypharmacy (aPR: 2.39, p = 0.004), osteoarthritis (aPR: 2.48, p = 0.017), (aPR: 1.70, p = 0.025), and malnutrition (aPR: 1.90, p = 0.007) were independently associated with fall risk.

Conclusions: Fall risk in elderly outpatients with T2DM was linked to various factors, including hospitalization, malnutrition, osteoarthritis, polypharmacy, neuropathy, and hypoglycemia. To mitigate this risk, patient-specific care plans are recommended.

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.