Risk factors of falls and the gender differences in older adults with diabetes at outpatient clinics

作者：Ruey‐Hsia Wang, Hui‐Chun Hsu, Shi‐Yu Chen, Chun‐Ming Lee, Yau‐Jiunn Lee, Shin‐Ming Ma, Wanyi Chen · 发表于：Journal of Advanced Nursing · 年份：2021 · DOI：10.1111/jan.14795 · 被引用次数：12 · 研究领域：Balance, Gait, and Falls Prevention、Chronic Disease Management Strategies、Frailty in Older Adults

AIMS: To explore the risk factors of falls and the gender differences based on demographic and disease characteristics, physical capability, and fear of falling in older adults with diabetes visiting outpatient clinics in Taiwan. DESIGN: Cross-sectional design. METHODS: A total of 485 patients with type 2 diabetes aged between 65 and 80 years were recruited from three endocrine outpatient clinics in Taiwan. Demographic and disease characteristics, fall history in the previous one year and fear of falling were collected by a self-reported questionnaire. Calf circumference, handgrip strength, one-leg standing and time up-and-go tests were all performed to assess the physical capability of participants. Data were collected from May 2019 to May 2020. RESULTS: Female gender (OR = 1.75), handgrip strength (OR = 2.43) and fear of falling (OR = 3.38) were important risk factors of falls overall, although fear of falling (OR = 4.69) was the only important risk factor of falls in males, while handgrip strength (OR = 3.48) and fear of falling (OR = 2.86) were important risk factors of falls in females. The sensitivity of simultaneous screening handgrip strength and fear of falling were 85.7, 86.4 and 86.2 in males, females and older adults overall with diabetes, respectively. CONCLUSION: Fear of falling was an important risk factor of falls in both genders, especially in males. Handgrip strength was an important risk factor of falls specifically for females. By simultaneously screening ...